Dr. David Neal Adam

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

Acne, Rosacea & Follicular Disorders

• Keratosis Pilaris: A common, harmless condition causing small, rough bumps on the skin, usually on the upper arms, thighs, cheeks, or buttocks, due to keratin buildup in hair follicles.
• Hidradenitis Suppurativa (Acne Inversa): A chronic, recurrent inflammatory skin condition featuring painful, deep-seated lumps, abscesses, sinus tracts, and scarring, typically in areas where skin rubs together (axillae, groin, under breasts).

Hair & Scalp Disorders

• Androgenetic Alopecia (Male/Female Pattern Hair Loss): A common hereditary form of hair loss characterized by a receding hairline and thinning crown in men, and diffuse thinning over the top of the scalp in women.
• 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.
• Seborrheic Dermatitis of the Scalp (Dandruff): A common condition causing scaly patches, red skin, and stubborn dandruff on the scalp. Can also affect oily areas of the body.

Skin Cancers, Precancerous Lesions & Benign Growths

• Seborrheic Keratosis: Common, benign (non-cancerous) skin growths that often appear waxy, scaly, and slightly raised. Can vary in color from light tan to black.
• Melanoma: The most serious type of skin cancer, developing in melanocytes. Early detection is crucial. Look for asymmetry, irregular borders, color variation, diameter >6mm, and evolving moles (ABCDEs).

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

• Medical-Grade Facials & Skincare Consultations: Professional facial treatments tailored to specific skin concerns and expert advice on developing an optimal at-home skincare regimen using medical-grade products.
• Acne Vulgaris & Acne Rosacea Treatment (Topical, Oral, Systemic, including Isotretinoin): Management of acne and rosacea, including blackheads, whiteheads, pimples, cysts, and facial redness, using a range of treatments from topical creams and gels to oral antibiotics, hormonal therapies, and isotretinoin for severe or recalcitrant acne.
• Mohs Micrographic Surgery for High-Risk Skin Cancers: Specialized surgical technique for removing complex or high-risk skin cancers (especially on the head, neck, hands, feet, genitals) with maximal tissue preservation by examining 100% of the surgical margin intraoperatively.
• Teledermatology Consultations (for select conditions & follow-ups): Remote dermatological consultations using secure digital imaging and communication technologies for initial assessment of certain conditions or for follow-up care, enhancing accessibility.
• Eczema (Atopic, Contact, Seborrheic Dermatitis) Management: Treatment plans for various types of chronic inflammatory skin conditions like eczema, focusing on reducing inflammation, relieving itch, restoring skin barrier function, and preventing flare-ups with topical steroids, non-steroidal topicals, phototherapy, and systemic agents including biologics.
• 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.
• Skin Cancer Screening & Mole Mapping (Dermoscopy & Digital Monitoring): Thorough examination of the skin for suspicious lesions, including moles and other growths. Utilizes dermoscopy for enhanced visualization and may involve digital mole mapping for high-risk patients to track changes over time.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Adam 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.

The Peterborough Clinic is situated in Ajax's Southwood, Pickering Beach neighborhood, offering a convenient and welcoming environment for patients seeking dermatological care. The clinic is located near Rotary Park and the Ajax GO Station, facilitating easy access via public transit, including Durham Region Transit (DRT). The facility is wheelchair accessible, ensuring that patients with mobility challenges can receive care comfortably. Paid parking options are conveniently located nearby, providing accessible and flexible parking solutions for patients arriving by car. Whether you’re visiting for a routine skin check or specialized dermatological treatment, the clinic’s location is designed to accommodate your needs efficiently and comfortably.

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

Medically necessary consultations with a licensed Dermatologist like Dr. Adam, 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. Adam'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. Adam, 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. Adam. 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. Dr. Adam, 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. Adam?

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

What are some common medical procedures a Dermatologist like Dr. Adam performs?

Dermatologists like Dr. Dr. Adam perform a variety of diagnostic and therapeutic procedures. Common medical procedures include skin biopsies (punch, shave, or excisional) to diagnose conditions, cryosurgery (freezing with liquid nitrogen) for warts or precancerous spots (actinic keratoses), surgical excision of skin cancers or benign lesions like cysts and atypical moles, intralesional injections (e.g., for keloids or alopecia areata), and prescribing specialized topical or oral medications (including biologics or immunosuppressants for complex conditions). Many dermatologists also offer phototherapy. Dr. Dr. Adam can discuss specific procedures relevant to your condition and may have subspecialty interests influencing the range of procedures offered.

What are the general risks and benefits of cosmetic procedures Dr. Adam might offer?

The benefits of cosmetic procedures offered by a qualified Dermatologist like Dr. Adam can include improvement in skin appearance, texture, tone, reduction of wrinkles or scars, and enhanced self-confidence. However, all procedures carry some risks. Common risks for minimally invasive cosmetic treatments (like injectables or lasers) can include temporary redness, swelling, bruising, pain, or itching at the treatment site. Less common risks might include infection, allergic reaction, changes in skin pigmentation, or unsatisfactory results. More invasive procedures have different risk profiles. Dr. Adam will discuss the specific risks, benefits, and expected outcomes of any proposed cosmetic procedure in detail during your consultation to help you make an informed decision.

What kind of sunscreen does Dr. Adam recommend?

While specific brand recommendations can vary, Dr. Adam would likely advise choosing a broad-spectrum sunscreen that protects against both UVA and UVB rays, with an SPF (Sun Protection Factor) of 30 or higher. For daily use, a lighter formulation might be preferred, while for prolonged outdoor activities, water-resistant sunscreen is important. Consider your skin type: individuals with sensitive skin might prefer mineral-based sunscreens containing zinc oxide or titanium dioxide. The most important thing is to apply sunscreen generously and reapply it every two hours, or more often if swimming or sweating. Dr. Adam can provide personalized recommendations based on your skin type and lifestyle during your consultation.

The Peterborough Clinic
Suite 201, 95 Bayly Street West
Ajax, ON L1S 7K8

Phone: (905) 427-3996 | Fax: (905) 619-0438

The facility is wheelchair accessible.

Dr. Adam 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. Adam 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/Adam-David-Neal/0191068-78455