Medical Services

Entrust The Life Of
Your Skin To An Expert

The skin is your body’s largest organ. It protects you, warms you up and cools you down, and reflects how healthy you are inside. It works round the clock to protect you. For all it does for you, why would you entrust its care to anyone other than an expert? That expert is a board certified dermatologist. Dermatologists, like Dr. Palceski, are the only physicians exclusively trained to diagnose and treat all conditions of the skin, hair, and nails. When it comes to the care of your skin, choose wisely. Your life and the life of your skin just might depend on it.

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There are so many reasons to see a dermatologist.
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Conditions We Commonly Treat

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Acne is a skin condition that occurs when hair follicles on the skin get clogged. Acne most often occurs on the face, chest, and back. Although anyone can get acne, it is most common in teens and young adults. A multitude of effective treatments options are available.

Skin cancers start in the cells of the skin. There are 3 main types of skin cancers: basal cell carcinomas, squamous cell carcinomas, and melanomas. Basal and squamous cell carcinomas are the most common type of skin cancers and are strongly related to one’s exposure to the sun. It is important to detect these cancers early. If left untreated, they can grow very large and spread to surrounding tissue and organs causing scarring and loss of function. Melanomas are not as common as basal and squamous cell skin cancers, but they can be far more serious. Melanomas are skin cancers that develop from melanocytes. Melanocytes are the cells that give skin its color. Melanomas can occur anywhere on the body and can spread to other parts of the body making treatment much more difficult. For all skin cancers, early detection is the key to positive outcomes. See a spot? See a spot change? Don’t wait. Schedule a skin exam.

Actinic Keratoses (AKs) are pre-cancerous lesions that result from damage to the skin caused by the sun. They present as dry scaly patches and usually appear on sun exposed areas such as the face, scalp, lips, and hands. People with fair skin and light eyes are more prone to developing these pre-cancers. If left untreated, AKs may evolve into skin cancers known as squamous cell carcinomas. AKs may easily be treated with photo dynamic therapy.

Eczema is a condition that causes the skin to be inflamed, irritated, and itchy. It usually appears on the face, arms, legs and hands. Ezcema disrupts the barrier of the skin and compromises its ability to keep moisture in and bacteria out.
Rosacea is a chronic skin condition that affects the face and is characterized by a flushed appearance or redness that tends to worsen over time. If left untreated, excess blood vessels and acne begin to form. Although there is no cure for Rosacea, available medical treatments are very effective in the long-term management of its symptoms.
Hair loss can be caused by a multitude of factors including hormones, genetics, underlying medical conditions, medication use, and stress. Of these, hereditary is the most common cause. Although both men and women are susceptible to hair loss, treatment options vary for each. Before pursuing a hair loss treatment, it important to determine the cause so that the best treatment option may be selected.
Warts are growths on the skin that are caused by a virus that lives on the skin’s surface. If left untreated, warts can spread and grow and can sometimes become painful. Warts most often occur on the hands or on the soles of the feet, but can occur anywhere on the body.
Moles are dark growths that occur on the skin. Most moles begin to appear during childhood and are caused by clusters of pigmented cells. The medical term for moles is nevi. The average person has between 10-40 moles. Most moles are harmless. However, some may become cancerous. It is important to monitor moles for any changes in an effort to detect and prevent skin cancer.
Cysts are sac-like pockets that contains fluid and other substances. Cysts can grow almost anywhere on the body and most are non-cancerous. Cysts on the skin most often appear as a bump or lump under the skin. They tend to grow slowly and have a smooth surface. Whether a cyst needs treatment depends on a number of factors that include the type, location, and whether it is causing any discomfort.
Molluscum is a common condition that occurs most often in children ages 1-12. It is caused by a pox virus and is characterized by a rash containing small wart-like growths (mollusca). The growths are usually soft and smooth and may have an indented center. Like all viruses, it is contagious and can spread easily if left untreated.
Keloids - When the skin is injured, scar tissue forms over the wound. In some cases, scar tissue grows excessively causing a hard, but smooth growth to develop known as a keloid. Keloids are most often found on the chest, ears, shoulders, and cheeks, but can occur on any part of the body. Keloids don’t usually require medical attention. However, some people choose to have them treated for cosmetic reasons if they continue to grow or if additional symptoms develop.
Lipomas are growths of encapsulated fatty cells that develop just under the skin. Lipomas occur most often on the abdomen, upper thighs, upper arms, and neck. It is common for multiple lipomas to be present. Lipomas are non-cancerous and slow growing. Although there is no medical reason to remove them, some opt to do so for cosmetic reasons. Lipomas occur in all age groups, but most often appear in middle age.
Skin tags are small protruding pieces of skin that develop most often on areas of the body in which the skin rubs. These areas include the armpits, groin, breasts, and neck. They are non-cancerous and may easily be removed. Obesity and diabetes increases one’s risk of developing skin tags. Skin tags most often occur after midlife and are said to be caused by blood vessels and collagen that get trapped under the skin.
Nail disorders are caused by fungal infections. Fungal infections occur from an excess growth of fungi on or under the nail bed. Toenails are more often affected than fingernails.
Rashes can occur for many reasons. Sometimes they are triggered by an underlying medical condition while others may be the result of your skin coming in contact with an irritant. Before treating a rash, it is important to determine its cause. Rashes often come on quickly causing redness, itching, and small bumps to appear on the skin. Although some rashes resolve quickly, others may be long-lasting and require long-term treatment.
Melasma is a common skin problem that occurs in women causing discoloration of the skin typically on the face. Melasma occurs most often during pregnancy with the highest incidence occurring in women of Hispanic, Asian, or Middle Eastern decent. One of the most common treatments for melasma is the use of sun protection.
Psoriasis is a chronic auto-immune disease that is characterized by red, itchy patches on the body. These patches may be localized to a small area or may cover the entire body. There are 5 types of psoriasis. Psoriasis is thought to be a genetic disease that is triggered by factors in the environment. Although there is no cure for psoriasis, there are many effective long-term treatment options available to effectively manage its symptoms.

For more information on all dermatologic skin conditions visit

Did You Know?

Concerning Acne

Recent studies have revealed that 85% of all Americans have had acne at some point in their lives. In fact, acne is the most common skin disorder in the United States, affecting over 40 million people. Each year, Dr. Palceski and his staff successfully treat thousands of patients with acne. From teenagers to women in their mid to late 40’s. Clear, acne‐free skin is possible with a little help from the experts.

"85% of all Americans have had acne at some point in their lives.”

Concerning Skin Cancer

Skin cancer is the most common form of cancer.

One person dies from Melanoma every hour.

One in five Americans will have skin cancer in their lifetime.

Skin cancer is beatable and treatable if detected early.

Schedule your annual skin exam today!

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Dr. Palceski, a true skin expert.

In addition to his general dermatology training, Dr. Palceski also received extensive training in dermatologic surgery and is 1 of only 3,200 dermatologic surgeons in the country recognized by the American Society of Dermatologic Surgery.

Dr. Dimitry Palceski
See a Spot? See a Spot Change? Don’t Wait!
Schedule An Appointment

Remove Skin Cancer With No Surgery &
No Downtime With Superficial Radiotherapy (SRT)

Reflections Dermatology is proud to be one of the first in Orlando to offer a simple, non-surgical, and clinically proven alternative for the treatment of non-melanoma skin cancers. Using the SRT-100 developed by Sensus Healthcare, we are able to effectively treat most basal and squamous cell carcinomas through Superficial Radiotherapy (SRT). SRT is a low-energy radiotherapy that works by delivering low doses of radiotherapy directly to the skin cancer. Over a series of treatments, cancer cells are targeted and destroyed. It is a highly effective, painless, and cosmetically attractive alternative to surgery and is covered by most insurance plans.

Why Choose SRT?
SRT is a very important tool in the fight against cancer. When radiation interacts with cancerous cell, it alters the cell's DNA (or genetic make-up) and decreases its ability to reproduce, which ultimately leads to cell death in the cancerous tumor. SRT may be used to treat non-melanoma skin cancers that are found on the surface of the skin. It can be used for lesions on the arms, legs, back and trunk, but is especially well suited for skin cancers on the head, neck, nose, eyelids, lips, and the lining of the ear that would otherwise lead to a less than desirable cosmetic outcome.


“According to current estimates, 40-50% of Americans
who live to age 65 will have skin cancer at least once.”

Photo-Dynamic Therapy (PDT)
For The Treatment Of Pre-Cancers

Photo Dynamic Therapy (PDT) is an effective treatment for Actinic Keratoses (AK’s); the most common type of pre-cancers. AK’s are considered to be the first step in the development of skin cancer and have the potential to progress to more serious types of cancers including squamous cell carcinoma if left untreated. At Reflections Dermatology, we offer PDT using Levulan and the Ominlux Blue light. Treatment is comprised of 2 short sessions spaced 4 weeks apart. PDT is considered a medical treatment and is covered by most insurance plans.

  • Patient Testimonials

    “Dr. Palceski is exceptional!”

    My wife finally convinced me to see Dr. Palceski to have a skin exam. Like most men, I’m not keen on going to the doctor, but found Dr. Palceski to be an exceptional physician with a great ability to connect with his patients. I really had a great experience and would give Dr. Palceski and his staff the highest of reviews.

    - Matt C.

  • Patient Testimonials

    “Wish all physicians were this good!”

    Dr. Palceski really cares about his patients and that is evident! I recently relocated to Florida from North Carolina and was referred to Dr. Palceski by my new primary care doctor who told me he was the best around. Now that I’ve met him, I have to agree. My condition has been historically difficult to manage and he’s done so seamlessly. I can not express how impressed I have been by him and his staff.

    - Jenn C.

  • Patient Testimonials

    “Dr. Palceski stitched up my son! Great job and no scar!”

    I first met Dr. Palceski when my son was injured at a lacrosse game and required stitches on his cheek. I was reluctant to go to the ER. A friend of ours immediately referred us to Dr. Palceski who was happy to help. I was a very impressed by Dr. Palceski’s demeanor and bedside manner. He comforted Matthew and did a beautiful job in stitching him up. It’s only been a few months and the scar has faded to next to nothing! Just incredible!

    - Scott M.

  • Patient Testimonials

    “Dr Palceski is awesome – professional, patient, and kind!”

    I first saw Dr. Palceski just over a year ago for an annual skin exam – my first ever. Having lived in Florida my whole life, I had many freckles and a few moles that I wanted to make sure were not cancer. He performed a thorough skin exam. He was extremely professional and made me feel very at ease. He did find a few moles that he took samples of – one of which required surgery which he also performed. Dr. Palceski not only educated me on the signs of skin cancer, but did an excellent job in his diagnosis and treatment. My surgery site looks amazing and I feel like Dr. Palceski saved my life!

    - Christy B.

  • Patient Testimonials

    “Dr. Palceski Is Simply Amazing!”

    I am 43 years old and was looking for a good dermatologist. I began asking around and quickly discovered that almost everyone I asked referred me to Dr. Palceski. Some of the people I talked to had been to see him for medical issues or surgery while others had seen him for his cosmetic expertise! All of them had nothing but great things to say about him and his skills as a physician medically, surgically, and cosmetically. Now that I am a patient, I too can confirm that Dr. Palceski is not just a good dermatologist, but a great one. In my opinion, Dr. Palceski is simply amazing!

    - Laura S.

  • Patient Testimonials

    “Dr. Palceski – He’s Got Talent!”

    As a child I lived at the beach and as an adult I have played golfed most of my life. With that being said, I’m now paying the price for all those years of exposure without protection. Dr. Palceski has performed five surgeries to remove various skin cancers – two of which were potentially life threatening – over the past several years. I now see Dr. Palceski every 6 months to ensure that nothing goes undetected. In my opinion, he is as “quality” as they come. His skills as a physician are unparalleled and his surgical expertise is on par with those of any plastic surgeon. Simply put, he’s got talent!

    - Don C.

Join Our Patient Reward Programs & Save

Reflections Dermatology is proud to offer several different rewards programs that are free to join and help you save on the cost of cosmetic treatments. Each time you receive a cosmetic service, you will earn points. These points can be converted into coupons that may be applied toward the cost of future services. The more points you have, the more money you save. It’s that simple. Enroll today and start saving.