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 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.
Hannah Salefsky, PA-C
Hannah Salefsky, PA-C is a board-certified Physician Assistant through the NCCPA. Hannah graduated from the University of South Carolina School of Medicine with a Master of Science in Physician Assistant Studies. She received her bachelor’s degree in Global Health Studies from Mercer University and also completed Public Health training at the University of South Carolina.
As a native of coastal North Carolina, she enjoys serving her local community and providing compassionate, patient-centered care in both medical and cosmetic dermatology. She has gained experience in multiple clinical settings including General Surgery, Emergency Medicine, and Pediatrics, most recently working as a PA for 5 years in Internal Medicine and Primary Care. Her experience with all ages and conditions enhances her practice in providing comprehensive and thorough dermatological care. Her background includes diagnosing and treating a wide range of skin, hair, and nail conditions including acne, eczema and psoriasis, as well as detection and treatment of skin cancer.
Hannah was a recipient of the Wilmington Chamber of Commerce 40 Under 40 Award in 2025 for her commitment to serving others in our community. Hannah is a member of the American Academy of Physician Assistants, NC Academy of Physician Assistants, and the Society of Dermatology Physician Associates.
She enjoys spending time with her husband and dog, and loves being outdoors, playing beach volleyball, and traveling.