775-204-0150 (Call or Text) hello@nvpfm.com

Skin and Dermatology Services

Preferred Family Medicine Skin & Dermatology Services

We are happy to provide dermatology services to both our members and non-members. Active members are given priority scheduling and may undergo these procedures at no additional cost. We understand that dermatologists are often booked out weeks to months, so we offer the following cash-pay skin and dermatology procedures to non-members for a simple, transparent fee. Again, we do not bill insurance and payment is expected up front. We will provide an invoice upon request should you decide to submit it to your health insurer on your own. Fees include all follow-up related to the procedure.


Dr. Highley has over 20 years of experience in family medicine, which includes performing minor dermatological procedures such as mole removal, punch biopsy, cyst removal, lipoma removal, keratosis and age spot excision, cryotherapy (freezing), and wart treatment. Dr. Highley is a family physician, not a dermatologist. Conditions deemed out of the scope of practice for family medicine will be deferred to a board-certified dermatologist. Details about these procedures may be found below. Do not hesitate to contact us with any questions.

Skin Lesions & Conditions Treated

All lesions will be evaluated by our physician in-person or via telemedicine prior to scheduling a treatment or procedure.
Call/Text 775-204-0150 To Book A Consultation


Have a worrisome or bothersome mole? Let us evaluate your mole and decide on best course of action. Mole removal is virtually painless, low-risk, and has very little downtime. Suspicious moles will be biopsied and sent to an outside pathologist for review. Note: Pathology review is a separate fee, billed by the pathologist and/or lab.

Skin Tags

Almost everyone develops a skin tag at some point in their life. Those dangling skin lesions are usually located in the skin folds like the armpits, neckline, under the breasts, and the groin.

Fortunately, these are almost universally benign and basically a cosmetic nuisance. Sometimes they become irritated.  

Removal is virtually painless with little downtime. 


Keratosis, most commonly seborrheic keratosis, are benign gray-brown pigmented lesions that can pop-up anywhere on the body. They often look "stuck-on" and are tempting to pick at. They are universally common with advancing and are primarily a cosmetic nuisance. Sometimes these wart-like lesions get inflamed or irritated, especially around skin folds or where clothing rubs. Sometimes they itch but may only temporarily respond to topical creams and ointments. 

Removal is virtually painless. Usually a simple shave excision or cryotherapy is all that's needed.


Warts, or verruca, are caused by the human papilloma virus (HPV). They can occur anywhere on the body and sometimes present in groups and/or spread. For some, they are unsightly and a nuisance. 

Removal is simple and may be accomplished with freezing (Cryotherapy), or excision.  The key is to destroy the "home" of the virus.  Some warts may return after treatment, or are resistant to treatment altogether. We will work with you to develop a plan to eradicate your warts once and for all!

Boil / Abscess

Boils / Abscesses  are painful pus-filled pockets under the skin. They can vary in size from a small pimple to a softball-sized painful mass. Sometime they drain pus and/or blood.  Often they are a result of an ingrown hair, infected cyst, or a blocked sweat gland. Treatment consists of an incision and drainage under local anesthetic. Despite anesthetic, the procedure can be uncomfortable and may require packing, wound care, and follow-up appointments. Sometimes antibiotics are prescribed to treat the infection. 


Have you developed an annoying soft lump under your skin. Has it slowly grown in size? It could very well be a lipoma. Lipomas are benign "fatty tumors" that can pop up just about anywhere on the body.   We will look at your skin to determine if indeed your mass is a lipoma vs. a cyst or other mass. 

Lipoma removal is a minor procedure done under local anesthetic with little to no pain. After the mass is removed, the wound is closed up with sutures which will be removed in 7-10 days. 


Skin Biopsy

Skin Biopsy is a minor procedure done under local anesthetic. A  suspicious skin lesion may be biopsied to rule out skin cancer or just determine a definitive diagnosis. Usually, the entire lesion (full thickness) is removed and the resultant wound is closed with sutures (stitches).  Sometimes a small sample, a "punch biopsy", is adequate to determine a diagnosis. The procedures are nearly painless and may require some minor wound care a follow-up visit in 7-10 days for suture removal. 

acne treatment reno accutane


Acne, especially cystic and scarring acne, is a source of frustration for many. Perhaps you've tried all of the over-the-counter products and skin regimens, yet still have difficulty gaining ground on this annoying problem.

We can evaluate your condition and tailor your treatment, which may include a combination of prescription medications.

For severe acne, we may prescribe isotretinoin (Accutane, Myorisan, etc). We conveniently draw labs right in the office and enroll our patients in the iPledge program.  



Cysts, also known as epidermal inclusion cysts (EIC) or sebaceous cysts, stem from a plugged pore or ingrown hair follicle. They can be painful, reddened, and even express pus or blood when squeezed. When infected, they may need to be incised and drained to relieve the pressure and keep the infection from spreading.

The best time to remove them is when they are not actively infected. In other words, the skin around the cyst is normal in color and it is not painful to touch. However, cysts can be removed in either infected or non-infected states.  Removing an infected cyst can be a little more painful, but worth it in the end!

Ingrown Toenail

Ingrown Toenails are not only painful, but often get infected. The edge of the nail is cut too deep and results in sharp edge which grows under the skin. Redness, swelling, pain, and sometimes pus or bloody discharge are symptoms of ingrown toenails. 

Removal is done under local anesthetic. Whether or not to remove part of the nail, or the whole nail depends on the situation. While the numbing process can be a little painful, the actually removal of the nail is painless. Some wound care is necessary following the procedure, but most patients are relieved to have this gnawing, painful condition taken care of for good!



Diagnosis and pricing will be confirmed at the time of consultation.

Payment is due at the time of service, in full. We accept all major credit cards and cash. No refunds. We do not bill insurance. Medicare patients must agree to not submit any invoices to Medicare.



Diagnosis Non-Members Members
Mole $100-150 included
Skin Tags (per 5) $100 included
Lipoma $275-475 included
Cyst $275-475 included
Keratosis $100 included
Warts (per 5) $100 included
Boil/Abscess $275-375 included
Ingrown Toenail $275 included
Skin Lesion Biopsy* $150-200 included
Laceration Repair ("Stitches") $150-300 included
*pathology billed separately $50-100 $50-100
Acne (including isotretinoin/Accutane) prescriptions members only included
Circumcision $300 call
Vasectomy $900 call

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9120 Double Diamond Pkwy, Reno, NV 89521