Dr. Tatyana Borisovna Hamilton – Dermatologist | Victoria, BC

Dr. Tatyana Borisovna Hamilton 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 practice is committed to delivering evidence-based dermatological care in a comfortable and professional setting, utilizing modern diagnostic and therapeutic equipment.

She graduated with an MD from the University of British Columbia (Canada) and holds specialty certification as a Dermatologist. She maintains certifications including those from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of medical practice and patient safety.

Dr. Hamilton’s clinical philosophy centers on a commitment to evidence-based skin care, patient education on skin health and prevention, early detection of skin cancer, and providing personalized treatment plans. She is dedicated to serving her patients in Victoria with compassionate, comprehensive, and up-to-date dermatological care, communicating fluently in English.

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

Inflammatory & Immune-Mediated Skin Conditions

• 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

• 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.
• Tinea Capitis (Scalp Ringworm): A fungal infection of the scalp and hair shafts, common in children, causing scaly patches, hair loss, and sometimes inflammation.
• Traction Alopecia: Hair loss caused by prolonged or repetitive tension on the hair follicles, often due to tight hairstyles (braids, ponytails, extensions).

Acne, Rosacea & Follicular Disorders

• Hormonal Acne / Adult Female Acne: Acne linked to fluctuations in hormones, often presenting in adult women along the jawline, chin, and neck, and may persist beyond teenage years.
• Acne Vulgaris (Comedonal, Papulopustular, Nodulocystic): A common skin condition characterized by pimples, blackheads, whiteheads, and sometimes deeper cysts and nodules, occurring when hair follicles become clogged with oil and dead skin cells. Severity can vary.

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

• 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.
• 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.
• Cryosurgery (Liquid Nitrogen Treatment for Pre-cancers & Benign Lesions): Application of extreme cold (liquid nitrogen) to destroy benign (e.g., warts, seborrheic keratoses) or precancerous skin lesions (e.g., actinic keratoses).
• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Hamilton 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. Hamilton practices within a dermatology clinic located in Victoria's James Bay, Beacon Hill Park Area neighbourhood, offering convenient access for patients. The clinic is situated near popular landmarks such as Antique Row and the Art Gallery of Greater Victoria, making it an accessible destination for residents and visitors alike. Public transit options are readily available through the Victoria Regional Transit System (BC Transit), providing easy transportation to the clinic. The facility is wheelchair accessible, ensuring comfort and ease of access for all patients. Parking is available at or near the facility, facilitating convenient arrival for those driving.

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

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

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

How often should I see a Dermatologist like Dr. Hamilton for skin cancer screening?

The recommended frequency for skin cancer screenings by a Dermatologist like Dr. Hamilton varies based on your individual risk factors. These include a personal or family history of skin cancer (especially melanoma), having many moles (e.g., >50) or atypical moles, fair skin that burns easily, a history of excessive sun exposure or tanning bed use, or a suppressed immune system. Your family doctor can assess your risk, or Dr. Hamilton can provide a personalized recommendation after an initial consultation. Regardless of professional check-ups, performing monthly self-skin exams to monitor for any new or changing lesions (using the ABCDEs of melanoma as a guide) is crucial for early detection.

If Dr. Hamilton 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. Hamilton 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 does a Dermatologist like Dr. Hamilton specialize in?

A Dermatologist, such as Dr. Hamilton, is a medical doctor with highly specialized training in diagnosing and treating over 3,000 conditions affecting the skin, hair, and nails in patients of all ages – from newborns to seniors. This includes a wide spectrum of diseases from common issues like acne, eczema, and psoriasis, to more complex conditions like skin cancer, autoimmune skin disorders (e.g., lupus, pemphigus), severe allergic reactions, and genetic skin diseases. She is a Dermatologist specializing in the comprehensive medical and surgical care of skin, hair, and nail conditions. Dr. Hamilton offers various medical, surgical, and potentially cosmetic treatments depending on their practice focus.

309-1120 Yates St
Victoria, BC V8V 3M9

Phone: (250) 384-4887 | Fax: (250) 384-4799

The facility is wheelchair accessible.

Dr. Hamilton 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. Hamilton 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/330755/Hamilton%2CTatyana