Medical, Surgical & Cosmetic Dermatology —
Serving Kerrville, TX & The Texas Hill Country with Expert Care.
Our goal at Precision Dermatology is to empower every patient to look and feel their best with advanced medical, surgical, and cosmetic dermatology care.
Personalized Treatment Plans — Expert Care Designed Around You for Optimal Results.
Our most popular services include treating:
- Acne
- Acne Scarring
- Uneven Skin Tone
- Laugh Lines
- Frown Lines
- Pigmentation
- Crows Feet
- Dark Eye Circles
- Dull or Dry Skin
- Fine Lines & Wrinkles
- Sun Damage & Dark Spots
- Psoriasis & Eczema Care
- Non-Surgical Face Lifts
- Skin Tightening
- Skin Cancer Detection
- Skin Cancer Treatment
- Large Pores
- Double Chin
- Fuller Lips
- Aging Hands
- Thinning Hair
- Unwanted Hair
- Skin Toning
- Rosacea
- Spider Veins
- Facial Rejuvenation
- Rosacea Management
- Rashes, Moles & Growths
Your trusted Board-Certified Dermatologist for Full Body Skin Exams & Skin Cancer Screenings
There are thousands of different conditions related to the skin. To find more detailed information you can visit these sites or contact our office to see how we can help.
Request Your Appointment Today — Now Welcoming New Patients!
Call (830) 890-5181 or Click the ‘Message Us’ button to securely message through our HIPAA-protected Klara platform
Dr. Matthew Lambiase
Board Certified Dermatologist
Matthew C. Lambiase, D.O., F.A.A.D.
Fellow, American Academy of Dermatology
Diplomate, American Board of Dermatology
Dr. Matthew Lambiase is a board-certified dermatologist dedicated to providing expert, compassionate care. He graduated Magna Cum Laude from the University of Connecticut with a Bachelor of Science degree and was inducted into the prestigious Phi Beta Kappa honor society. He went on to earn his medical degree from the University of New England College of Osteopathic Medicine. Following medical school, Dr. Lambiase proudly served on active duty in the United States Army. He completed his internship at Madigan Army Medical Center in Fort Lewis, WA, and later served as a General Medical Officer for U.S. troops at Camp Carroll in Waegwan, South Korea. He returned stateside to complete his dermatology residency at Brooke Army Medical Center in San Antonio.
During his distinguished military career, Dr. Lambiase held leadership roles as Chief of Dermatology at both Darnall Army Community Hospital (Fort Hood, TX) and William Beaumont Army Medical Center (Fort Bliss, TX). He achieved the rank of Major and was awarded numerous honors, including the Army Commendation Medal, Army Achievement Medal, National Defense Service Medal, Global War on Terrorism Service Medal, Korea Defense Service Medal, Army Service Ribbon, and Overseas Service Ribbon.
Today, Dr. Lambiase is a Diplomate of the American Board of Dermatology and a Fellow of the American Academy of Dermatology. He is also an active member of the American Academy of Dermatology and the Texas Medical Association. His extensive training, leadership, and military service reflect his unwavering commitment to excellence in dermatologic care.
What does it mean to be a board certified dermatologist?
A physician who is board certified has undergone exhaustive education and training. As a board certified dermatologist, Dr. Lambiase has the expertise and lifelong commitment to medical education, and training to provide quality dermatology care to all of his patients.
To become board certified a person must successfully complete:
- College earning a bachelor’s degree (typically 4 years)
- Medical School (4 years) to become a medical doctor (MD) or doctor of osteopathic medicine (DO)
- Internship, a 1 year required medical training after graduation from medical school
- An accredited dermatology residency program (at least 3 years)
After successfully completing the residency program, a person can become a board-certified dermatologist by:
- Possessing a valid state medical license
- Passing the certification exams given by the American Board of Dermatology or the American Osteopathic Board of Dermatology.
- Complete various scheduled board certifying exams and continuing medical education every year.
Dr. Brian Burns
Board Certified Plastic Surgeon
Dr. Brian Burns, a 7th-generation Texan and San Antonio native, has over 30 years of experience as a board-certified plastic surgeon. He earned his medical degree from Texas Tech University School of Medicine, completed a six-year General Surgery residency in Phoenix, and advanced his training with three years in Plastic Surgery at The University of Texas Medical Branch in Galveston. Certified by the American Board of Plastic Surgery, Dr. Burns is proud to bring his expertise to Precision Dermatology alongside Dr. Matthew Lambiase. He is also a member of the Texas Medical Association and the Kerr-Bandera County Medical Society.
What does it mean to be a board certified plastic surgeon ?
A board certified plastic surgeon has passed intense written and oral examinations initially. Subsequently, yearly activities including continuing medical education, peer review, case review and professional references are required to maintain certification by The American Board of Plastic Surgery.
- Plastic Surgery Residency-University of Texas Medical Branch, Galveston, Texas
- General Surgery Residency-Maricopa Medical Center, Phoenix, Arizona
- Medical School-Texas Tech University School of Medicine, Lubbock, Texas
- B.S. Chemistry-Texas Lutheran University, Seguin, Texas
Sara Jane Hughes
MPAS, PA-C
Sara Jane Hughes, MPAS, PA-C, is a board-certified and licensed Physician Assistant with advanced training in dermatology. A graduate of the University of Texas at San Antonio (with honors) and Texas Tech University Health Sciences Center, she is a proud member of the Alpha Eta and Pi Alpha honor societies. She is also active in professional organizations including the Texas Academy of Physician Assistants, American Academy of Physician Assistants, and the Society of Dermatology Physician Assistants.
At Precision Dermatology, Sara specializes in diagnosing and treating acne, rosacea, and skin cancers, as well as performing annual skin cancer screenings. Bilingual in Spanish, she works closely with Dr. Lambiase to provide comprehensive, patient-focused care.
Outside of work, Sara enjoys traveling, golfing, reading mystery novels, and spending time with her family, friends, and her dog, Buster.
Aesthetic Suite at Precision Dermatology
At Precision Dermatology, our state-of-the-art Aesthetic Suite offers advanced cosmetic treatments designed to refresh, restore, and rejuvenate your skin. From the popular Hollywood Laser Peel and non-surgical facelifts to facial resurfacing, fillers, and PRP hair growth therapy, we deliver customized solutions for natural, lasting results. We also specialize in skin tightening, laser hair removal, and spider vein treatments—helping you achieve smoother, healthier, and more youthful-looking skin. Discover personalized care from trusted skin experts:
Valerie Sanchez
APRN, FNP-C
Valerie Sanchez is a board-certified family nurse practitioner and is excited to take
care of your cosmetic needs. Valerie grew up as the daughter of a doctor and educator.
Throughout her childhood she spent time in her father’s clinic and watched him care for the community. Connecting with the community in a healing capacity became a passion for Valerie as well. Over her years of practice, Valerie’s healthcare skills evolved into aesthetic medicine: lasers, skin treatments, injectables; and Valerie fell in love with the art behind the treatments. Valerie says, “I love to see my patients’ excitement after restoring a youthful glow and balance to their face. Helping someone find more confidence in their own beauty is my goal.”
Studying the science and art of anatomy and injections has been her passion since
2015. Valerie is a board-certified family nurse practitioner practicing for 5 years, a registered nurse for 12 years, and has been injecting for 8 years. For the last 2 years she has also worked as a trainer and mentor with medical personnel interested in joining the aesthetics industry.
Kathy Simmons
RN, BSN
Kathy Simmons, RN, BSN, is a highly respected professional in medical aesthetics with nearly 30 years of experience. Her career includes a decade alongside a plastic surgeon and 17 years as the owner of a successful MedSpa, giving her unmatched expertise in advanced aesthetic treatments. Driven by a true passion for helping patients look and feel their best, Kathy is known for her personalized approach and commitment to excellence.
With Kathy, every treatment is tailored to your unique needs—delivering natural, beautiful results and a confidence you can feel.
Melody Garza,
Radiation Therapist, B.S.R.T. (T)
Beatriz Rosas,
Cosmetic Assistant
Sr. Laser Tech
August Wolverton,
CMA-CDT
Administrative Manager
Macayla Conner,
CDT
Office Manager
Dermatologist Recommended Skincare Products
At Precision Dermatology, we proudly offer a curated selection of top-rated, dermatologist-recommended skincare products to support healthy, radiant skin. Our product line includes trusted brands like EltaMD, Neocutis, SkinMedica, and more, carefully chosen to protect, restore, and enhance your skin’s natural beauty. Whether you’re looking for advanced anti-aging solutions, sun protection, or everyday skin health, our team will help you find the right products for your unique needs.
Why Patients Trust Us
M. Arroyo
Dr. L and his staff are amazing; the best! He is very easy to talk to, and makes you feel comfortable. I have many skin issues, and I never feel rushed. Him and his staff go above and beyond to make sure you have a great experience at their office. Their smiling faces and the care they give you won’t make you want to go anywhere else!
L. Kennedy
The care given to me is excellent and makes me feel comfortable. The steps of treatment are explained before treatment and as the treatment is applied and I am asked repeatably how I am doing and making sure I am not in discomfort,. I am extremely happy with the results.
M. Frazier
Appt was right on time. Kaylen was great. Dr. Lambiase was very good at listening to my concerns and explaining what was happening. Receptionist very professional.
