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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?
Many common conditions, such as mild acne, eczema, dermatitis, and fungal rashes, can be evaluated and started on topical treatment right in primary care. We refer to dermatology when a problem is complex, not responding to first-line therapy, or needs specialized procedures or evaluation.
2How does the dermatology referral process work?
After evaluating your skin, Dr. Golian arranges a referral to a trusted dermatologist through the Cedars-Sinai network in Los Angeles and shares your relevant history so the specialist starts fully informed. We stay involved and incorporate their recommendations into your overall care.
3How long do topical treatments take to work?
Most topical regimens take several weeks to show their full effect, so applying them consistently as directed is important. We schedule a follow-up to check progress and adjust the plan if your skin is not responding as expected.
4What should I bring to my appointment for a skin concern?
Bring a list of any creams, washes, supplements, and medications you have tried, and note when the problem started and what makes it better or worse. Photos of the area at its worst are helpful, especially for symptoms that come and go.
5When is a skin issue urgent enough to see a specialist quickly?
A new or changing mole, a non-healing sore, rapidly spreading rash, or a lesion with irregular borders or color warrants prompt evaluation. Let us know about these symptoms so we can prioritize your appointment and expedite a dermatology referral if needed.

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

Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

Some listed indications involve investigational/off-label use. Learn more.