Dr. Thomas William Christensen – Dermatologist | Victoria, BC

Dr. Thomas William Christensen 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, 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 environment, utilizing the latest diagnostic tools and therapeutic options.

Dr. Christensen graduated with an MD from the University of Alberta in Canada and holds specialty certification as a Dermatologist. He maintains certifications including those from the Royal College of Physicians and Surgeons of Canada, ensuring adherence to the highest standards of medical practice and ongoing professional development.

Guided by a philosophy of evidence-based skin care, Dr. Christensen emphasizes patient education on skin health and prevention, early detection of skin cancer, and the development of personalized treatment plans tailored to each patient's needs. He is dedicated to providing comprehensive dermatological care in English to residents of Victoria and the surrounding areas, ensuring accessible and patient-centered service.

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

Inflammatory & Immune-Mediated Skin Conditions

• Rosacea (Erythematotelangiectatic, Papulopustular, Phymatous, Ocular): A common skin condition that causes redness, visible blood vessels, flushing, and sometimes small, red, pus-filled bumps on the face. Can also affect the eyes.
• 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.

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).
• Keratosis Pilaris: A common, harmless condition causing small, rough bumps on the skin, usually on the upper arms, thighs, cheeks, or buttocks, due to keratin buildup in hair follicles.

Skin Cancers, Precancerous Lesions & Benign Growths

• 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.
• 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).
• 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.

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

• Hyperhidrosis (Excessive Sweating) Treatment (Topical, Oral, Botulinum Toxin): Management options for excessive sweating of the underarms, palms, or soles, including prescription antiperspirants, oral medications, and botulinum toxin injections.
• 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.
• 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.
• Acne Vulgaris & Acne Rosacea Treatment (Topical, Oral, Systemic, including Isotretinoin): Management of acne and rosacea, including blackheads, whiteheads, pimples, cysts, and facial redness, using a range of treatments from topical creams and gels to oral antibiotics, hormonal therapies, and isotretinoin for severe or recalcitrant acne.
• 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).
• 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.
• 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.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Christensen 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. Christensen practices at a dermatology clinic situated within a modern medical facility in Victoria's Fairfield East, Oaklands neighborhood. The location is conveniently accessible via the Major North-South Route and has direct access to the Saanich/Highway corridor, making it easy for patients traveling from various parts of the region. The clinic is well-served by the Victoria Regional Transit System (BC Transit), providing reliable public transportation options. The facility is wheelchair accessible, ensuring inclusive access for all patients. For those driving, metered street parking and nearby parking lots are available, offering convenient options for patients visiting the clinic.

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

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

Do I need a referral to see Dr. Christensen, 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. Christensen. 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 is the difference between a Dermatologist and an Esthetician?

A Dermatologist, like Dr. Dr. Christensen, 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.

If Dr. Christensen 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. Christensen 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.

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

The recommended frequency for skin cancer screenings by a Dermatologist like Dr. Christensen 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. Christensen 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.

What are some common medical procedures a Dermatologist like Dr. Christensen performs?

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

How should I prepare for my first dermatology appointment with Dr. Christensen?

To make the most of your first visit with Dr. Christensen, it's helpful to: 1. Make a list of your skin concerns, symptoms (e.g., itch, pain, duration), and any treatments you've already tried (both prescription and over-the-counter). 2. Bring a list of all your current medications, including vitamins and supplements. 3. Be prepared to discuss your personal and family medical history, including any history of skin cancer or significant skin conditions. 4. For a full skin exam, it's best to wear loose, comfortable clothing that is easy to remove and avoid wearing makeup or nail polish. 5. If your concern involves a rash that comes and goes, taking clear photos when it's visible can be very helpful. 6. Write down any questions you have for Dr. Christensen.

145-3066 Shelbourne St
Victoria, BC V8R 6T9

Phone: (250) 370-1250 | Fax: (250) 370-1269

The facility is wheelchair accessible.

Dr. Christensen 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. Christensen 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/351460/Christensen%2CThomas