Dr. Sandra Mary Skotnicki Grant

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

Hair & Scalp Disorders

• Traction Alopecia: Hair loss caused by prolonged or repetitive tension on the hair follicles, often due to tight hairstyles (braids, ponytails, extensions).
• Telogen Effluvium: A type of temporary, diffuse hair shedding often triggered by significant stress, illness, surgery, nutritional deficiencies, or hormonal changes (e.g., postpartum).

Nail Disorders (Onychopathies)

• 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).
• 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.
• 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.

Skin Cancers, Precancerous Lesions & Benign Growths

• Skin Cysts (Epidermoid, Pilar, Sebaceous): Benign, sac-like growths under the skin containing fluid or semi-solid material. May become inflamed or infected and sometimes require removal.
• Basal Cell Carcinoma (BCC): The most common type of skin cancer, typically slow-growing and arising from sun-exposed skin, appearing as a pearly or waxy bump, flat flesh-colored or brown scar-like lesion, or a bleeding/scabbing sore.
• Dysplastic Nevi (Atypical Moles): Moles that look different from common moles (larger, irregular borders, varied color) and may have a higher risk of developing into melanoma. Often require monitoring or biopsy.

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

• 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.
• 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.
• Interpretation of Dermatopathology Reports & Second Opinions: Expert analysis of skin biopsy results to confirm diagnoses, guide treatment strategies, and provide second opinions on complex dermatopathology cases.
• 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.
• Treatment for Skin Infections (Bacterial, Fungal, Viral, Parasitic): Diagnosis and treatment of various skin infections, such as impetigo, cellulitis, erysipelas, ringworm (tinea), athlete's foot, nail fungus (onychomycosis), warts, molluscum contagiosum, herpes simplex/zoster, and scabies.
• Nail Surgery (e.g., Ingrown Toenail Removal/Matrixectomy, Nail Biopsy, Tumor Excision): Surgical procedures to treat painful or diseased nails, including permanent correction of ingrown toenails or removal of nail unit tumors.
• Botulinum Toxin Injections (e.g., Botox®, Dysport®, Xeomin®) for Wrinkles & Hyperhidrosis: Injectable treatments to temporarily relax facial muscles and reduce dynamic wrinkles (e.g., frown lines, crow's feet, forehead lines), or to treat excessive sweating (hyperhidrosis).

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Grant 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. Grant practices at a dermatology clinic located within a reputable medical facility in Toronto's Bay Street Corridor, also known as the Discovery District. The clinic is conveniently accessible via public transit options including the TTC subway, streetcar, and bus routes. The surrounding neighborhood offers easy access to Cherry Beach, a popular destination for outdoor recreation. The facility is wheelchair accessible, ensuring easy entry for patients with mobility needs. Parking is available at or near the clinic, providing convenient options for patients arriving by car. Whether commuting via public transit or driving, patients can expect a comfortable and accessible environment for their dermatological care.

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

Medically necessary consultations with a licensed Dermatologist like Dr. Grant, 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. Grant'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. Grant, 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. Grant. 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. Grant recommend?

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

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

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

790 Bay Street
Toronto, ON M5G 1N8

Phone: (416) 515-8808 | Fax: (416) 515-8805

The facility is wheelchair accessible.

Dr. Grant 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. Grant 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/Skotnicki-Grant-Sandra-Mary/0052758-66722