Superficial spreading melanoma
The most common type — typically flat or slightly raised patches with irregular borders and varying colors.
Skin Cancer Center · Melanoma
Take back control from melanoma.
A melanoma diagnosis is frightening — but you don’t have to wait weeks to be seen. At Juniper Dermatology, you’ll get fast, dermatologist-led care and expert surgical treatment, with clear guidance and honest answers at every step.
Board-certified dermatologist-led · 12+ years of skin cancer experience · Covered by Medicare & most insurance
Fast treatment, real options
Get fast treatment for your skin cancer diagnosis.
If you’re struggling with a skin cancer diagnosis, you don’t have to wait weeks to receive treatment. At Juniper Dermatology in Bend & Redmond, you’ll have access to a wide range of expert surgical treatment — with same-week appointments when timing matters most. Melanoma often starts as a changing mole or lesion, so it’s part of our broader skin cancer care.
✓ Get seen quickly by a dermatologist
✓ 12+ years of skin cancer detection & treatment experience
✓ Covered by Medicare and most insurance companies
✓ Expert surgical treatment — surgical excision
Types we treat
Melanoma treatment at Juniper can address every stage and type.
Nodular melanoma
Fast-growing dark bumps that can appear on previously normal-looking skin.
Lentigo maligna melanoma
Usually develops in older adults on sun-damaged areas like the face and neck.
Acral lentiginous melanoma
Appears on the palms, soles of the feet, or under the nails.
Early-stage melanoma
Caught during routine skin checks, before it has a chance to spread.
Advanced & recurrent melanoma
Requiring coordinated care with oncology specialists, including previously treated areas that need further attention.
Meet your doctor
Melanoma care led by a board-certified dermatologist.
Dr. Karla Pivik is a board-certified dermatologist with over 12 years of specialized experience in skin cancer detection and treatment. Her approach to melanoma care combines deep clinical expertise with the latest advances in treatment technology, and she has guided thousands of patients from early detection through successful treatment and prevention of recurrence.
Rooted in the osteopathic philosophy of caring for the whole person, Dr. Pivik understands the emotional weight of a skin cancer diagnosis — and is committed to the most effective, least invasive options possible, with clear communication at every step.
Your treatment options
Expert surgical treatment for melanoma — the right path for you.
Surgical excision
The standard treatment for most melanomas — the melanoma is removed along with a margin of healthy tissue and confirmed clear under the microscope.
Staging & sentinel node evaluation
For deeper melanomas, we coordinate appropriate staging to guide the most effective next steps in your care.
Coordinated care for advanced melanoma
For advanced or recurrent melanoma, we work alongside oncology specialists for treatments such as immunotherapy and targeted therapy.
Your experience
What treatment at Juniper looks like.
Skin cancer screening
Dr. Pivik thoroughly examines your skin with a dermatoscope that magnifies and illuminates areas of concern, while reviewing your personal and family history for any suspicious or precancerous spots.
Comprehensive evaluation
We review your diagnosis and medical history, examine the affected areas, and use advanced diagnostic tools to determine the most effective approach for your specific case.
Personalized treatment plan
Your plan is designed around your specific melanoma — its type, depth, and location — with clear next steps and honest guidance at every stage.
Why choose Juniper
Trusted, local, dermatologist-led skin cancer care.
Behind every diagnosis is a person — often a parent, a grandparent, a lifelong Central Oregonian. We treat each one the way we’d treat our own family: with honesty, patience, and the full range of modern treatment options.
Care designed for you. A treatment plan built around your diagnosis, coordinated under one roof from detection through recovery.
Seen quickly. You don't have to wait weeks. We strive for fast appointments and often begin treatment shortly after your visit.
Insurance accepted. We accept Medicare and most major insurance plans, and work directly with your provider so you can focus on recovery.
Experience you can trust. Over 12 years of skin cancer detection and treatment experience, using the latest advances in melanoma diagnosis and surgical treatment.
Questions & answers
Skin cancer treatment FAQ.
How do I know which treatment option is right for me?
Our team evaluates your specific case — including the type, size, depth, and location of the cancer, your lifestyle needs, and any previous treatments — to recommend the most appropriate option for you.
What is the recovery time for melanoma treatment?
Most melanoma is treated with surgical excision. Recovery depends on the size and location of the area treated; most patients return to normal activities within a few days to a few weeks, and we guide you through wound care every step of the way.
Are these treatments covered by insurance?
Most skin cancer treatments are covered by insurance. Our team works with your provider to maximize your coverage and can give you a detailed cost estimate before beginning treatment.
How long does melanoma treatment typically take?
Most melanoma is removed with a surgical excision that is completed in a single visit. Deeper or more advanced melanomas may require additional staging or coordinated care; we'll provide a detailed timeline during your consultation.
What follow-up care is needed?
We create a personalized follow-up plan with regular check-ups and ongoing skin cancer surveillance to monitor your recovery and help prevent recurrence, and we teach you how to perform monthly self-examinations at home.
How can I prevent skin cancer from returning?
We provide detailed guidance on sun protection, self-examination techniques, and lifestyle changes, and work with you to build a prevention strategy that fits your daily routine.
What if my skin cancer returns?
We offer comprehensive follow-up care and can adjust your treatment approach if needed. Early detection through regular monitoring lets us address any concerns promptly.
Bend & Redmond · Central Oregon
Don’t wait weeks to treat your skin cancer.
Get fast, dermatologist-led melanoma and skin cancer care — with same-week appointments when timing matters most.