Dr. Iren Kossintseva – Dermatologist | Vancouver, BC

Dr. Iren Kossintseva 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, she is a key member of the local medical community. She provides comprehensive medical and surgical dermatological care for a broad spectrum of skin, hair, and nail issues, including acne, eczema, psoriasis, and skin cancer detection. Her approach combines evidence-based medicine with compassionate patient care, ensuring a comfortable and professional environment for all patients.

Dr. Kossintseva graduated with an MD from the University of Alberta in Canada and holds specialty certification as a Dermatologist from the Royal College of Physicians and Surgeons of Canada. She maintains active certification and adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), including license number 67038.

Her clinical philosophy emphasizes evidence-based skin care, patient education on skin health and prevention, early detection of skin cancers, and personalized treatment plans tailored to each individual's needs. She is committed to providing accessible, high-quality dermatological services to the Vancouver community, communicating with patients primarily in English and ensuring they are well-informed about their skin health options.

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

Nail Disorders (Onychopathies)

• Lichen Planus of the Nails: Nail involvement in lichen planus, which can cause thinning, ridging, splitting, pterygium formation (scarring from nail fold to bed), or even nail loss.
• 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.
• 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).

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.
• Tinea Capitis (Scalp Ringworm): A fungal infection of the scalp and hair shafts, common in children, causing scaly patches, hair loss, and sometimes inflammation.

Inflammatory & Immune-Mediated Skin Conditions

• Cutaneous Lupus Erythematosus (Discoid, Subacute, Acute): Skin manifestations of lupus, an autoimmune disease, which can range from scaly, disc-shaped lesions to widespread rashes triggered by sun exposure.
• Dermatomyositis: An inflammatory disease marked by muscle weakness and a distinctive skin rash, often on the face, eyelids (heliotrope rash), knuckles (Gottron's papules), and chest.
• Urticaria (Hives) & Angioedema: Urticaria consists of itchy welts (wheals) that can appear anywhere on the body. Angioedema is a deeper swelling, often affecting eyelids and lips. Can be acute or chronic.

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

• 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.
• Sclerotherapy for Spider & Small Varicose Veins: Injectable treatment (e.g., with polidocanol or hypertonic saline) to eliminate small, unsightly veins (telangiectasias and reticular veins) primarily on the legs.
• Laser & Light-Based Treatments (IPL, Fractional Lasers, Ablative/Non-Ablative Resurfacing, Vascular Lasers, Pigment Lasers): Utilizing various laser (e.g., CO2, Erbium, Pulsed Dye, Nd:YAG, Alexandrite, Picosecond) and Intense Pulsed Light (IPL) technologies for skin rejuvenation, wrinkle reduction, scar improvement, hair removal, treatment of vascular lesions (e.g., spider veins, rosacea, port-wine stains), and pigmented lesions (e.g., sun spots, tattoo removal).
• Chemical Peels (Superficial, Medium, Deep - Glycolic, Salicylic, TCA, Phenol): Application of chemical solutions to exfoliate the skin and improve texture, tone, and appearance by treating acne, sun damage, pigmentation, and fine lines. Peel depth varies by agent and concentration.
• Hair Loss (Alopecia) Evaluation & Treatment (Androgenetic, Areata, Telogen Effluvium, Scarring Alopecias): Investigating causes of hair loss (including scalp examination, hair pull tests, biopsies) and providing medical treatments for conditions like male/female pattern baldness, alopecia areata (including intralesional steroids, topical immunotherapy), telogen effluvium, and various forms of scarring alopecia.
• 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.
• Electrodessication & Curettage (ED&C) for Superficial Skin Cancers & Benign Lesions: Surgical procedure to scrape away superficial skin lesions (e.g., some BCCs, SCCs in situ, warts) and cauterize the base.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Kossintseva 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. Kossintseva practices at a dermatology clinic located in Vancouver's Fairview neighborhood. The facility is conveniently situated near the Vancouver Art Gallery, easily accessible via public transit options including TransLink's SkyTrain (Expo, Millennium, Canada Lines), Bus, SeaBus, and West Coast Express at Waterfront station. The clinic is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, making visits straightforward for those driving to the practice.

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

Medically necessary consultations with a licensed Dermatologist like Dr. Kossintseva, 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. Kossintseva's office or Medical Services Plan (MSP) beforehand, especially if there's a potential cosmetic component.

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

If Dr. Kossintseva recommends phototherapy, what does that involve?

Phototherapy, also known as light therapy, is a medical treatment where your skin is exposed to specific wavelengths of ultraviolet (UV) light under strict medical supervision. Dr. Kossintseva might recommend it for conditions like psoriasis, eczema, vitiligo, or cutaneous T-cell lymphoma. Treatments are typically given 2-3 times a week in a specialized light cabinet or with a handheld device for smaller areas. The type of UV light (e.g., Narrowband UVB, PUVA) and treatment duration are carefully controlled. It works by reducing inflammation and slowing down the rapid growth of skin cells. You'll be given specific instructions, including eye protection.

Dr. Kossintseva 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. Kossintseva's office or self-administered at home) or intravenous (IV) infusion. Dr. Kossintseva would discuss the specific biologic, its benefits, potential side effects, and monitoring requirements if it's a suitable option for you.

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

Dermatologists like Dr. Kossintseva 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. Kossintseva 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. Kossintseva might offer?

The benefits of cosmetic procedures offered by a qualified Dermatologist like Dr. Kossintseva 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. Kossintseva 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.

835 10 Ave W, Skin Care Centre, Dermatologic Surgery Centre
Vancouver, BC V5Z 4E8

Phone: (604) 875-4888

The facility is wheelchair accessible.

Dr. Kossintseva 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. Kossintseva 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/333142/Kossintseva%2CIren