Dr. Robert Alexander Micieli – Dermatologist | Toronto, ON

Dr. Robert Alexander Micieli 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 Toronto, ON, 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 welcoming and professional setting, utilizing modern diagnostic tools and therapeutic options.

He graduated with a Medical Degree from the University of Toronto (Canada) and has been practicing as a Dermatologist since 2024. Dr. Micieli is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), with license number 118753. His training and certification ensure adherence to the highest standards of medical practice and patient safety.

Dr. Micieli's clinical philosophy emphasizes evidence-based skin care, patient education on skin health and prevention, early detection of skin cancer, and personalized treatment plans tailored to each individual's needs. He dedicates himself to providing compassionate care to patients in Toronto, communicating fluently in English, and ensuring they are well-informed about their skin health and treatment options.

Dr. Robert Micieli 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.
• Squamous Cell Carcinoma (SCC): A common form of skin cancer developing in the squamous cells. Often appears as a firm, red nodule or a flat lesion with a scaly, crusted surface on sun-exposed areas. Can grow more rapidly than BCC.
• 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.

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.

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.
• Onychomycosis (Fungal Nail Infection): A common infection of the toenails or fingernails by fungi, causing discoloration, thickening, brittleness, and separation from the nail bed.

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

• Scar Revision Surgery & Keloid Treatment (Surgical, Intralesional Injections): Procedures to improve the appearance of scars or treat problematic keloid scars, which may involve surgical excision, steroid injections, or other modalities.
• Platelet-Rich Plasma (PRP) Therapy (for Skin Rejuvenation & Hair Loss): Utilizing a concentration of a patient's own platelets to promote tissue repair and regeneration, used for facial rejuvenation (e.g., with microneedling) and to stimulate hair growth in certain types of alopecia.
• 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.
• 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).
• 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.
• 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.
• Hidradenitis Suppurativa Management (Medical, Interventional, Biologics): Medical (antibiotics, retinoids), interventional (incision & drainage, deroofing), and biologic therapy for a chronic inflammatory skin condition causing painful lumps, abscesses, and sinus tracts in skin folds.

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

Dr. Micieli practices in a dermatology clinic situated within a medical building in Toronto's University of Toronto, Harbord neighbourhood. The facility is conveniently located near Toronto Police HQ and the University of Toronto (St. George Campus south edge). Patients can access the clinic via multiple public transit options, including the TTC (Subway, Streetcar, Bus). The location is fully wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for those arriving by car, providing flexibility and convenience for patients coming from various parts of Toronto and the surrounding areas.

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

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

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

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

76 Grenville St
Toronto, ON M5S 1B2

Phone: (416) 323-6400

The facility is wheelchair accessible.

Dr. Micieli 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. Micieli 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/Micieli-Robert-Alexander/0328548-118753