Patient Education
Topical Treatments & Dermatology Referral
Thoughtful first-line care for your skin, with a seamless path to dermatology when you need it.
Many skin conditions respond well to first-line topical therapy your primary care physician can start right away, and when a specialist's expertise is needed, we coordinate a referral so you are never left navigating the system alone. Dr. Golian provides initial evaluation, prescribes appropriate topical treatments, and arranges trusted dermatology care through the Cedars-Sinai network in Los Angeles.
How It Works
Your visit begins with a careful look at the affected area, a review of your history, and a discussion of what you have already tried. For common concerns such as mild acne, eczema, dermatitis, or fungal rashes, we can often begin a topical regimen promptly and set clear expectations for improvement.
If a lesion looks suspicious, a condition is not responding to treatment, or specialized procedures are required, we move to specialist referral and coordination and arrange dermatology care through our Cedars-Sinai network. We share your records and history so the dermatologist begins fully informed.
How to Prepare
Come with the affected skin unmedicated and free of makeup or heavy moisturizer if possible, so we can see it clearly. Bring a list of any creams, washes, supplements, or medications you have used, and note when the issue started and what makes it better or worse.
Photographs of how the area looked at its worst can be genuinely helpful, especially for symptoms that come and go. Reviewing your current medications as part of medication reconciliation also helps us avoid interactions with any new topical or oral therapy.
After Your Visit
You will leave with a clear plan: how to apply your topical treatment, how long to continue it, and what improvement to expect. Most topical regimens take several weeks to show their full benefit, so consistency matters more than speed.
We schedule a follow-up to check your progress and adjust the plan as needed. If you were referred to dermatology, we stay in the loop, fold the specialist's recommendations into your ongoing preventive care, and remain your point of contact throughout.
What This Treatment Offers
- Prompt starts. Begin first-line topical therapy for common skin concerns without waiting for a specialist appointment.
- Trusted referrals. Direct access to dermatologists through the Cedars-Sinai network in Los Angeles when specialist care is needed.
- Coordinated records. Your history and notes travel with you, so your dermatologist begins fully informed.
- Continuity of care. Dr. Golian stays involved, integrating specialist guidance into your overall health plan.
- Clear follow-up. Scheduled check-ins to confirm your skin is improving and adjust treatment if it is not.
Frequently Asked Questions
1Can my primary care doctor treat my skin problem, or do I always need a dermatologist?
2How does the dermatology referral process work?
3How long do topical treatments take to work?
4What should I bring to my appointment for a skin concern?
5When is a skin issue urgent enough to see a specialist quickly?
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Start with Topical Treatment, Backed by Expert Dermatology Referral
Let us evaluate your skin, begin the right first-line care, and connect you with trusted specialists when you need them.
Schedule a Consultation