Advanced Dermatology and Skin Surgery

What Advanced Dermatology and Skin Surgery does

Advanced Dermatology and Skin Surgery (ADSS) is a founder-owned, private dermatology practice founded in 2003 by Dr. Daniel Zivony in Asheville, North Carolina. The practice operates four clinical locations across Western North Carolina — two in Asheville (the main office at 16 Medical Park Drive and the Aesthetic Dermatology Center / Mohs Surgery Center at 12 Medical Park Drive) and one in Hendersonville — serving a broad consumer patient base seeking medical, surgical, and cosmetic skin care. The clinical team comprises nine board-certified physicians (including fellowship-trained Mohs surgeons and a plastic surgeon) and five physician assistants with Diplomate status, supported by licensed aestheticians and clinical staff. Headcount is reported in the 101–250 range.

ADSS delivers a comprehensive service portfolio anchored in three pillars: (1) general and medical dermatology (skin exams, chronic condition management, phototherapy via narrowband UVB), (2) skin cancer treatment with Mohs micrographic surgery performed by American College of Mohs Surgery-accredited surgeons with 24+ years of combined experience, and (3) a dedicated Aesthetic Dermatology Center offering injectables (Botox, Dysport, Daxxify, Xeomin, Sculptra, and fillers from Merz, Galderma, Allergan, and Revance), laser and energy-based treatments (M22 IPL/Nd:YAG, Lumenis Ultrapulse CO2, Candela GentleLase, microneedling with RF), CoolSculpting body contouring, facials, chemical peels, dermaplaning, and waxing. The practice also retails seven professional skincare lines (Skinceuticals, SkinBetter, Alastin, SkinMedica, AlumierMD, Revision Skincare, Epionce).

The business operates on a fee-for-service professional services model with direct-to-consumer go-to-market. Medical services are billed to insurance or self-pay patients; aesthetic procedures and skincare product sales are predominantly self-pay on a unit-pricing basis. Patient acquisition is driven by community reputation, physician credentials, local media coverage (e.g., WLOS), patient education content, community lectures by Dr. Zivony, and a website with patient portal and online scheduling for aesthetician appointments. The practice uses Modernizing Medicine (ModMed) as its EMR/practice-management platform. No external investors, private equity ownership, or capital raises are disclosed, and the company remains independently operated under its founder.

Name

Advanced Dermatology and Skin Surgery

Legal name

Advanced Dermatology & Skin Surgery

Website

https://advancedskindoctor.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

101–250 employees

Short description

Advanced Dermatology and Skin Surgery is a founder-owned, four-location dermatology practice in Western North Carolina (founded 2003) offering medical dermatology, Mohs surgery, phototherapy, and a full aesthetic dermatology center serving consumer patients across Asheville and Hendersonville.

Ownership category

akta.pro rank

Product category

Dermatology Services

NAICS

Offices of Physicians (62111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Mohs Surgery & Skin Cancer (Dermatologic Oncology) (HLAKACAD)

akta.pro secondary industries

General & Medical Dermatology (HLAKACAA), Laser & Energy-Based Dermatology (HLAKACAF), Medical-Grade / Clinical Facials (Dermatology & Med Spa) (HSALADAN), Professional Skincare & Facial Treatments (CRABALAF), Plastics / Cosmetic & Dermatologic Surgery Centers (HLAFAIAK)

Keywords

• Medical dermatology services
• Mohs micrographic surgery
• Cosmetic dermatology treatments
• Skin cancer treatment
• Phototherapy services

Headquarters

HQ city

Asheville

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales, Supply Chain

Revenue model

1. Medical Dermatology Services: Fee-for-service medical dermatology including skin exams, skin cancer treatment, Mohs surgery, and general dermatology care. Revenue generated through patient visits and procedures billed to insurance or patients directly.
2. Aesthetic Dermatology Services: Cosmetic procedures including facials, injectables (Botox, Dysport, Daxxify, dermal fillers), laser treatments, CoolSculpting, dermaplaning, chemical peels, and skincare products.
3. Skincare Products: Sale of professional skincare products including Skinceuticals, SkinBetter, Alastin, SkinMedica, AlumierMD, Revision Skincare, and Epionce brands.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Advanced Dermatology and Skin Surgery is a multi-location dermatology practice providing medical and cosmetic skin care, including general dermatology, Mohs micrographic surgery for skin cancer, narrowband UVB phototherapy, and an Aesthetic Dermatology Center offering facials, injectables, laser treatments, body contouring (CoolSculpting), and professional skincare products. Services are delivered across four locations in Western North Carolina by board-certified physicians, fellowship-trained Mohs surgeons, physician assistants, and licensed aestheticians.

Product overview

Advanced Dermatology & Skin Surgery is a multi-location dermatology practice founded in 2003 offering a comprehensive suite of medical and cosmetic dermatology services. The core service portfolio includes General Dermatology, Mohs Surgery (the gold-standard skin cancer treatment), Phototherapy using narrowband UVB, and the Aesthetic Dermatology Center sub-brand providing cosmetic treatments. The Aesthetic Dermatology Center offers facials (Diamond Glow Express, Luxury Diamond Glow, European, Acne, Back), injectables (neuromodulators including Botox, Dysport, Daxxify, Xeomin; dermal fillers from Merz, Galderma, Allergan, and Revance portfolios), laser treatments (M22 IPL/Nd:YAG, microneedling with RF, CO2 laser resurfacing, GentleLase hair reduction), Sculptra, chemical peels, dermaplaning, waxing, and lash/brow services. CoolSculpting is offered for non-invasive fat reduction. The practice also sells seven professional skincare product lines (Skinceuticals, SkinBetter, Alastin, Skinmedica, AlumierMD, Revision Skincare, Epionce). Services are delivered across four locations in Western North Carolina (Asheville, Hendersonville) with board-certified physicians, fellowship-trained Mohs surgeons, physician assistants, and licensed aestheticians.

Differentiator

Problem solved

Functional benefit

Brands

• Aesthetic Dermatology Center: Division of Advanced Dermatology & Skin Surgery offering aesthetic treatments including facials, injectables, laser therapies, CoolSculpting, and skincare products.

Products and services

• General Dermatology Comprehensive dermatologic care including routine skin checks, treatment of common skin conditions such as eczema, psoriasis, acne, warts, moles, and rashes, and advanced diagnostic procedures for individual patients.
• Mohs Micrographic Surgery Gold-standard skin cancer treatment using precise removal and immediate microscopic examination of cancerous tissue layers until no cancer cells remain, performed by fellowship-trained surgeons with over 24 years of combined experience at a dedicated Mohs Surgery Center.
• Phototherapy (Narrowband UVB) Light therapy using narrowband ultraviolet B (311-312nm) wavelengths to treat psoriasis, eczema, prurigo nodularis, vitiligo, and mycosis fungoides with minimal harmful UV exposure.
• Aesthetic Dermatology Center Division offering cosmetic and aesthetic treatments including facials, injectables, laser therapies, body contouring, and skincare products in a luxurious clinical environment serving patients seeking cosmetic improvements.
• CoolSculpting Non-invasive fat reduction procedure using controlled cooling to freeze and eliminate localized fat cells resistant to diet and exercise, with results showing 20-50% reduction depending on number of treatments.
• Injectables (Neuromodulators and Dermal Fillers) FDA-approved neuromodulators (Botox, Dysport, Daxxify, Xeomin) for smoothing dynamic wrinkles and dermal fillers (Merz, Galderma, Allergan, Revance portfolios) for softening creases, restoring volume, and contouring the face.
• Laser and Energy-Based Treatments Advanced laser treatments including Lumenis M22 IPL/Nd:YAG for pigmentation and vascular lesions, Lumenis Ultrapulse CO2 laser resurfacing, Candela GentleLase hair reduction, and microneedling with radiofrequency for scars, texture, wrinkles, and laxity.
• Facials and Skin Treatments Customized facial treatments including Diamond Glow Express, Luxury Diamond Glow, European Facial, Acne Facial, and Back Facial, along with chemical peels, dermaplaning, waxing, and lash and brow tinting.
• Professional Skincare Products Retail sale of professional skincare product lines including Skinceuticals, SkinBetter, Alastin, SkinMedica, AlumierMD, Revision Skincare, and Epionce, available for purchase directly from the offices or partner websites.

Quantifiable outcome

• Skin cancer cure rate - very high when caught early for basal cell carcinoma and squamous cell carcinoma
• +2 more outcomes

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

Seven partnerships are on record, tiered minor.

• SkinceuticalsminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.
• SkinBetterminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.
• AlastinminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.
• SkinMedicaminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.
• AlumierMDminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.
• Revision SkincareminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.
• EpionceminorOthersProfessional skincare brand whose products are sold at Advanced Dermatology & Skin Surgery. Patients can purchase products directly from partners' websites or at one of the offices.

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Advanced Dermatology and Cosmetic Surgery: Large multi-state dermatology practice offering medical, surgical, Mohs, and cosmetic dermatology. Direct comparable in service breadth and multi-site operating model, with particular overlap in Mohs surgery and aesthetic offerings.
• Pinnacle Dermatology: Multi-state dermatology platform offering medical, surgical, Mohs, and aesthetic dermatology including injectables and laser services. Operates in secondary and tertiary markets similar to ADSS's WNC footprint.
• Westlake Dermatology & Cosmetic Surgery: Multi-location dermatology and cosmetic surgery practice with strong aesthetic and surgical offerings (lasers, injectables, body contouring, Mohs). Comparable in offering a premium patient experience across medical, surgical, and cosmetic services.
• QualDerm Partners: PE-backed dermatology and skin-care platform with affiliated practices across the Southeast and Midwest offering medical, surgical, and cosmetic dermatology. Highly comparable multi-site, multi-provider model; competes for the same physician talent and patient base in secondary markets.
• Forefront Dermatology: Large multi-state dermatology group practice offering medical, surgical, and aesthetic dermatology services with a strong Midwest and East Coast presence. Comparable in service breadth and multi-site operating structure, with similar exposure to PE-backed scale competition.
• Schweiger Dermatology Group: Northeast-based multi-location dermatology group offering medical, surgical, Mohs, and cosmetic dermatology including injectables, lasers, and skincare. Directly comparable full-stack dermatology service model; differs primarily in geography.
• Anne Arundel Dermatology: Mid-Atlantic and Southeast multi-site dermatology and skin cancer specialty group with a strong Mohs surgery focus. Directly comparable for medical/surgical dermatology with Mohs-centered services and physician-led multi-site operations.
• Skin & Aesthetic Centers: Multi-location medical, surgical, and cosmetic dermatology practice operating in the Mid-Atlantic and Southeast. Comparable in offering integrated medical, surgical, and aesthetic services with a similar physician-led multi-site model.
• US Dermatology Partners: Largest US dermatology rollup platform, PE-backed by KKR and others, operating multi-provider medical, surgical, and aesthetic dermatology practices across multiple states including the Southeast. Directly comparable to ADSS in service mix and multi-site operating model, but at far greater scale.

Regional players

• Dermatology Associates: Multi-provider dermatology group with strong medical and Mohs surgery focus operating primarily in the Carolinas region. Highly comparable geographically and in service mix, but a regional rather than platform-scale player.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/advancedskindoctor
• LinkedInlinkedin.com/company/advanced-dermatology-and-skin-surgery-pa

Revenue estimate

Valuation estimate

Number of profiles

Profiles14 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Advanced Dermatology and Skin Surgery