main menu

revelus dermatology

4401 West Gate Blvd, Ste 120
Austin, TX, 78745
Phone: (512) 815-2559

search revelus

Psoriasis Treatment in Austin

Man applying prescribed topical cream to a mild psoriasis patch on his elbow
Man applying prescribed topical cream to a mild psoriasis patch on his elbow
Close-up of psoriasis plaque with thick, scaly skin
Close-up of psoriasis plaque with thick, scaly skin
Close-up of psoriasis plaque with thick, scaly skin
Close-up of psoriasis plaque with thick, scaly skin
Close-up of psoriasis plaque with thick, scaly skin

psoriasis images

Diagnosis required by a licensed medical professional

Psoriasis is a chronic autoimmune condition that causes skin cells to turn over too quickly, leading to thick, red, scaly patches that may itch, burn, or feel uncomfortable. It's not contagious. It's driven by immune system activity and can be influenced by genetics, stress, illness, and environmental factors.

Living in Austin and Central Texas means your skin deals with seasonal extremes. Winter dryness, summer heat, and cedar season can all play a role in psoriasis flares. Knowing your triggers makes a real difference.

Psoriasis can also affect more than your skin. It's linked to psoriatic arthritis, cardiovascular concerns, and mental health, which is why getting the right care early matters.

At Revelus Dermatology, we treat all types of psoriasis (plaque, scalp, guttate, inverse, and pustular) with options ranging from topicals and XTRAC laser to phototherapy and biologics. Your plan is built around your skin, your life, and what's actually going to work for you.

... More


Dermatologist examining male patient’s forearm during psoriasis evaluation

signs + symptoms of psoriasis

Psoriasis can look and feel different from person to person, but there are patterns worth knowing. If something on your skin doesn’t seem right, a dermatologist can help you figure out what’s going on.

key characteristics:

  • Appearance: Thick, red patches with silvery-white scale are the hallmark of plaque psoriasis. Skin may appear dry, cracked, or flaky and can sometimes bleed. On darker skin tones, plaques often look violet or dark brown with gray scale.
  • Location: Psoriasis commonly shows up on the scalp, elbows, knees, and lower back. It can also affect the hands, feet, face, nails, and genital area, and often appears symmetrically on both sides of the body.
  • Scalp Involvement: One of the most common forms. Scalp psoriasis ranges from mild flaking to thick, crusted patches that extend past the hairline. It can cause itching, visible flaking, and temporary hair thinning.
  • Nail Changes: Psoriasis can cause pitting, discoloration, thickening, or lifting of the nails. Nail involvement is also a signal to watch for psoriatic arthritis.
  • Sensation: Affected skin may itch, burn, or feel sore. Discomfort can range from mild to significant, especially during active flares.
  • Evolution: Psoriasis can start at any age and may stay localized or spread. Flares are often triggered by stress, infection, skin injury, medications, or weather changes. It’s a chronic condition but with the right care, it’s very manageable.

types of psoriasis

Psoriasis shows up in several forms, and the type you have shapes how we approach treatment. Many people experience more than one type.

common types include:

  • Plaque Psoriasis: The most common form, roughly 80 to 90 percent of cases. Raised, red patches with silvery scale, usually on the elbows, knees, scalp, and lower back.
  • Scalp Psoriasis: Thick, scaly patches on the scalp that can extend to the forehead, ears, and neck. Ranges from mild flaking to heavy, crusted plaques. Treatable with medicated shampoos, topical solutions, and XTRAC laser.
  • Guttate Psoriasis: Small, drop-shaped spots that appear suddenly, after a strep infection. More common in kids and young adults. May clear on its own or develop into plaque psoriasis.
  • Inverse Psoriasis: Smooth, red patches in skin folds (armpits, groin, under the breasts). Lacks the typical heavy scale because of moisture in those areas. Friction and sweating can make it worse, especially during Austin summers.
  • Pustular Psoriasis: White, pus-filled bumps surrounded by red skin. Can be localized to the hands and feet, or in rare cases, widespread. Generalized pustular psoriasis needs prompt care.
  • Erythrodermic Psoriasis: The rarest and most serious form. This can affect temperature and fluid regulation and requires immediate attention.
  • Psoriatic Arthritis: Not a skin type, but a related condition that affects up to 30 percent of people with psoriasis. Causes joint pain, stiffness, and swelling. If you have psoriasis and notice joint symptoms, bring it up at your visit, early treatment makes a real difference.
Male patient discussing psoriasis symptoms with dermatologist during in-office consultation

what to expect

Your first psoriasis visit starts with a thorough skin exam and a conversation about your history, what you’ve tried, what’s worked, what hasn’t, and what’s bothering you most.

From there, your dermatologist will assess the type and severity of your psoriasis and walk you through your options. That might mean topicals for mild cases, XTRAC laser or phototherapy for stubborn or widespread patches, or biologics and oral medications for moderate to severe disease.

If lab work is needed before starting a treatment, we can order it at your visit. And if you’re dealing with joint pain or stiffness, we’ll evaluate for psoriatic arthritis and coordinate with a rheumatologist if needed.

We also offer telemedicine follow-ups for established patients between in-person visits.

your skin, our priority

Your skin deserves careful evaluation and clear guidance. If you notice changes in your skin or have ongoing concerns, our team is here to help you understand your diagnosis and feel confident in your care.

common psoriasis questions

FAQ
what is psoriasis and what causes it?

Psoriasis is a chronic autoimmune condition where the immune system causes skin cells to grow too quickly, creating thick, raised patches with silvery scale. It’s driven by a combination of genetics and environmental triggers like stress, infections, and weather changes. It’s not caused by poor hygiene and it’s not contagious.

what does psoriasis look like?

It typically shows up as raised, red plaques with silvery, white scales, most often on the elbows, knees, scalp, and lower back. On darker skin, plaques may look violet or dark brown with gray scale. It can also cause nail changes and scalp flaking.

what triggers psoriasis flare-ups in austin and central texas?

Common triggers here include winter dryness from indoor heating, summer heat and sweating, stress, infections like strep throat, and certain medications. Cedar season can also aggravate symptoms for some patients. Knowing your triggers is a big part of keeping flares in check.

is psoriasis contagious?

No. You can’t catch it from someone and you can’t give it to anyone else. It’s an autoimmune condition, entirely internal.

what treatments are available for psoriasis?

We offer topical medications, XTRAC excimer laser for targeted plaques, narrowband UVB phototherapy for broader areas, oral medications like methotrexate and apremilast, and biologic injections. Most patients benefit from a combination approach. Your plan is built around what your skin needs.

what is the difference between psoriasis and eczema?

Both cause red, inflamed skin, but they look and behave differently. Psoriasis plaques tend to be thicker with defined borders and silvery scale, usually on the outer elbows and knees. Eczema is often thinner, weepy, and very itchy, usually in skin folds. A dermatologist can tell the difference with a clinical exam.

what is xtrac laser treatment for psoriasis?

XTRAC delivers targeted UV light directly to psoriasis plaques without affecting the surrounding skin. It’s especially useful for stubborn spots on the scalp, elbows, and knees. Sessions are quick and most patients see improvement within 6 to 10 treatments.

can psoriasis affect my joints?

Yes, up to 30% of people with psoriasis develop psoriatic arthritis. If you’re experiencing joint pain, stiffness, or swelling alongside your skin symptoms, let your dermatologist know. Catching it early matters.

does insurance cover psoriasis treatment?

Most plans cover office visits, phototherapy, and prescriptions. Biologics may need prior authorization, our team handles that process and can also connect you with manufacturer copay assistance programs. Visit our financing page for more details.

how long does it take for psoriasis treatment to work?

It depends on the approach. Topicals may improve things within a few weeks. XTRAC usually shows results in 6 to 10 sessions. Biologics can take 8 to 16 weeks for full effect. We’ll set realistic expectations and adjust your plan along the way.

how much does it cost to treat psoriasis and does insurance cover it?

Most psoriasis treatments are covered by health insurance, including office visits, phototherapy sessions, and prescription medications. Biologic therapies may require prior authorization, and our team handles that process on your behalf.

We can also connect you with manufacturer copay assistance programs for eligible medications. If you have questions about coverage or out-of-pocket costs, call us at (512) 815-2559 or ask during your visit.

the revelus commitment

Revelus Dermatology logo representing the practice’s brand identity
safety

Your health is our priority. We treat each condition with precision and adhere to the highest safety standards in every aspect of your care.

focus

We’re dedicated to you. We listen to your concerns and develop personalized treatment plans to address your skin condition with effective, patient-centered care.

experience

With extensive expertise, our team delivers comprehensive treatments designed to restore and maintain your skin’s health, ensuring the best possible outcomes.