Dermatology in Dominican Republic

Dermatology is a branch of medicine that focuses on health issues affecting the skin, nails, hair, and mucous membrane. It is a specialty with both surgical and medical aspects. A dermatologist can address cosmetic issues, which can help to rejuvenate the appearance of the skin, nails, and hair. Being a dermatologist requires a great depth of clinical knowledge, including the variety of internal health problems that may cause skin symptoms. Dermatologists can treat over 3,000 conditions. Some of the most common are acne, dermatitis and eczema, hair loss, nail problems, fungal infections, warts, vitiligo, and skin cancer.

Dermatology has a number of departments and specialties, including:

• Cosmetic Dermatology – dermatologists have been the leaders in cosmetic surgery. Many dermatologists are trained on the use of fillers, botulinum toxin, and laser surgery. Some dermatologists also perform blepharoplasty, liposuction, and facelifts. However, most dermatologists limit their cosmetic practice to minimally invasive procedures.
• Dermatopathology – this field is a joint specialty of dermatology and pathology. It focuses on the study of cutaneous diseases at molecular and microscopic levels. Dermatopathology can make a definitive diagnosis of various skin diseases, including melanoma.
• Trichology – this is the study of the hair and the scalp. This field of dermatology deals with diseases such as hair loss, scalp changes, hypertrichosis, and hair abnormalities.
• Immunodermatology – this filed specializes in immune-mediated skin diseases, such as bullous pemphigoid and lupus.
• Pediatric Dermatology – pediatric dermatologist specializes in the diagnosis and treatment of skin diseases in children, which include newborns and infants.

What does the Procedure Involve?

A range of medical and cosmetic procedures are used to manage issues affecting the skin, nails, and hair. Many skin conditions can be treated by medications and noninvasive procedures, while others may require more invasive approaches. The following are several dermatologic procedures:

• Cosmetic injections – cosmetic injections can temporarily address scarring, wrinkles, and reduced facial fullness. A dermatologist can inject botulinum toxic (Botox) or fillers, such as fat and collagen. The results may last for a few months before you need another injection.
• Chemical peels – this procedure is used to treat some types of acne, as well as sun-damaged skin. It can also treat other cosmetic complaints, such as lines under the eyes and age spots. During chemical peels, a chemical solution is applied to the skin. This chemical solution causes a layer of skin to peel off, revealing regenerated skin beneath it that is typically a lot smoother.
• Dermabrasion – this type of procedure uses a high-speed rotating brush to remove the top layer of the skin, which can help reduce the appearance of fine wrinkles and tattoos, scar tissue, and potentially precancerous areas of the skin.
• Cryotherapy – cryotherapy involves freezing skin lesions, usually with liquid nitrogen, to destroy the affected cells. It can be a quick treatment for a number of benign skin issues, such as warts.
• Hair removal or restoration – various methods can be used to address hair loss, such as hair transplants. On the other hand, dermatologists can use lasers to remove unwanted hair from the body.
• Excision of lesions – skin lesions may be cut away to prevent a disease from spreading, to improve symptoms, for cosmetic reasons, or to prevent reoccurring infection. Excision of lesions may be done under a local or general anesthetic.
• Laser surgery –can be used to treat a number of cosmetic problems or skin issues, such as warts, tumors, moles, scars, birthmarks, wrinkles, and unwanted tattoos.
• Tumescent liposuction – this procedure is used by dermatologists to remove fat. Large volumes of local anesthetic are injected into fatty tissue, then it is sucked from the body. Note that tumescent liposuction is performed to contour the body, not to treat obesity.
• Vein procedures – people with superficial leg veins, called spider veins, may want them removed. Several procedures can be done to remove them, but sclerotherapy is the most popular treatment. It involves injecting a special solution or a foam into the vein. The special solution and foam irritate the lining, causing the vein to become less noticeable or, in some cases, disappear completely.
• Skin grafts and flaps – missing skin can be restored using skin from other areas on the body. Dermatologists can also repair skin loss by making a flap of skin from a nearby area of the body. The flap of skin is then used to cover the damaged patch.
• Biopsies – a skin biopsy is usually needed to diagnose or rule out certain conditions.
• Mohs surgery – this procedure is a treatment for skin cancer. It involves removing layers of skin in order to get rid of cancerous cells. The removed skin layers are then examined under a microscope. Then, successive layers are removed until there are no more cancerous cells found in the skin.
• PUVA – Psoralen combined with ultraviolet radiation (PUVA) is a procedure to treat several skin diseases, such as vitiligo, dermatitis, and psoriasis. Psoralen is a drug that can make the skin more sensitive to radiation treatment.

How Long Should I Stay in Dominican Republic?

Depending on the type of procedure you have, you may be able to leave the hospital on the same day or stay for several days. For noninvasive treatments, such as chemical peels and cosmetic injections, you should be able to leave the hospital on the same day and fly home within a couple of days. For invasive procedures, particularly to treat serious medical conditions, such as cancer, you may need to stay in the hospital for several days, and stay in Dominican Republic for at least 10 to 14 days. Your surgeon and/or medical travel team will advise you on this matter.

What's the Recovery Time?

Recovery time will vary depending on the type of procedure you have, the reason why you have the procedure in the first place, and your general health. Your dermatologist will usually give you a detailed recovery timeline for each procedure. In general, recovery time for nonsurgical procedures is typically short and you should be able to resume your normal routine within a few days. For surgical procedures, it may take several weeks until you are allowed to return to your full daily activities.

What About Aftercare?

Your dermatologist will give you a set of instructions to care for yourself during the recovery period. The instructions will be different for each type of procedures, but they may include a diet plan, light exercises to follow, how to care for your surgical wounds or affected area, activities you can or cannot do, signs of complications to be aware of, and medication to take. It is important that you follow your dermatologist’s instructions closely in order to avoid complications and to obtain the best possible results.

Some cosmetic procedures may not be permanent, such as dermal fillers and Botox, so you will need to have regular treatments in order to maintain the results. For skin cancer treatment, you may need to attend follow-up checkups to ensure that cancer has not come back.

What's the Success Rate?

Experienced and skilled dermatologists will be able to deliver a high success rate and satisfactory results. However, every type of procedure carries some risk, which may include infection, swelling, bleeding, adverse reaction to anesthesia, and unsatisfactory results.

Are there Alternatives to Dermatology?

If you have any problems with your skin, going to a dermatologist is the only way to treat it. However, if the skin problem is caused by an underlying condition, your doctor or dermatologist will recommend you to see relevant doctors to treat it.

What Should You Expect Before and After the Procedure?

Before seeing a dermatologist, you may have a problem with your skin. You may not like the wrinkles on your face, or you may have a lesion that needs to be removed. After receiving treatment from a dermatologist, your skin problems should be addressed. You may be able to achieve your dream appearance, any disease you had before may be treated.

Dermatology in and around Dominican Republic

About the Dominican Republic

The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.

In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.

Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.

Popular Parts of Dominican Republic

The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.

Top attractions of the Dominican Republic:

• Santa Domingo – The capital city is where Christopher Columbus first set foot in the Americas. It is home to century-old buildings, most of which function as restaurants, shops, quaint hotels, and museums. Zona Colonial is the historic central area of Santa Domingo. It is the oldest European settlement and a UNESCO World Heritage Site.  
• Punta Cana –Is a premier resort destination, bordering the Caribbean Sea and the Atlantic Ocean. It offers about 20 miles of white sandy beaches. The Bavaro Beach area and Punta Cana together form the Coconut Coast, an area of luxurious resorts. It is famous for water activities such as zip-lining, kayaking, windsurfing, and sailing.
• Samara Province –Is a city overlooking the Samana Bay. Its unique feature is the breeding point for thousands of humpback whales during their mating season in winter.
• Parque Nacional Del Este – Meaning the ‘Eastern National Park’, is one of the largest marine parks in the Caribbean. It also has an offshore coral reef system. Divers can watch a multitude of marine life within its waters. It is also home to hundreds of different species of birds, tropical forests and beaches.
• Lago Enriquillo – The massive hypersaline lake lies 140 feet below the sea level. You will see a large population of American crocodiles as well as pink flamingos, and various other bird species and you will even find iguanas at the entrance of the lake.
• El Limon Waterfalls – Being the tallest falls of the country, it is perfect for hiking and horseback riding through the rugged and steep mountain trail. The hike gives you a stunning view of the Caribbean landscape. The crystal-clear natural pool at its foot is a perfect place to cool off and relax.
• Kite Beach, Cabarete –Is a unique beach, about 20 minutes on foot from the main Cabarete Beach. Kiteboarders fill the otherwise quiet beach in the afternoons when the wind picks up.

Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.

Weather and Climate in the Dominican Republic

The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.

The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.

Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.

Getting Around in the Dominican Republic

The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.

There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.

The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.

Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.

Tourist Visas in the Dominican Republic

Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:

• Carry a tourist card (Tourist cards allow you to stay for 30 days and allow an extension to stay beyond 30 days).
• Have a valid passport not expiring before six months with at least one blank page
• Carry proof of onward and return journeys and sufficient funds.

Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.

Additional Information

• The Dominican Peso (RD$) is the official currency of the country. As of April 2019, one US Dollar is worth about 51 RD$. Major tourist areas like Punta Cana accept US Dollars.
• You can find many ATMs in Santa Domingo and other popular tourist cities. Dominican Republic banks are members of the Maestro, Citrus, and PLUS networks. Hence, you can use the affiliate credit and debit cards here.
• Spanish is the official and major language of the country. Dominican Spanish forms its dialect. Very few locals understand and speak English.
• 93% of the population follow Roman Catholicism. However, many Dominicans do not go to church on a regular basis.
• Major holidays of the Dominican Republic are religious. While others are non-religious and national holidays. Other than Christmas and Good Friday, the Day of Our Lady of Altagracia (January 21), Corpus Christi (June 17) and the Feast of Our Lady of Mercy (September 24) are the religious holidays. Juan Pablo Duarte (January 26), Independence Day (February 27), and Dominican Restoration Day (August 16) are the national holidays specific to the country.