Psoriasis is a chronic, hard-to-treat skin disease that affects many men and women’s quality of life. Our team of board-certified dermatologists has the tools and treatments to help you calm your skin and live more comfortably.
What Causes Psoriasis?
Psoriasis is a chronic skin condition that creates thickened red areas of itchy, scaly skin. These spots typically develop near the knees, elbows, trunk, and scalp and can flare in recurring cycles. Its severity ranges from mild, discrete patches to severe lesions that cover much of the body. In addition, the joints, nails, and even mucous membranes can become affected and inflamed during flare-ups.
Types of psoriasis include:
- Plaque
- Pustular
- Guttate
- Inverse
- Erythrodermic
While there is no singular known cause for psoriasis, the immune system and genetic disposition are thought to play a role in development. Psoriasis is not a contagious disease, but it is chronic and incurable. However, regular treatment can reduce the frequency and severity of symptoms.
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Frequently Asked Questions
Psoriasis flare-ups can be influenced by a range of internal and external factors. While triggers vary from person to person, common contributors include stress, illness or infections, skin injuries, and certain medications. Environmental factors such as cold, dry weather may also worsen symptoms, especially for patients navigating seasonal changes or indoor air conditions. Identifying personal triggers is an important part of long-term management, and dermatologists often help patients recognize patterns to reduce flare frequency.

Yes, psoriasis is not limited to the skin. Some patients experience symptoms in their nails, such as pitting, thickening, or discoloration. In more complex cases, psoriasis may also be associated with joint inflammation, known as psoriatic arthritis. This can lead to stiffness, swelling, and discomfort in the joints. Because psoriasis can affect multiple areas of the body, comprehensive evaluation and ongoing monitoring are important components of care.
The timeline for improvement depends on the type and severity of psoriasis, as well as the treatment method used. Topical treatments may begin to show improvement within a few weeks, while light-based therapies such as the XTRAC® Excimer laser often produce gradual improvement over a series of sessions. Oral or systemic treatments may also take time to reach full effectiveness. Consistency with treatment and follow-up visits can help optimize results over time.
Many psoriasis treatments are covered by insurance, particularly when the condition is moderate to severe or impacts daily quality of life. Medically necessary treatments such as prescription medications, light therapy, and certain laser treatments like XTRAC® may be eligible for coverage. Coverage varies depending on the patient’s insurance plan, so it is helpful to verify benefits and discuss options with the provider’s office prior to beginning treatment.
Lifestyle adjustments may play a supportive role in managing psoriasis. Maintaining a consistent skincare routine, avoiding known triggers, and managing stress levels can help reduce flare-ups. Some patients also benefit from keeping their skin moisturized and protecting it from irritation. While lifestyle changes alone may not replace medical treatment, they can complement professional care and support more stable skin over time.
A dermatology consultation may be helpful at any stage of psoriasis, especially if symptoms are persistent, worsening, or affecting quality of life. Patients who have not responded to over-the-counter treatments or who are experiencing widespread or uncomfortable lesions may benefit from advanced care options. Early evaluation can help establish an effective treatment plan and support better long-term management.
Yes, psoriasis can go into periods of remission, during which symptoms significantly improve or temporarily disappear. These periods can vary in length and are often influenced by treatment consistency, trigger management, and overall health. While psoriasis is a chronic condition, working with a dermatologist to develop a personalized treatment plan may help extend remission periods and reduce the frequency or severity of flare-ups.
What Are the Treatments for Psoriasis?
Many treatment options are available for patients suffering from psoriasis. Mild psoriasis may be treated with special bath solutions and topical medications, while more severe cases can respond to oral medications, steroids, lasers, or light therapy.
The XTRAC® Excimer laser is another powerful treatment option for psoriasis patients. The laser addresses areas that are challenging to treat, such as the scalp, hands, and feet. XTRAC uses a concentrated form of UVB (ultraviolet B) light to target the DNA of T-cells, which are often the cause of psoriasis plaques. There is no downtime required after this procedure, and insurance will often cover treatment.
Dr. Ming Jih, Dr. Lucile White, Dr. Scarlett Boulos, Dr Simo Huang, and Dr. Ryan Riahi offer the XTRAC laser to treat psoriasis and vitiligo.
If you would like to learn more about psoriasis treatment, please request a consultation with one of our specialists at a location near you.
Why Choose DermSurgery Associates for Psoriasis Treatment?
Patients across Houston and Greater Houston TX trust DermSurgery Associates for compassionate, expert care in managing chronic skin conditions like psoriasis. Our board-certified dermatologists focus on reducing flare-ups, calming inflammation, and helping you live more comfortably.
- Board-certified dermatologists experienced in treating all types of psoriasis
- Comprehensive treatment options, from topicals and oral medications to advanced light and laser therapies
- XTRAC® Excimer laser technology for targeted treatment of stubborn areas like the scalp, hands, and feet
- Personalized management plans tailored to the severity of your condition
- Ongoing support to help minimize flare-ups and improve long-term skin health
Ready to take control of your psoriasis symptoms? Schedule your consultation today to explore your treatment options.
