Dr. Wai Kiu Larry Cheung

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

Nail Disorders (Onychopathies)

• Nail Psoriasis: Psoriasis affecting the fingernails and toenails, causing pitting, discoloration (oil drop sign), thickening, onycholysis (separation from bed), and subungual hyperkeratosis.
• 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.

Acne, Rosacea & Follicular Disorders

• 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.
• 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.
• 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).

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.
• 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.
• Dermatomyositis: An inflammatory disease marked by muscle weakness and a distinctive skin rash, often on the face, eyelids (heliotrope rash), knuckles (Gottron's papules), and chest.

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

• 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).
• Mohs Micrographic Surgery for High-Risk Skin Cancers: Specialized surgical technique for removing complex or high-risk skin cancers (especially on the head, neck, hands, feet, genitals) with maximal tissue preservation by examining 100% of the surgical margin intraoperatively.
• 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.
• 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.
• 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.
• Dermal Fillers (Hyaluronic Acid, Calcium Hydroxylapatite, PLLA) for Volume Restoration & Contouring: Injectable gels (e.g., Juvederm®, Restylane®, Radiesse®, Sculptra®) used to restore facial volume, smooth out static wrinkles and folds, enhance lip volume, and contour facial features.
• 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.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Cheung 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. Cheung's dermatology clinic is located in the South Richmond area of BC, within a modern medical facility in the vibrant neighborhood of Broadmoor and Shellmont. The practice is conveniently situated near the Richmond Public Library and Cultural Centre, making it accessible for community members. Patients can reach the clinic easily via TransLink (SkyTrain Canada Line) or bus services. The facility is wheelchair accessible to accommodate all patients, and parking is available at or near the location for those arriving by car. The clinic's setting offers a welcoming environment dedicated to providing high-quality dermatological care in a comfortable and accessible space.

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

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

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

Dr. Cheung 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. Cheung's office or self-administered at home) or intravenous (IV) infusion. Dr. Cheung would discuss the specific biologic, its benefits, potential side effects, and monitoring requirements if it's a suitable option for you.

If Dr. Cheung 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. Cheung 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 should I prepare for my first dermatology appointment with Dr. Cheung?

To make the most of your first visit with Dr. Cheung, 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. Cheung.

305 - 11331 Coppersmith Way
Richmond, BC V7A 5J9

Phone: (604) 229-5508

The facility is wheelchair accessible.

Dr. Cheung 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. Cheung 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/358840/Cheung%2CWai%20Kiu%20Larry