We are staffed by a full-time board-certified dermatologist and Mohs surgeon and a full-time board-certified physician assistant. Our practitioners surgically treat all types of skin cancers and address medical conditions of the skin, hair, and nails. Together, our practitioners are committed to give superior care in all areas of medical care for our patients.

In addition to medical and surgical dermatology, Coastal Dermatology & Surgery Center, P.A. offers a range of popular cosmetic services such as injectables, including Botox® and Dysport, traditional fillers and collagen stimulators, a variety of laser services, sclerotherapy, and chemical peels. Our goal is to treat our patients as we would want ourselves and our family members to be treated.

Heather Loesch, MD

Heather Loesch, MD

Heather Loesch, MD is a fellowship trained Mohs surgeon and a board certified dermatologist. Dr. Loesch obtained her medical degree in 1994, as well as her B.A. Degree in biology, from The University of Missouri – Kansas City, where she received two academic scholarships and an athletic scholarship.

Upon graduation, Dr. Loesch joined the Internal Medicine team at Emory University Hospitals in Atlanta, Georgia. During her dermatology residency in Ann Arbor, Michigan, she excelled in the advanced medical and surgical management of skin disorders. It was during this time that Dr. Loesch developed a passion for caring for patients with skin cancers, as well as anti-aging preventative therapies.

Upon completion of her dermatology residency at The University of Michigan, Dr. Loesch was selected as one of the top dermatologists in the country to begin a Mohs Micrographic Surgery Fellowship, emphasizing Mohs Skin Cancer Surgery, Laser and Reconstructive Surgery. The fellowship, approved by the American College of Mohs Micrographic Surgery and Cutaneous Oncology, was completed in 1999, at Ohio State University’s James Cancer Center. Under the guidance of Dr. Ron Siegle, Dr. Loesch performed over 1,000 Mohs surgeries and reconstructive cases, in addition to hundreds of cosmetic and laser care treatments.

After her fellowship, Dr. Loesch brought her experience and knowledge to Wilmington in 2000 as the first Mohs surgeon in the area. With her extensive training and successful treatment performance, Dr. Loesch can offer many state of the art treatments for a variety of skin conditions. Dr. Loesch continues to be one of the leaders in the industry for the management of facial skin cancer and advanced minimally invasive cosmetic techniques.

Dr. Loesch is a fellow of the American College of Mohs Surgery, the American Society of Dermatological Surgery, and the American Academy of Dermatology. Dr. Loesch has also spoken nationally on the subject of skin cancer and strives to maintain the most up to date knowledge in her field.

Dr. Loesch also has surgical privileges at New Hanover Regional Medical Center in Wilmington, North Carolina.

Kelsey Richard MPAS, PA-C

Kelsey Richard MPAS, PA-C, earned her Master’s in Physician Assistant Studies from Hardin Simmons University in Abilene, Texas. She attended University of Texas at Austin for undergraduate studies where she earned a Bachelor of Science in Biology.

Kelsey is a member of the National Society of Dermatology PAs and the American Academy of Physician Assistants. She is board certified by the National Commission of Certification of PAs and is licensed by the Texas and North Carolina State board of Medical Examiners.

Kelsey is a Texas native with a background in dermatology and emergency medicine. Her medical interests include treating psoriasis, acne, eczema, rosacea, skin cancer prevention and treatment as well as other dermatology conditions. Kelsey is passionate about skin education and forming trusting and quality long term relationship with her patients having been a long-time dermatology patient herself.
During her free time, she is an avid foodie, who loves country, salsa and ballroom dancing, and enjoys all things outdoors!