Dr. Daniel Kwan Ming Chang

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

Skin Cancers, Precancerous Lesions & Benign Growths

• Squamous Cell Carcinoma (SCC): A common form of skin cancer developing in the squamous cells. Often appears as a firm, red nodule or a flat lesion with a scaly, crusted surface on sun-exposed areas. Can grow more rapidly than BCC.
• Actinic Keratosis (Solar Keratosis): A rough, scaly patch on sun-exposed skin that is considered precancerous and can sometimes progress to squamous cell carcinoma if left untreated.
• Skin Cysts (Epidermoid, Pilar, Sebaceous): Benign, sac-like growths under the skin containing fluid or semi-solid material. May become inflamed or infected and sometimes require removal.

Acne, Rosacea & Follicular Disorders

• Acne Scars (Atrophic, Hypertrophic, Keloidal): Permanent textural changes and indentations (atrophic), raised scars (hypertrophic), or overgrown scars (keloidal) that can result from severe or picked acne.
• Hormonal Acne / Adult Female Acne: Acne linked to fluctuations in hormones, often presenting in adult women along the jawline, chin, and neck, and may persist beyond teenage years.
• Folliculitis (Bacterial, Fungal, Non-infectious): Inflammation of hair follicles, often caused by infection (e.g., Staph aureus, Malassezia) or irritation, leading to itchy or painful bumps, sometimes with pustules.

Nail Disorders (Onychopathies)

• Beau's Lines & Other Nail Dystrophies: Transverse depressions in the nails (Beau's lines) or other changes in nail texture or appearance that can indicate systemic illness, trauma, or nutritional deficiencies.
• Onychomycosis (Fungal Nail Infection): A common infection of the toenails or fingernails by fungi, causing discoloration, thickening, brittleness, and separation from the nail bed.
• Paronychia (Acute & Chronic): Inflammation or infection of the skin fold around the fingernails or toenails, causing redness, swelling, and pain. Can be acute (bacterial) or chronic (often fungal or irritant-related).

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

• Platelet-Rich Plasma (PRP) Therapy (for Skin Rejuvenation & Hair Loss): Utilizing a concentration of a patient's own platelets to promote tissue repair and regeneration, used for facial rejuvenation (e.g., with microneedling) and to stimulate hair growth in certain types of alopecia.
• Hidradenitis Suppurativa Management (Medical, Interventional, Biologics): Medical (antibiotics, retinoids), interventional (incision & drainage, deroofing), and biologic therapy for a chronic inflammatory skin condition causing painful lumps, abscesses, and sinus tracts in skin folds.
• 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.
• Phototherapy (Narrowband UVB, Broadband UVB, PUVA, Excimer Laser): Controlled administration of specific wavelengths of ultraviolet light to treat various skin conditions such as psoriasis, eczema, vitiligo, and cutaneous T-cell lymphoma.
• Body Contouring & Skin Tightening (e.g., Cryolipolysis, Radiofrequency, Ultrasound): Non-invasive or minimally invasive procedures designed to reduce localized fat deposits (e.g., CoolSculpting®) or tighten lax skin on the face and body (e.g., Thermage®, Ultherapy®).
• Interpretation of Dermatopathology Reports & Second Opinions: Expert analysis of skin biopsy results to confirm diagnoses, guide treatment strategies, and provide second opinions on complex dermatopathology cases.
• 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.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Chang 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 Ontario (CPSO) and relevant dermatological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Chang practices at a dermatology clinic located in the Heart Lake East, Madoc neighborhood of Brampton. The facility is conveniently situated near Shoppers World Brampton, making it easily accessible by public transit, including Brampton Transit (including Züm BRT). The clinic is fully wheelchair accessible, ensuring comfortable access for all patients. Paid parking options are conveniently located nearby to facilitate easy arrival and departure. The clinic’s central location provides an ideal setting for comprehensive skin care services with modern amenities and a welcoming environment.

Are consultations and dermatological treatments with Dr. Chang, a Dermatologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Dermatologist like Dr. Chang, 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 Ontario Health Insurance Plan (OHIP) in ON 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. Chang's office or Ontario Health Insurance Plan (OHIP) beforehand, especially if there's a potential cosmetic component.

Do I need a referral to see Dr. Chang, 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. Chang. 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.

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

To make the most of your first visit with Dr. Chang, 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. Chang.

What does a Dermatologist like Dr. Chang specialize in?

A Dermatologist, such as Dr. Chang, is a medical doctor with highly specialized training in diagnosing and treating over 3,000 conditions affecting the skin, hair, and nails in patients of all ages – from newborns to seniors. This includes a wide spectrum of diseases from common issues like acne, eczema, and psoriasis, to more complex conditions like skin cancer, autoimmune skin disorders (e.g., lupus, pemphigus), severe allergic reactions, and genetic skin diseases. He is a Dermatologist specializing in the comprehensive medical and surgical care of skin, hair, and nail conditions. Dr. Chang offers various medical, surgical, and potentially cosmetic treatments depending on their practice focus.

Dr. Chang mentioned biologics. What are they for skin conditions?

Biologic medications are a newer class of treatments for moderate to severe inflammatory skin conditions like psoriasis, eczema (atopic dermatitis), and hidradenitis suppurativa, when other treatments haven't been effective enough. Unlike traditional systemic drugs that suppress the broader immune system, biologics are proteins engineered to target very specific parts of the immune system that cause inflammation in these diseases. They are usually given by injection (either by Dr. Chang's office or self-administered at home) or intravenous (IV) infusion. Dr. Chang would discuss the specific biologic, its benefits, potential side effects, and monitoring requirements if it's a suitable option for you.

What is the difference between a Dermatologist and an Esthetician?

A Dermatologist, like Dr. Chang, 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 often should I see a Dermatologist like Dr. Chang for skin cancer screening?

The recommended frequency for skin cancer screenings by a Dermatologist like Dr. Chang 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. Chang 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.

480 Chrysler Drive
Brampton, ON L6S 0C1

Phone: (905) 789-6800 | Fax: (905) 789-5991

The facility is wheelchair accessible.

Dr. Chang is a licensed Dermatologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Chang 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 Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Chang-Daniel-Kwan-Ming/0049847-63825