Dr. Brian William Gregory – Dermatologist | Vancouver, BC

Dr. Brian William Gregory is a dedicated Dermatologist specializing in the diagnosis and treatment of a wide array of conditions affecting the skin, hair, and nails in adult patients, and may see older children for certain conditions. Practicing at a dermatology clinic in Vancouver, BC, he is a key member of the local medical community. He provides comprehensive medical and surgical dermatological care for a wide variety of skin, hair, and nail conditions, including acne, eczema, psoriasis, and skin cancer detection. His practice is committed to delivering evidence-based dermatological care in a comfortable and professional environment, utilizing modern diagnostic and therapeutic equipment.

Dr. Gregory graduated with a Medical Degree from the University of Ottawa in Canada. He holds specialty certification as a Dermatologist and is certified by the Royal College of Physicians and Surgeons of Canada. His extensive training and certification ensure that he is well-equipped to provide expert care for complex skin conditions.

With a clinical philosophy rooted in evidence-based skin care, Dr. Gregory emphasizes patient education on skin health and prevention, early detection of skin cancer, and personalized treatment plans. He is dedicated to serving patients in Vancouver, providing care in English, and ensuring each individual receives tailored and comprehensive dermatological services.

Dr. Brian Gregory diagnoses and treats a wide range of skin, hair, and nail conditions, including:

Inflammatory & Immune-Mediated Skin Conditions

• Dermatitis Herpetiformis: An intensely itchy, blistering rash often associated with celiac disease (gluten sensitivity), typically appearing on elbows, knees, buttocks, and scalp.
• Rosacea (Erythematotelangiectatic, Papulopustular, Phymatous, Ocular): A common skin condition that causes redness, visible blood vessels, flushing, and sometimes small, red, pus-filled bumps on the face. Can also affect the eyes.

Hair & Scalp Disorders

• Alopecia Areata (Patchy, Totalis, Universalis, Ophiasis): An autoimmune disorder causing hair to fall out, often in round patches. Can affect scalp, beard, eyebrows, eyelashes, or entire body.
• Telogen Effluvium: A type of temporary, diffuse hair shedding often triggered by significant stress, illness, surgery, nutritional deficiencies, or hormonal changes (e.g., postpartum).

Nail Disorders (Onychopathies)

• Nail Psoriasis: Psoriasis affecting the fingernails and toenails, causing pitting, discoloration (oil drop sign), thickening, onycholysis (separation from bed), and subungual hyperkeratosis.
• Onychomycosis (Fungal Nail Infection): A common infection of the toenails or fingernails by fungi, causing discoloration, thickening, brittleness, and separation from the nail bed.

This list is not exhaustive. For personalized advice regarding your specific dermatological condition, please consult with Dr. Brian Gregory.

• Nail Disorder Treatment (Fungal Infections, Psoriasis, Lichen Planus, Ingrown Nails, Tumors): Diagnosis and management of conditions affecting the nails, including infections, inflammatory disorders (like nail psoriasis or lichen planus), structural abnormalities, ingrown nails, and benign or malignant nail unit tumors.
• Microneedling (Collagen Induction Therapy) & Radiofrequency (RF) Microneedling: Procedures that create controlled micro-injuries in the skin to stimulate collagen and elastin production, improving skin texture, reducing scars (acne, surgical), fine lines, and stretch marks. RF Microneedling combines microneedling with radiofrequency energy for enhanced skin tightening and rejuvenation.
• Botulinum Toxin Injections (e.g., Botox®, Dysport®, Xeomin®) for Wrinkles & Hyperhidrosis: Injectable treatments to temporarily relax facial muscles and reduce dynamic wrinkles (e.g., frown lines, crow's feet, forehead lines), or to treat excessive sweating (hyperhidrosis).
• Skin Biopsy (Punch, Shave, Excisional, Incisional): Obtaining a small sample of skin under local anesthesia for microscopic examination to diagnose various skin conditions, including infections, inflammatory disorders, and skin cancer. Techniques are chosen based on the suspected condition and lesion characteristics.
• Psoriasis & Psoriatic Arthritis Management (Topical, Phototherapy, Systemic, Biologics, JAK inhibitors): Comprehensive management of psoriasis (plaque, guttate, pustular, erythrodermic) and associated psoriatic arthritis, using topical treatments, narrowband UVB or PUVA phototherapy, oral systemic medications (e.g., methotrexate, cyclosporine), and advanced biologic therapies or JAK inhibitors targeting specific immune pathways.
• Management of Autoimmune Skin Diseases (Lupus, Dermatomyositis, Pemphigus, Pemphigoid, Vasculitis): Diagnosis and treatment of autoimmune connective tissue diseases with skin manifestations and autoimmune blistering diseases, often in collaboration with rheumatologists or other specialists. May involve topical, oral, or biologic therapies.
• Cosmetic Mole Removal & Skin Tag Removal: Removal of benign moles or skin tags for aesthetic reasons, typically after dermatoscopic confirmation that the lesion is not suspicious for cancer.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Gregory for care relevant to your specific condition. Coverage for services varies; medically necessary treatments are typically covered by provincial health plans, while cosmetic procedures are usually self-pay.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant dermatological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Gregory's dermatology practice is situated within a modern clinic located in Vancouver's Fairview neighbourhood. The facility is conveniently accessible by public transit, including TransLink's SkyTrain Expo, Millennium, and Canada Lines, as well as bus services, SeaBus, and West Coast Express at Waterfront Station. The clinic is situated close to Robson Square, providing a vibrant urban setting. The location is fully wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for those arriving by car, making visits convenient for patients from across the region.

Are consultations and dermatological treatments with Dr. Gregory, a Dermatologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Dermatologist like Dr. Gregory, diagnostic procedures (e.g., skin biopsies), and treatments for provincially insured skin conditions (e.g., psoriasis, severe eczema, skin cancer, infections) are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor is in place. Purely cosmetic procedures (e.g., Botox for wrinkles, most laser hair removal, fillers for aesthetic enhancement) are typically not covered and are self-pay. It's crucial to discuss coverage specifics for any proposed treatment with Dr. Gregory's office or Medical Services Plan (MSP) beforehand, especially if there's a potential cosmetic component.

Do I need a referral to see Dr. Gregory, a Dermatologist?

Yes, for medically necessary dermatological care covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an ER doctor for an acute issue) is almost always required to see a Dermatologist such as Dr. Gregory. This ensures coordinated care and that your visit is appropriate for specialist assessment. Some dermatologists may offer consultations for uninsured cosmetic services without a referral, but these would be a direct cost to you. Always check with the clinic regarding their specific referral policy.

What is the difference between a Dermatologist and an Esthetician?

A Dermatologist, like Dr. Gregory, is a medical doctor (MD) who has completed medical school followed by several years of specialized residency training in dermatology. They are qualified to diagnose and treat over 3,000 diseases of the skin, hair, and nails, prescribe medications, perform surgical procedures (like skin cancer removal), and manage complex skin conditions. An Esthetician (or Aesthetician) is a skincare professional trained in cosmetic skin treatments and services that improve the appearance of the skin, such as facials, superficial chemical peels, microdermabrasion, waxing, and makeup application. They are not medical doctors and cannot diagnose skin diseases, prescribe medications, or perform medical or surgical procedures.

How should I prepare for my first dermatology appointment with Dr. Gregory?

To make the most of your first visit with Dr. Gregory, it's helpful to: 1. Make a list of your skin concerns, symptoms (e.g., itch, pain, duration), and any treatments you've already tried (both prescription and over-the-counter). 2. Bring a list of all your current medications, including vitamins and supplements. 3. Be prepared to discuss your personal and family medical history, including any history of skin cancer or significant skin conditions. 4. For a full skin exam, it's best to wear loose, comfortable clothing that is easy to remove and avoid wearing makeup or nail polish. 5. If your concern involves a rash that comes and goes, taking clear photos when it's visible can be very helpful. 6. Write down any questions you have for Dr. Gregory.

How often should I see a Dermatologist like Dr. Gregory for skin cancer screening?

The recommended frequency for skin cancer screenings by a Dermatologist like Dr. Gregory varies based on your individual risk factors. These include a personal or family history of skin cancer (especially melanoma), having many moles (e.g., >50) or atypical moles, fair skin that burns easily, a history of excessive sun exposure or tanning bed use, or a suppressed immune system. Your family doctor can assess your risk, or Dr. Gregory can provide a personalized recommendation after an initial consultation. Regardless of professional check-ups, performing monthly self-skin exams to monitor for any new or changing lesions (using the ABCDEs of melanoma as a guide) is crucial for early detection.

1010-750 Broadway W
Vancouver, BC V5Z 1H9

Phone: (604) 876-7222 | Fax: (604) 876-7216

The facility is wheelchair accessible.

Dr. Gregory is a licensed Dermatologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician is typically required for consultations with Dr. Gregory for medically necessary services covered by the provincial health plan. Cosmetic consultations may have different requirements.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/305731/Gregory%2CBrian