Tampa Bay Geratric Skin Health Clinic

Personalized dermatologic care for patients 85 and older

Grounded in the principle that the right treatment is the one that makes the most sense for your whole life, not just your skin.

ABOUT THE PROGRAM

Skin Care That Honors the Whole Patient

The PHDermatology Geriatric Skin Health Clinic was created for patients 85 and older who deserve dermatologic care that takes their complete health picture into account. Older skin does not exist in isolation — it is shaped by a lifetime of sun exposure, medications, chronic conditions, and the natural changes that come with age. Our clinic recognizes this from the first visit.

Rather than defaulting to intervention, this program takes a measured approach — one that weighs the value of any procedure against the realities of healing, comorbidities, and what matters most to each patient. Where watchful monitoring is appropriate, we provide it with structure and diligence. Where treatment is warranted, we select the approach that fits the patient’s life, not just the lesion.

Patients who have felt overwhelmed by repeated biopsies or procedures are especially welcome here. We believe keeping patients engaged in their skin health is more important than any single clinical decision.

Area locations for Treatment

  • Palm Harbor
  • SOHO Tampa

PROGRAM OVERVIEW

A Different Kind of Dermatology Visit

This clinic is built around the understanding that elderly patients often face a complexity of factors that standard dermatology visits are not structured to address. Our approach is deliberate, unhurried, and centered on doing right by each patient.

First, Do No Harm

Every clinical decision is weighed against the patient's healing capacity, comorbidity burden, and expressed preferences. Intervention is not the default — it is one of many options on the table.

Structured Surveillance Without Alarm

For patients who prefer to monitor rather than treat, we offer photographic surveillance programs with clear, defined thresholds — keeping patients engaged in their care, not pushing them away from it.

Communication with Your Primary Care Team

After every visit, your primary care physician receives a concise, clinically relevant summary — not a templated note. We are partners in your ongoing care, not a disconnected specialist.

Healing as a Clinical Factor

Age-related changes in wound healing, vascular health, and immune function are not afterthoughts — they are built into every procedural decision, from whether to proceed to how we follow up.

Medication-Aware Care

We review anticoagulants, immunosuppressants, and photosensitizers as a standard part of every intake — because your medication list is as important as the lesion we're evaluating.

Shared Decision-Making

Patients who have experienced "cancer fatigue" — a sense of being over-treated or repeatedly alarmed — will find a practice that listens, documents preferences carefully, and builds care plans around goals, not protocols.

PROGRAM OVERVIEW

Who Benefits Most from This Clinic

This program is intended for adults 85 and older who want dermatologic care that treats them as a complete person — and for those whose skin health has become complicated by the realities of age.

1. Initial Consultation

A focused visit to understand your skin history, current concerns, medications, and goals. We take time to listen before we make any recommendations.

2. Individualized Care Plan

Whether that means treatment, structured monitoring, topical management, or a referral to our High-Risk Skin Cancer Clinic — your plan is built around you.

3. Ongoing Partnership

We coordinate with your primary care physician and follow up at intervals that make sense for your situation — not a one-size-fits-all schedule.

Conditions Commonly Managed

Our clinic evaluates and manages a wide range of skin concerns common in older adults, always in the context of overall health.

Chronic xerosis, itch, and age-related skin changes

Suspicious or changing lesions requiring evaluation

Non-healing wounds and chronic skin breakdown

Skin manifestations of systemic conditions Drug eruptions and medication-related skin changes

Eczema, psoriasis, and inflammatory skin disease

Bullous pemphigoid and autoimmune skin conditions

Field cancerization with topical or non-procedural management

Skin infections including zoster complications

Patients identified as high-risk for aggressive skin cancer will be recommended for evaluation through the Tampa Bay High-Risk Skin Cancer Clinic.

Our Approach: Four Core Elements

Our clinical model reflects the reality that elderly patients are not simply older versions of younger patients — they require a fundamentally different framework for care.

1. Comprehensive Assessment

Evaluation of skin findings in the full context of the patient's health — medications, comorbidities, functional status, healing history, and personal goals of care.

2. Proportionate Intervention

Treatment decisions calibrated to what will genuinely benefit the patient — including the explicit choice not to intervene when monitoring or non-procedural management is more appropriate.

3. Thoughtful Triage

Patients with findings that warrant a higher level of care are referred to the High-Risk Skin Cancer Clinic, where specialized surveillance and intervention resources are available.

4. Coordinated Continuity

Proactive communication with primary care physicians and a structured follow-up model designed to keep patients connected to their skin health over the long term.

DOUBLE BOARD CERTIFIED MOHS SURGEON

Meet Dr. Ross

Amy S. Ross, MD | MEDICAL DIRECTOR · PHDERMATOLOGY
Double Board Certified in Dermatology and Micrographic Dermatologic Surgery · Fellowship-Trained Mohs Surgeon

Dr. Ross developed the Geriatric Skin Health Clinic from a conviction she has carried throughout her career: that older patients deserve dermatology that listens first. With extensive experience in complex skin cancer management and a clinical background that includes a multidisciplinary transplant dermatology environment at Vanderbilt University Medical Center, Dr. Ross brings a systems-level perspective to every patient encounter.

Her approach to geriatric skin health reflects the same philosophy that guides the High-Risk Skin Cancer Clinic — careful risk stratification, evidence-based decision-making, and a deep respect for patient autonomy. She understands that for many elderly patients, the question is not simply “what is this lesion?” but “what is the right thing to do for this person, right now?”

As Medical Director of PHDermatology and a member of the International Immunosuppression & Transplant Skin Cancer Collaborative, Dr. Ross brings both clinical depth and a commitment to ongoing learning to her geriatric patients — many of whom have complex immune or medication profiles that require that exact combination.

For physicians

A Trusted Referral Option for Your Oldest Patients

We know your elderly patients often have mixed feelings about seeing a specialist. Some have had uncomfortable experiences with repeated procedures; others have simply been overwhelmed. This clinic is designed to rebuild that trust — and to communicate clearly with you throughout.

Referral Highlights

Concise, actionable notes back to referring physicians after every visit

Medication reconciliation and comorbidity review built into intake

Shared decision-making documented — you'll know what your patient was told and what they chose

Clear triage pathway: patients needing more intensive surveillance are referred to the High-Risk Skin Cancer Clinic

We will not alarm your patients unnecessarily, and we will keep them coming back

Schedule a Visit

Your skin has a lifetime of stories. We want to hear them.

Request an evaluation at our Palm Harbor or SOHO Tampa locations for compassionate, whole-person dermatologic care for patients 85 and older.

Request a Consultation

Request a consultation with Dr. Ross.  If patient meets initial qualifications, we will contact you to finalize any additional details.