Melanoma surgery in Centro dermatological IDDA
About the clinic
Melanoma surgery at Centro Dermatológico IDDA in Santiago de los Caballeros, Dominican Republic, provides specialized surgical care for localized skin cancer. The center features a dedicated unit for cutaneous oncology and dermatologic surgery. Led by specialists like Dr. Jessica Mercedes Núñez, the clinic focuses on precise tumor removal and reconstructive techniques tailored to each patient.
Diagnostic and Surgical Planning
Treatment begins with high-resolution digital dermoscopy and mole mapping to identify suspicious lesions. A biopsy confirms the melanoma and measures the Breslow thickness. This measurement is vital because it determines how deep the cancer has grown. The surgical team uses this information along with the tumor site and staging to plan the definitive surgery. Most procedures are performed in an outpatient setting using local anesthesia. Before the operation, the medical team reviews your medications, allergies, and history of scarring.
Surgical Methods and Margin Control
The primary goal is to remove the tumor along with a specific amount of healthy surrounding skin. This process, called wide local excision, helps prevent the cancer from returning. Specialists follow strict guidelines to set the size of these margins based on the tumor's thickness. During the procedure, the team may perform the following:
- Sentinel lymph node biopsy: This is considered for tumors with sufficient thickness or high-risk features to check if the cancer has spread.
- Microscopic margin assessment: Pathologists examine the edges of the removed tissue to help confirm all cancer cells are gone.
- Oriented histopathology: The specimen is sent for a detailed report including subtype, ulceration status, and final margin status.
Reconstruction and Follow-Up
After removing the melanoma, Dr. Jessica Mercedes Núñez and the surgical team focus on closing the wound. Depending on the size of the area, they may use direct closure, a local skin flap, or a skin graft. These methods help preserve both the function and the appearance of the treated area. For patients with higher-risk or metastatic cases, the clinic coordinates care with oncologists. Follow-up care is essential to monitor for recurrence. International patients can use WhatsApp teleconsultations to stay in touch with their doctors after returning home.
To learn more about melanoma treatment options or to schedule an evaluation, you can leave a request on Bookimed.
Highlights
Get a free consultation

Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Mohs microsurgery | Price on request | |
| Melanoma surgery | Price on request | |
| Cryotherapy | Price on request |
How are we doing?
Centro dermatological IDDA: more details about the clinic
Specialized Medical Departments
The clinic operates through five key service areas:
- Clinical Dermatology: Evaluation of chronic conditions like psoriasis and dermatitis.
- Aesthetic Medicine: Medical procedures for skin texture and rejuvenation.
- Dermatologic Surgery: Reconstructive and therapeutic procedures for skin lesions.
- Cutaneous Oncology: Skin cancer detection and removal.
- Trichology: Dedicated unit for hair and scalp disorders.
Dermatologic Surgery and Skin Oncology
Dr. Jessica Núñez leads the surgical and oncology services. Her focus is early detection of skin cancer. The clinic manages localized skin cancers through planned surgical excision. Surgeons use flaps and grafts to reconstruct defects after removing a lesion. Most procedures are outpatient with local anesthesia.
For tissue confirmation, the clinic performs several biopsy methods:
- Punch biopsy: Obtains a small cylinder of skin using a circular instrument.
- Shave biopsy: Removes superficial layers of the skin.
- Incisional and excisional techniques: Used for larger or deeper tissue samples.
The surgical team studies every removed specimen through histopathology. This confirms accurate diagnosis and clear margins.
Aesthetic Medicine and Rejuvenation
Dr. Natalie López heads aesthetic services. She focuses on skin quality and volume restoration. The clinic uses Botox® to treat dynamic expression lines on the forehead and around the eyes. Specialists also provide facial rejuvenation using hyaluronic acid, collagen biostimulators, and chemical peels. After a medical evaluation, patients may receive a Hollywood Laser Peel to improve skin texture.
Pediatric dermatology care is available for infants, children, and adolescents. Specialists treat common childhood conditions such as atopic dermatitis, molluscum contagiosum, and juvenile acne. The pediatric team also monitors infant hemangiomas and pigment changes like vitiligo.
Diagnostic Technology
The clinic uses high-resolution digital tools to monitor skin health and detect abnormalities early. Specialists perform digital dermatoscopy and mole mapping to track changes in pigmented lesions over time. This helps doctors decide if a mole needs immediate biopsy or regular monitoring.
Trichoscopy is used within the trichology unit to diagnose alopecia subtypes. These include androgenetic alopecia and alopecia areata. This imaging examines the scalp and hair shafts at high magnification. For inflammatory conditions like psoriasis, the clinic combines clinical history with microscopic examination of skin samples.
Services for International Patients
International patients receive care primarily in Spanish. For those who cannot travel for every visit, the clinic offers teleconsultation via WhatsApp. This allows for remote evaluation, treatment planning, and follow-up monitoring. Doctors provide structured aftercare guidance digitally – including wound care instructions and signs of infection to watch for.
Additional services
Patient reviews
Jonelva Maria
Caridad Vasquez
nelson ortiz
Maritza Victoriano
Many thanks for all the attention 🙏
Jesus Ureña
Amarilis Silverio
arq.yesica núñez santos
Zaidhy Cabrera Abinader
jenny del pilar nuñez cuesto
C. E. León Jimenez, C5-11 Los Girasoles, Santiago, Dominican Republic, 51000
Get a free consultation

How it works:
- We find a medical coordinator familiar with the matter
- You get a personal offer with a step-by-step guide and the cost estimate
- We arrange your travel including appointment scheduling and flights booking
- You arrive at the hospital, we support you 24/7

