Dr. Monica Alina Miliszewski – Dermatologist | Victoria, BC

Dr. Monica Alina Miliszewski 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 Victoria, BC, she is a key member of the local medical community. She 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. Her adherence to the standards and guidelines set by the College of Physicians and Surgeons of British Columbia (CPSBC) ensures high-quality, patient-centered care in a modern clinical setting.

Dr. Miliszewski graduated with a Medical Degree from the University of Saskatchewan in Canada and holds specialty certification as a Dermatologist through the Royal College of Physicians and Surgeons of Canada. Her training and certifications reflect her commitment to maintaining the highest standards of dermatological practice, staying current with advances in skin care, and providing evidence-based treatments tailored to each patient's needs.

Her clinical philosophy emphasizes a commitment to evidence-based skin care, patient education on skin health and prevention, early detection of skin cancer, and personalized treatment planning. She is dedicated to supporting patients in Victoria through compassionate, thorough, and professional dermatological care. Additionally, Dr. Miliszewski speaks Polish in addition to English, enabling her to serve a diverse patient population with clear communication and cultural sensitivity.

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

Inflammatory & Immune-Mediated Skin Conditions

• Eczema (Atopic, Contact, Seborrheic, Discoid, Asteatotic): A group of chronic conditions causing itchy, inflamed, and often dry skin. Types vary in appearance and common locations, triggered by genetics, allergens, irritants, or other factors.
• Dermatitis Herpetiformis: An intensely itchy, blistering rash often associated with celiac disease (gluten sensitivity), typically appearing on elbows, knees, buttocks, and scalp.
• Psoriasis (Plaque, Guttate, Inverse, Pustular, Erythrodermic): An autoimmune disease characterized by patches of abnormal skin that are typically red, itchy, and scaly due to rapid skin cell turnover. Can also affect nails and joints (psoriatic arthritis).

Hair & Scalp Disorders

• Telogen Effluvium: A type of temporary, diffuse hair shedding often triggered by significant stress, illness, surgery, nutritional deficiencies, or hormonal changes (e.g., postpartum).
• Tinea Capitis (Scalp Ringworm): A fungal infection of the scalp and hair shafts, common in children, causing scaly patches, hair loss, and sometimes inflammation.
• Cicatricial Alopecia (Scarring Alopecia - e.g., Lichen Planopilaris, Frontal Fibrosing Alopecia, CCCA): A group of rare disorders that destroy hair follicles, replace them with scar tissue, and cause permanent hair loss. Examples include Lichen Planopilaris, Frontal Fibrosing Alopecia, and Central Centrifugal Cicatricial Alopecia.

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.
• 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.

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

• 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.
• 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.
• 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.
• 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.
• Excision of Benign Lesions (Moles/Nevi, Cysts, Lipomas, Skin Tags, Seborrheic Keratoses): Surgical removal of non-cancerous skin growths for medical reasons (e.g., irritation, inflammation) or cosmetic purposes, with pathological examination if indicated.
• 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.
• 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. Miliszewski 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. Miliszewski practices at a dermatology clinic situated in a prominent area near central Victoria. The clinic is conveniently located close to the Downtown Core and the historic Fairmont Empress Hotel, making it easily accessible for patients in the city and surrounding regions. Public transit options are plentiful, with the Victoria Regional Transit System (BC Transit) serving the area and providing reliable connections to the facility. The clinic is wheelchair accessible, ensuring ease of access for all patients, and parking is available at or near the premises for those arriving by car. The practice is committed to providing a welcoming, accessible environment that prioritizes patient comfort and convenience.

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

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

Do I need a referral to see Dr. Miliszewski, 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. Miliszewski. 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 are some common medical procedures a Dermatologist like Dr. Miliszewski performs?

Dermatologists like Dr. Miliszewski 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. Miliszewski can discuss specific procedures relevant to your condition and may have subspecialty interests influencing the range of procedures offered.

If Dr. Miliszewski 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. Miliszewski 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.

103-1660 Feltham Rd, Dermatology Clinic
Victoria, BC V8N 2A1

Phone: (250) 888-6002

The facility is wheelchair accessible.

Dr. Miliszewski 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. Miliszewski 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/334378/Miliszewski%2CMonica