Additional Information



Dermatology is the study of skin and skin appendages, including hair, nails, sweat glands, and mucous membranes. At Skin MD, our board-certified dermatologist treats patients of all ages, and through their extensive training, is equipped to diagnose and treat any of the more than 3000 disease that can affect the skin, including skin cancer, acne, psoriasis, eczema, and rashes. Although many other health care providers dabble in skin care, dermatologists are uniquely qualified from years of formal specialty training during dermatology residency. Dermatologists must demonstrate proficiency in all aspects of skin disease to become certified by the American Board of Dermatology. Why trust anyone but the skin experts to care for the largest organ of your body? Skin cancer is the most frequently diagnosed cancer today, affecting 1 in 5 Americans. Insist on a board-certified dermatologist for your skin cancer checks and other skin care needs. For more information about many of the conditions we treat, see below.


Mohs Micrographic Surgery

Mohs micrographic surgery is named after its pioneer Dr. Frederic Mohs, a general surgeon with an interest in skin cancer. It is the best method to evaluate completeness of tumor removal, allowing one to most accurately say that the tumor has been completely removed. Thus, it is considered the gold standard in skin cancer treatment for many tumors, offering the highest cure rates available. To perform the procedure, the physician must be both the surgeon (remove the tumor) and the pathologist (interpret the microscope slides for residual tumor).

Mohs surgery is an outpatient procedure performed in the office and you will return home the same day. Upon arrival, the skin cancer and surrounding area will be numbed using local anesthesia similar to that given by a dentist. The skin cancer and a thin layer of surrounding tissue is removed, taking only a few minutes. Next, you will have a temporary bandage placed while the tissue is taken to the lab for processing, the lengthiest portion of the procedure. After approximately an hour of processing time, if there any remaining cancer cells, or “roots”, you will return to have another layer taken. This process repeats until we are satisfied that all tumor has been removed.

The most difficult part of the procedure for patients is waiting for results from the laboratory. Although we would like your time with us to be as pleasant as possible, the laboratory process cannot be sped up, as it is an important component of the process. During the waiting period, you are free to read, eat, or whatever you would like, as long as you are available when the laboratory portion of the procedure is completed. As there is no way to know in advance how long your particular case may take, it is best to not schedule other appointments for the day of your surgery.




A dermatopathologist is a medical doctor specializing in diseases of the skin, hair, and nails at a microscopic level. When a biopsy is taken from a patient, the tissue is then sent to a laboratory for processing. This processing produces microscope slides of the biopsy, which can then be interpreted under the microscope by the dermatopathologist. As a subspecialty of both dermatology and pathology, dermatopathology is a challenging field, so it is important to have your skin biopsies interpreted by a board-certified dermatopathologist for the most accurate assessment.



Otolaryngology (pronounced oh/toe/lair/in/goll/oh/jee) is the oldest medical specialty in the United States. Otolaryngologists are physicians trained in the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. They are commonly referred to as ENT physicians

Otolaryngologists diagnose and manage diseases of the ears, nose, sinuses, larynx (voice box), mouth, and throat, as well as structures of the neck and face. As Dr. Pruden is also a Dermatologist, Dermatopathologist, and Mohs surgeon, he primarily continues his practice of Otolaryngology as it relates to facial plastic & reconstructive surgery and office-based problems such as ear infections, hearing loss, and allergies/sinusitis.


Our Services

The physician at Skin MD is a board-certified medical dermatologist specializing in the care of adult and pediatric skin disorders.  At Skin MD, we treat all ages, and we are able to manage virtually all of the conditions that can affect the skin. Some of the common complaints we treat include:




Pimples affect at least 85% of teenagers, and acne persists into adulthood for many people, especially women. Even mild acne can result in both physical and emotional scars, so don’t put off treatment.  We can tailor a regimen for your skin type.


Eczema (Atopic Dermatitis)


“The itch that rashes”, is usually worst in children under six, but can flare throughout life. Eczema is closely linked with allergies and asthma, and often requires medicated creams for control. Proper skin care is very important, and it can result in fewer flares and less medicine.


Skin Cancer


Skin cancer affects approximately 1 in 5 Americans. Light skinned people are more likely to get skin cancer, but it can happen to people of all skin types, and it can affect any body site, even those that never see the sun. See a dermatologist for changing spots on your skin, and consider having an exam of your entire body. Often dermatologists find skin cancers that patients were not aware of having. We can also advise you about how to protect yourself and help prevent skin cancer.




Pink, itchy plaques with scale, pus-filled bumps, and red skin all over can all be types of psoriasis, which is an immune disease.  We can treat your skin, as well as help diagnose many of the diseases that are associated with psoriasis, including inflammatory arthritis, heart disease, and diabetes.



Caused by many different strains of a virus called HPV, warts can affect most body sites, and are often difficult to treat. Treatment can include cryosurgery (freezing), injections, creams, and even oral therapies.


Hair Loss


From male-pattern baldness to thyroid disease to hormones, there are many causes of hair loss. Dermatologists can diagnose the many types and causes of hair loss, often without any testing required. Many insurance companies consider the treatment of hair loss to be cosmetic, unfortunately, so these treatments are often an out of pocket expense.


Nail Disorders


Thin nails, thick nails, brittle nails, ridged nails, discolored nails, and nails that won’t grow are all common complaints. Unsightly nails are very common, and often treatments can lead to some improvement in the appearance of nails, depending on the cause.


Moles (Nevi)


These brown spots on the skin can be present from birth or acquired. There are a host of brown lesions that grow on the skin, but moles are growths of increased numbers of melanocytes, the pigment cells of the skin. A melanoma is a cancerous growth of pigment cells, and it can often be hard for patients to tell the difference between the two. If you have a changing mole you should see a dermatologist right away. Having a large number of moles is a risk factor for melanoma, and people with many moles should be checked at least yearly. Please see our information about SKIN CANCER EXAMS.


Skin Aging


Most people think of skin aging as a cosmetic complaint. While there are many cosmetic improvements for aging skin, there are many other important considerations, including increased dryness, itching, new skin growths, and an increased risk of cancer. As you age, it is even more important to see a dermatologist regularly to prevent and treat disease, as well as help your skin look its best.




Perhaps the most troublesome complaint we see. Itching can be a symptom of a disease or a disease by itself, as well as a sign of skin cancer. If you have one spot that itches, have it evaluated by a dermatologist right away to be sure you don’t have skin cancer. If you itch all over, a dermatologist can help find the cause and the cure.

989 Governors Lane, Suite 220
Lexington, KY 40513
Phone: 859-296-7546
Fax: 859-721-0829
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