Dr. Mark Howard Lupin – Dermatologist | Victoria, BC

Dr. Mark Howard Lupin 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 Cosmedica Laser Centre in Victoria, 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. Lupin graduated with a Medical Degree from the University of Toronto in Canada and holds specialty certification as a Dermatologist. He is certified by the Royal College of Physicians and Surgeons of Canada, affirming his expertise and adherence to rigorous professional standards in dermatology.

He is dedicated to providing patient-centered care with an emphasis on early detection of skin cancers, patient education on skin health and prevention, and personalized treatment plans tailored to each individual's needs. Dr. Lupin communicates in English and strives to ensure every patient feels informed and supported throughout their dermatological journey.

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

Nail Disorders (Onychopathies)

• Onychomycosis (Fungal Nail Infection): A common infection of the toenails or fingernails by fungi, causing discoloration, thickening, brittleness, and separation from the nail bed.
• Nail Unit Tumors (Benign & Malignant): Various growths that can occur in or around the nail unit, including benign (e.g., glomus tumor, myxoid cyst) and malignant (e.g., squamous cell carcinoma, melanoma) tumors.
• Ingrown Toenails (Onychocryptosis): A condition where the corner or side of a toenail grows into the soft flesh, causing pain, redness, swelling, and potential infection.

Acne, Rosacea & Follicular Disorders

• 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).
• 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.

Skin Cancers, Precancerous Lesions & Benign Growths

• Lipomas: Benign tumors composed of fat tissue, usually soft, movable, and painless, located just beneath the skin.
• 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.

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

• Dermal Fillers (Hyaluronic Acid, Calcium Hydroxylapatite, PLLA) for Volume Restoration & Contouring: Injectable gels (e.g., Juvederm®, Restylane®, Radiesse®, Sculptra®) used to restore facial volume, smooth out static wrinkles and folds, enhance lip volume, and contour facial features.
• 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.
• 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.
• 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.
• 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.
• Diagnostic Mycology (Fungal Scrapings & Cultures): Collecting skin, hair, or nail samples to identify fungal infections through microscopic examination (e.g., KOH prep) or fungal culture.
• Cyst Excision and Drainage of Abscesses: Surgical removal of various types of skin cysts (e.g., epidermoid, pilar) and incision and drainage for skin abscesses.

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

Cosmedica Laser Centre is situated in Victoria's vibrant Fairfield East, Oaklands neighborhood, offering convenient access for patients. The practice is close to the BC Transit Hub and the Downtown Core, making it easily reachable by public transit through the Victoria Regional Transit System (BC Transit). The facility is wheelchair accessible, ensuring easy entry for all patients. Paid parking options are conveniently located nearby, providing flexible parking solutions for visitors to the clinic.

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

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

Do I need a referral to see Dr. Lupin, 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. Lupin. 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 kind of sunscreen does Dr. Lupin recommend?

While specific brand recommendations can vary, Dr. Lupin 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. Lupin can provide personalized recommendations based on your skin type and lifestyle during your consultation.

When should someone consider seeing a Dermatologist like Dr. Lupin?

A referral to a Dermatologist like Dr. Lupin is often recommended by a family physician for: any new or changing moles or skin growths; persistent or severe skin rashes (e.g., eczema, psoriasis) not responding to initial treatments; severe or cystic acne; chronic hives; significant hair loss or scalp disorders; problematic nail conditions (e.g., persistent fungal infections, unusual changes); suspected skin infections; or for expert skin cancer screening, especially if you have risk factors like a personal or family history of skin cancer, numerous moles, or significant sun exposure. Early consultation can be key for effective management and diagnosis.

Dr. Lupin 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. Lupin's office or self-administered at home) or intravenous (IV) infusion. Dr. Lupin 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. Lupin, 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.

Cosmedica Laser Centre
207-1990 Fort St
Victoria, BC V8R 6V4

Phone: (250) 598-3300 | Fax: (250) 598-3360 | Website: http://www.cosmedica.ca/

The facility is wheelchair accessible.

Dr. Lupin 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. Lupin 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/306605/Lupin%2CMark