Board-certified dermatology · Ann Arbor
Skin health, taken seriously.
Aster is a physician-owned practice where medical dermatology leads: skin-cancer screening, acne, eczema, psoriasis: diagnosed carefully and treated honestly. Cosmetic care is here too, when you want it, done by a dermatologist and never oversold.
- Two board-certified dermatologists
- Changing spots seen in ~5 business days
- Prices published, self-pay welcome
How Aster practices
01 · Medicine first
Evidence over trend
Treatment plans built on what dermatology actually knows, with honest timelines, no cure promises, and “watch and wait” said out loud when it is the right answer.
02 · No surprises
Prices in plain sight
Self-pay visit prices and cosmetic ranges are published on this site. You will know the cost of anything billable before it happens: that is policy, not a favor.
03 · Physician-led
A doctor reads every result
Every biopsy report is reviewed by a board-certified dermatologist, every cosmetic treatment is performed by one, and you are told who you are seeing: always.
Medical dermatology
The conditions that fill our days
All conditions, explained plainly-
Acne
Blocked, inflamed oil glands: the most common skin condition there is, in teens and well into adulthood.
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Eczema (atopic dermatitis)
A dry, itchy, easily-irritated skin barrier that flares and settles in cycles. Common in children; plenty of adults have it too.
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Psoriasis
An immune condition where skin cells turn over too fast, building well-defined scaly plaques. It is not contagious, and it is very treatable.
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Rosacea
A tendency to flush and stay red across the cheeks, nose, and chin, sometimes with acne-like bumps or irritated eyes.
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Moles & changing spots
Most moles are harmless collections of pigment cells. The job is telling the stable many from the rare one that is changing.
Priority track
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Skin cancer (BCC, SCC, melanoma)
The most common cancers there are, and among the most treatable when found early. Basal cell and squamous cell grow locally; melanoma is the rarer, more serious one.
Priority track
Skin-cancer screening
Most spots are benign. Let’s know that, not hope it.
A full-body exam is a systematic, head-to-toe look by a board-certified dermatologist: dermatoscope on anything interesting, photos of anything worth watching, and a biopsy only when it is warranted. Found early, skin cancer is among the most treatable cancers there are.
Priority track, not an emergency
A new, changing, or bleeding spot deserves a prompt look, not panic. We hold priority slots so these visits are seen within about five business days. That is a medically appropriate timeline: most changing spots turn out to be benign, and the ones that are not are still best served by a careful exam, a dermatoscope, and a biopsy: none of which an emergency room does better.
The Aster Acne Program
Twelve weeks with a plan beats two years of guessing
A structured 12-week medical treatment cycle: assessed, prescribed, and adjusted on a schedule, so treatment actually gets somewhere instead of restarting every few months.
- Week 0 Assessment visit. Grading (type, severity, scarring risk), history including everything you have already tried, and a written starting plan, usually two or three steps, not eleven.
- Week 6 Adjustment visit. Skin re-graded against Week 0 photos. Working parts stay; anything stalled gets changed. This is the visit most drugstore journeys never get.
- Week 12 Outcomes visit. Compare against baseline honestly. Most patients see meaningful clearing by now; if you are the exception, this is where we discuss the next tier: hormonal therapy or isotretinoin, with real information.
Cosmetic dermatology
The quiet kind of cosmetic work
Injectables, laser, and peels: performed personally by a board-certified dermatologist, dosed conservatively, with price ranges published and results described the way medicine describes them: as things that vary. If a treatment will not do what you are hoping, we say so at the consult.
- Botulinum toxin
- $13 / unit
- HA filler
- $700–$850 / syringe
- Consult: credited to treatment
- $75
Who you’ll see
Three providers, no mystery
Full bios & credentials-
Dr. Elena Marsh, MD, FAAD
Board-certified dermatologist · Medical director
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Dr. Marcus Villanueva, MD, FAAD
Board-certified dermatologist · Cosmetic lead
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Dev Raman, PA-C
Physician assistant · Acne program
What patients report back
All reviews: four-stars included
“I booked for a mole that had changed over the summer. Seen in four days, dermatoscope on it within ten minutes, biopsy the same visit, benign result phoned to me a week later. Exactly what you want: fast, calm, and no drama in either direction.”
“The acne program genuinely worked where two years of drugstore products didn't: my skin at week 12 was the clearest it's been since high school. One star off because early-morning slots book out fast and I twice waited past my appointment time.”
Insurance & pricing
Covered, or clearly priced
Medical visits bill to the plans below. No coverage? Self-pay prices are published: real totals, not teaser rates.
- Blue Granite Health (PPO & HMO)
- Meridian Mutual
- Lakestate Health Plans
- Cardinal Care PPO
- Huron Valley Employers Trust
- Medicare (traditional, with supplement)
Appointments
Ready when your skin is.
Request an appointment online: routine visits within two weeks, changing-spot visits on the priority track within about five business days.