Dr. Richard Dubuc

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

Skin Cancers, Precancerous Lesions & Benign Growths

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

Inflammatory & Immune-Mediated Skin Conditions

• Lichen Planus: An inflammatory condition that can affect the skin, hair, nails, and mucous membranes (mouth, genitals), causing purplish, itchy, flat-topped bumps on the skin or lacy white patches in the mouth.
• 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.
• 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.

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.
• 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.

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

• 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.
• 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®).
• 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.
• 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.
• 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.
• 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.
• 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. Dubuc 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 Collège des médecins du Québec (CMQ) and relevant dermatological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Clinique Metro Medic is situated in Montréal's Ville-Marie West (Golden Square Mile West, Concordia U area) neighborhood, offering convenient access for patients. The practice is located within a vibrant locale close to Casino de Montréal and Circuit Gilles Villeneuve, making it easy for patients to visit. Public transit options are plentiful, with the Société de transport de Montréal (STM) providing accessible Métro and bus services nearby. The facility is wheelchair accessible, ensuring comfort for all patients. Metered street parking and nearby lots provide additional parking options for visitors.

Are consultations and dermatological treatments with Dr. Dubuc, a Dermatologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Dermatologist like Dr. Dubuc, 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 Régie de l'assurance maladie du Québec (RAMQ) in QC 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. Dubuc's office or Régie de l'assurance maladie du Québec (RAMQ) beforehand, especially if there's a potential cosmetic component.

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

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

The benefits of cosmetic procedures offered by a qualified Dermatologist like Dr. Dubuc 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. Dubuc 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 is the difference between a Dermatologist and an Esthetician?

A Dermatologist, like Dr. Dr. Dubuc, 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.

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

A referral to a Dermatologist like Dr. Dubuc 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.

Clinique Metro Medic
100-1538 rue Sherbrooke O
Montréal, QC H3G 1L5

Phone: (514) 932-2122 | Fax: (514) 939-7154

The facility is wheelchair accessible.

Dr. Dubuc is a licensed Dermatologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician is typically required for consultations with Dr. Dubuc for medically necessary services covered by the provincial health plan. Cosmetic consultations may have different requirements.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=70100