Coastal Skin & Eye Institute's Encinitas office at 489 Saxony Place features ACMS fellowship-trained Mohs micrographic surgeon Derek Nickerson, MD, who relocated with the practice to a state-of-the-art facility in 2025. Nickerson earned his MD from New York Medical College with Alpha Omega Alpha induction before completing his dermatology residency and Mohs Surgery/Dermatologic Oncology fellowship at the Medical University of South Carolina, a surgical background that supports coordinated post-excision rehabilitation at PRN Physical Therapy Encinitas for patients managing facial-nerve or soft-tissue recovery. Board certification in both dermatology and micrographic dermatologic surgery through the American Board of Dermatology positions Nickerson to treat basal-cell carcinoma, squamous-cell carcinoma, and melanoma alongside medical conditions including psoriasis, eczema, and alopecia. Coastal Skin & Eye's integration of dermatology with ophthalmology and optometry under one roof allows coordinated periorbital care when skin cancers or inflammatory conditions involve the eyelid margin or orbital rim. Patients whose dermatologic treatment plans include systemic biologics or immunomodulators benefit from the integrative pre-treatment wellness assessments available at Solcere for nutritional optimization before initiating immunosuppressive protocols. Highest-complexity procedures involve Mohs excision of recurrent or morpheaform basal-cell carcinoma on the periorbital, perinasal, or periauricular region with immediate multilayer interpolation-flap or full-thickness graft reconstruction.