Our Services and Treatments
We pride ourselves in our ability to provide our patients with results-driven dermatology procedures in a friendly and professional environment. We offer only the best in product quality and techniques. Our commitment is to provide our patients with comprehensive assessment and treatment for their overall dermatological health.
Based in Fort Collins we provide competitive pricing for the most popular products and services guaranteed.
- Actinic Keratosis (precancers) (AK)
- Basal Cell Carcinoma (BCC)
- Squamous Cell Carcinoma (SCC)
- Bowens disease (SCCis)
- Merkel Cell Carcinoma, various sarcomas, and other rare skin cancers
Skin cancer affects more people worldwide than any other form of cancer. As such, skin screenings should be performed routinely as a preventive measure for common skin cancers such as basal cell carcinomas, squamous cell carcinomas, and melanomas as well as for more rare forms of skin cancer such as merkel cell carcinoma, various sarcomas, or others. Early detection and treatment of a problematic growths often increases the chances of a successful cure and can prevent further progression. Early detection may also prevent the need for more complex treatments (such as chemotherapy and radiation) that have well-known adverse side effects that may impact quality of life.
Dr Divine offers skin cancer treatments include cryosurgery, electrodessication and curettage (ED&C), surgical excision, Mohs micrographic surgery, direct chemotherapy injections, and use of topical chemotherapy creams, such as Efudex(fluorouracil) and Aldara (imiquimod).
Mohs micrographic surgery is a highly specialized and precise treatment that is widely accepted as the most effective technique for the treatment of basal cell carcinoma and squamous cell carcinomas and is becoming increasingly popular for other skin cancers as well. This surgical technique removes one tissue layer at a time and screens carefully for cancerous tissue. Mohs removes cancerous cells with the greatest precision, while sparing the maximum amount of healthy tissue, and reducing the chances of recurrence. Dr. Divine has been extensively trained in Mohs surgery and has completed fellowship training at Vanderbilt University.
You will be asked to come in for a consultation before having surgery to examine the skin cancer, obtain a medical history, review your medications, and determine whether Mohs surgery is the best treatment plan for your unique needs. The pre-op consult allows you to meet with Dr. Divine and our staff, feel comfortable, and get answers to any questions you may have. Special considerations will be made at this time and specific instructions and recommendations may be made. At the consult, the area will be photographed for medical documentation. Additional photos will be taken the day of surgery and during the various times in the healing process. This helps the doctor track your progress and make changes if necessary. If you take the blood thinner Coumadin (warfarin) you will need to have an INR drawn 24-72 hours before surgery. If your INR is too high, your surgery may have to be rescheduled.
You do not need to fast and you can take your daily medications normally unless otherwise advised by the doctor. Instead, eat a nutritious and filling breakfast to help avoid lightheadedness during the procedure. Do not drink excess coffee. You may also bring food or snacks with you to the office as well. Avoid drinking alcohol for 48 hours prior to surgery. Please shower and shampoo your hair the night before or the morning of surgery to help provide a clean environment. Please come with a clean face, without make-up. Wear clean, comfortable, and warm clothing that can be easily changed if needed. While we do our best to keep your clothes clean, occasional staining does occur, so please dress accordingly.
Quitting smoking is always encouraged for your overall health. Tobacco and other nicotine products decrease blood supply and can impair healing drastically, causing more noticeable scars and even the need for additional surgeries. Quitting is ideal, but cutting back to 1 pack or less per day for one week before and one week after can significantly increase your ability to heal.
We do advise patients to set aside most of the day for the surgery and plan on resting for the remainder of the day. Do not schedule other doctors appointments that day or plan to return to work. The average surgery time is 3-4 hours but can last 6-8 hours or greater due to large size, delicate location, or lengthy necessary stitching. You are encouraged to bring a book, newspaper or computer to help pass the time. Patients are also advised to make arrangements to have someone available to drive them home after surgery if needed.
Before the start of surgery, Dr. Divine will review the procedure’s steps with you and obtain an informed consent. If you need clarification or further answers, feel free to ask the doctors or staff at this time. If excess anxiety is a concern, you may be given medication to make you more comfortable.
Once ready for surgery, the area will be cleansed with an antibacterial solution and the area will be numbed with local anesthetic administered through needle injection. A tissue layer will then be removed by the doctor and processed in the in-facility lab. This processing normally takes 30-45 minutes and you will be asked to wait in the waiting room. The process is repeated until the removed layer no longer reveals cancerous cells under the microscopic.
After complete removal of the skin cancer, Dr. Divine will discuss repair options including straight line suturing, a flap, skin graft, or even allowing the wound to heal on its own, often with the aid of a special dressing. After the reconstruction is complete, the surgical site will be dressed and home wound care instructions will be reviewed.
Your surgical wound will require wound care during the weeks following surgery. Detailed care instructions will be provided at the office based on your unique needs and will be added to your online patient profile through our patient portal. You should plan on keeping the area covered until your stitches are removed, 1- 2 weeks after surgery. The wound left to heal naturally may require 4-12 weeks of bandaging based on their size, location, and your own bodies ability to heal. Avoid strenuous activity and bending over for the first 48 hours if you are not on blood thinners, and a complete 1 week if you are on blood thinners. Most patients report minimal pain that responds well to treatment with Tylenol or similar over-the-counter pain medication.
If sutures have been placed, our office will have scheduled you for a follow-up visit 1-2 weeks post-surgery for suture removal. Additional wound check visits may be recommended to ensure that there are no further issues with healing or complications with the wound site. A post-op skin care regimen may be recommended.
Due to an increased risk of future skin cancers in patients who have had a history of skin cancer, we advise that patients continue to follow-up regularly, often every 6 months.
Common Skin Conditions
We screen and treat all of the most common skin conditions including acne, rosacea, psoriasis, eczema, allergic contact dermatitis, seborrheic dermatitis, warts, hives, alopecia areata, vitiligo, folliculitis and abscesses, shingles, fungal infections of the nails, skin, and scalp, as well as many other conditions of the skin, hair, and nails. Dr. Divine completed a year of pediatric training prior to dermatology and enjoys seeing infants and children of all ages as well. Early diagnosis and treatment often increase the chances of successful management of many skin conditions, and we advise patients to contact us as soon as a problem arises. Our doctor and staff carefully tailor treatment and step-by-step management plans that work with your needs and preferences and make adjustments as needed for the optimal treatment of your condition.
- Eczema (atopic dermatitis)
- Allergic contact dermatitis
- Seborrheic dermatitis (dandruff)
- Seborrheic keratosis
- Warts and molluscum
- Urticaria (hives)
- Alopecia areata
- Fungal, bacterial and viral infections of the nails, skin, and scalp
- Many other conditions of the skin, hair, and nails
Rare Skin Conditions
As a board-certified dermatologist, Dr. Divine specializes in treatments of rare and often complex skin conditions such as drug rashes, bullous pemphigoid, pemphigus vulgaris, lichen planus, rheumatic diseases, genetic syndromes and more. We offer varied expert treatment plans tailored to the patients’ needs and preferences, work with other specialists of your care team, and assist patients every step of the way back to great skin and health.
- Drug rashes and reactions
- Bullous pemphigoid
- Pemphigus Vulgaris
- Lichen planus
- Rheumatic disease with skin involvement (such as lupus and psoriasis)
- Genetic syndromes involving the skin
In the right hands, the combination of talent and technology opens the door to what can often be nearly magical transformations. The overall impact of feeling confident about our appearance is quite simply, immeasurable. Our office offers a wide variety of options for every need. We offer non-invasive and invasive treatments that can be tailored to your preferences and needs as well as preventative care options.
Dysport® (botulinum toxin A) is an injectable solution that is used in very small amounts and is indicated to relax the muscles that cause frown lines between the eyebrows. The result is a smooth, natural look that softens and even eliminates wrinkling without looking “frozen”. Dr. Divine also uses Dysport® for forehead wrinkles, crows feet, orbicularis hypertrophy, gummy smiles, to provide eyebrow lifts, and to correct minor asymmetries if needed. Improvement may be seen in as little as 2-3 days and can last up to 4 months. Dysport® can be used alone or with other cosmetic procedures to provide optimal anti-aging results. Dysport® can be used in adults starting at age 18 and provides excellent wrinkle prevention.
Rewards and savings are available through Galderma’s ASPIRE program as well as during sales and promotion throughout the year.
Restylane® is a clear gel formulation of hyaluronic acid, a natural sugar that is already present in your skin, and gives your skin plumpness, volume and hydration. Hyaluronic acid is biocompatible with the human body and is naturally broken down with time. Dermal fillers can be used to fill fine lines and wrinkles, for detailed shaping and lip enhancement, for moderate to severe wrinkles and even for larger volume fat loss of the cheeks and temples. We offer a wide range of Restylane® dermal fillers including Silk® and Lift® as well as their newest and most advanced product line Defyne® and Refyne® to address your unique concerns. Restylane® products may be used alone or in combination together for optimal results. Dr. Divine’s techniques provide a very natural result and a more youthful appearance to enhance your natural beauty. Restylane® lasts for approximately 6 months to one year. Regular maintenance injections can often prolong the life of the filler and add a building and more beneficial result.
Rewards and savings are available through Galderma’s ASPIRE program as well as during sales and promotion throughout the year.
We offer both Ossential Stimulator and ZO 3-step medium depth chemical peels. Ossential Stimulator Peel is also known as the “Red Carpet Peel” or “lunchtime” peel. This peel is gentle with no downtime and minimal redness and flaking yet effective enough to provide a fresh glow and smooth texture. The peel uses three exfoliating ingredients, salicylic, lactic and citric acid to remove dead skin cells and superficial imperfections revealing brighter, clear skin underneath. Perfect for a quick refresher before your big event or performed in a series of 3 or 4 for even better results. ZO 3-step peel is an innovative, in-office treatment peel targeting melasma, acne, fine lines, rough texture, large pores and dullness, followed by an at-home treatment that produces longer lasting results than ordinary peel.
Benefits include dual-action, highly effective peel designed to provide skin renewal and stimulation. Utilizes a blend of exfoliants, retinol and multi-action agents to significantly improve skin health and treat many signs of aging. Supports improvement of skin barrier protection and improves the skin’s ability to repair and renew itself. Provides antioxidant protection as well as anti-irritant benefits. This medium-depth peel results in significant peeling and very noticeable results.
Dr. Divine offers cosmetic removal for skin tags, moles, milia, seborrheic keratosis, angiomas, lipomas, cysts and other unwanted growths. We offer a variety of treatment options based on location and patient’s preferences and will build individual plans for management and care.
ZO Skin Health
We offer products from the physician accessible only line of ZO Skin Health. ZO develops and delivers innovative skincare solutions that optimize skin health based on the latest advances in skin therapy technologies, unique delivery systems, bio-engineered complexes, and exclusive formulations. By providing comprehensive skincare programs for physicians and their patients, ZO Skin Health bridges the gap between therapeutic treatments and daily care, allowing patients to experience continuously healthy skin regardless of their age, ethnicity or unique skin condition.
BOTOX® Cosmetic (botulinum toxin A) is a prescription medicine that is injected into muscles and used to temporarily improve the look of both moderate to severe crow’s feet lines around the eyes and frown lines between the eyebrows. When you frown or concentrate, the muscles between your brows contract, causing your skin to furrow and fold. And when you squint, the muscles around your eyes contract and cause crow’s feet. BOTOX® Cosmetic works beneath the skin’s surface and targets the underlying muscle activity that causes frown lines and crow’s feet. Dr. Divine also uses BOTOX® for forehead wrinkles, orbicularis hypertrophy, gummy smiles, to provide eyebrow lifts, and to correct minor asymmetries if needed. BOTOX® Cosmetic is a technique-sensitive treatment. You should not lose the ability to show expression when you are treated by someone who is licensed, trained and a medical expert in facial anatomy. You may begin to notice results within 24 to 48 hours for moderate to severe frown lines, with results lasting up to 4 months.
Rewards and savings are available through Allergan’s Brilliant Distinctions program as well as during sales and promotion throughout the year.