Country Club Living - Palm Beach North - February 2026

F E B R U A R Y 2 0 2 6 | C O U N T R Y C L U B L I V I N G - PA L M B E A C H N O R T H 9 “If you have a bad experience with your initial doctor, you don’t go back,” Dr. Rotter explained. “But if you upset a referred patient, the referring doctor may never send you another patient. I couldn’t let patients have a bad experience, from scheduling to healing.” That mentality still defines his practice today. While Dr. Rotter has performed tens of thousands of Mohs, reconstructive, and cosmetic procedures over the course of his career, volume has never been the point. Precision and excellence are. Mohs surgery, one of his specialties, eliminates the guesswork that still exists in many forms of cancer treatment. “When you have skin cancer, what you see on the surface is generally not all there is,” he said. “With Mohs surgery, we don’t guess. I take only what is needed. The skin cancer determines the size and shape of the wound, not the surgeon.” Unlike standard excisions—where less than one percent of tissue margins may be examined—Mohs surgery allows Dr. Rotter to analyze 100% of the tissue margin every time. “Complete margin examination gives Mohs surgery the highest cure rate (approimately 99%) and the smallest wound possible because we don’t take too much or too little. Then reconstruction can safely be done since we know the cancer is actually gone.” After decades of practice, Dr. Rotter moved to Florida and initially retired. That retirement didn’t last, though. “I helped a group one day a week during season for a couple of seasons,” Dr. Rotter explained. “I saw there was still room for talented reconstructionists.” In 2024, he opened Exclusive Dermatology, originally envisioning a fee-for-service, insurance-free surgical practice. “I didn’t want to deal with insurance companies,” he said. “Reimbursements go down every year while costs go up. So my idea was to create an exclusive dermatology practice with reasonable, transparent fees; however, we now accept most insurances.” The mindset behind the name, he added, goes well beyond not dealing with the insurance companies. “‘Exclusive’ isn’t about elitism, it’s about mindset,” Dr. Rotter explained. “Concierge-level service. Saying yes when you can. Treating patients the way you’d want to be treated.” Dr. Rotter’s work spans medical, surgical, and cosmetic dermatology—an intersection he believes requires both scientific mastery and artistic judgment. “There’s an art and a science to this,” he said. “I understand how skin heals, how lasers interact with tissue, how fillers behave.” His goal, he explained, is rejuvenation—not transformation. “You don’t want people to notice you had something done,” he said. “You just want to look better.” Despite being nearly two years into building his new practice, Dr. Rotter shows no signs of slowing down. “I’m excited about growing this,” he said. “I enjoy building. As long as I’m healthy, I could see myself doing this for another ten years.” What continues to motivate him, he said, is simple. “Making people happy,” Dr. Rotter said. “No one wants to have skin cancer. No one wants surgery on their face. But I can fix it—and I can see the result.” That immediacy, combined with personal connection, keeps him engaged. “We give patients my cell phone,” he said. “They text me pictures. It’s kind of like a big family.” Asked what he’s most proud of, Dr. Rotter didn’t cite numbers or accolades. “We treat people the way we want to be treated,” he said. “That’s it. Do good work. Take care of people.” It’s a simple formula—one he’s followed for decades, and one that now defines Exclusive Dermatology. “And that,” he said, “is a pretty good legacy to have.” To learn more about Dr. Rotter’s services and to make an appointment, go to https://www.exclusivedermatology.com or call 561-561-SKIN (7546).