Dr. Brian Leach joined The Skin Surgery Center of Charleston in 2017 as a Fellowship-trained Mohs surgeon and serves our Charleston office. He brings 24+ years of experience in both civilian and military medical care.
Dr. Leach earned his Medical degree from the Tulane University School of Medicine and graduated magna cum laude with a Bachelor’s degree in Biology from Centenary College of Louisiana. He completed an internship at the Madigan Army Medical Center in Ft. Lewis, Wash., a residency in Dermatology at the Naval Medical Center in San Diego, Calif., and a Fellowship in Mohs Micrographic Surgery and Procedural Dermatology at the Medical University of South Carolina in Charleston, S.C. He previously served as Associate Professor in the Departments of Dermatology/Dermatologic Surgery at the Medical University of South Carolina at Charleston.
Dr. Leach has authored more than a dozen scientific publications and presented extensively at local, regional, national and international conferences. He was a Lieutenant Colonel in the US Army and Air Force for twelve-and-a-half years of Active duty military service, and for one year in the USAF Reserves. Additionally, Dr. Leach is a Fellow of the American College of Mohs Surgery, the American Academy of Dermatology and the American Society of Dermatologic Surgery.
View Full Bio / CV
Centenary College of Louisiana B.S. with Departmental Honors in Biology, 1989
Shreveport, Louisiana Magna Cum Laude
Tulane University School of Medicine Doctor of Medicine, 1993
New Orleans, Louisiana
POSTGRADUATE MEDICAL TRAINING
Madigan Army Medical Center Transitional Internship, 1994
Ft. Lewis, Washington
Naval Medical Center Dermatology, Residency, 2003
San Diego, California
Medical University of South Carolina Mohs Micrographic Surgery / Charleston, South Carolina Procedural Dermatology, Fellowship, 2007
South Carolina License for Medicine and Surgery
Drug Enforcement Agency Registration # BL9608475
Controlled Substance License DHEC
American Board of Dermatology 2003
D-MOC Recertification 2012
Assistant Professor of Dermatology – F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD.
Staff Instructor, Military Tropical Medicine Course, Naval Medicine Education and Training Command, Bethesda, MD.
Instructor in Medicine, Dartmouth Medical School; Associate Clinical Professor Dartmouth-Hitchcock Medical Center, Hanover, NH.
Associate Professor, Departments of Dermatology/ Dermatologic Surgery, Medical University of South Carolina, Charleston.
Co-Director, Procedural Dermatology & Mohs Micrographic Surgery Fellowship, Medical University of South Carolina, Charleston.
Dermatologic Oncology Surgeon, Multidisciplinary Head and Neck Cancer Team, Hollings Cancer Center, Charleston, SC.
MILITARY WORK HISTORY
12 ½ Years Active Duty, 1 Year Active Reserves, Lieutenant Colonel, USAF, MC, SFS
08/89 – 06/93 Attended Tulane University School of Medicine on the U. S. Army Health Professions Scholarship Program, New Orleans, LA.
06/93 – 07/94 Transitional Medical Internship, Madigan Army Medical Center, Fort Lewis, WA.
07/94 – 08/94 U. S. Army Flight Surgeons’ Course, Ft. Rucker, AL.
08/94 – 06/98 Assigned as Chief, Aviation Medicine, Supreme Headquarters Allied Powers Europe (SHAPE), Belgium. Coordinated and managed all care relating to Aviation personnel and their dependents at SHAPE, NATO Headquarters, Florennes and Chievres Air Bases, Belgium. Extensively traveled throughout Western & Eastern Europe, Russia, Africa and the Arctic Circle providing direct medical support as personal physician to the Supreme Allied Commander Europe (SACEUR).
06/95 – 07/95 Deployed with the 2nd/6th Air Cavalry, Illesheim, Germany, supporting an AH-64 Apache Squadron for Operation Mountain Shield/ Task Force Eagle. Served as the Flight Surgeon on the Downed Aircraft Recovery Team (DART) Aircraft during Hostage Extraction Contingency.
02/96 – 02/96 Served as On-Scene Medical Commander for NASA Space Transportation System (STS)-75 Launch, Ben Guerir Air Base, Morocco, Africa. Responsible for providing emergency search and rescue, treatment and evacuation of Astronauts in the event of a Trans-Oceanic Abort Landing at overseas emergency landing sites during Space Shuttle launches.
09/96 – 10/96 Provided sole medical support on 25 day mission for the Institute for Eurasian Studies, Garmisch, Germany. Delivered medical support to official travelling party and local Russian nationals crossing Uzbekistan, Turkmenistan, Kazakhstan, Kyrgyzstan and Siberia.
06/96 – 11/96 Assumed responsibilities as Chief of the International Outpatient Clinic, SHAPE Healthcare Facility. Oversaw and directed the daily operations of 12 International physicians from Italy, Turkey, Greece, Belgium, the Netherlands, Canada, Germany and the United Kingdom and provided medical care to all members of a diverse International community.
10/97 – 11/97 Deployed as the sole U.S. Physician with the Southern European Task Force for Operation Atlas Drop, a joint exercise with the Tunisian Special Forces in Bizerte, Tunisia. Coordinated and supervised the first-ever Mass Casualty/ MedEvac exercise between the U.S. and Tunisian Military Medical Forces.
11/97 – 11/97 Served as Senior Department of Defense Physician for NASA STS-87 Launch at TAL site in Banjul, The Gambia, Africa.
06/30/98 Completed service obligation, separated with Honorable Service from the U.S. Army.
07/02/98 Commissioned in the U.S. Air Force.
07/98 – 06/00 Direct support of the world’s busiest Space Wing as the Flight and Missile Medicine Flight Commander and operational Flight Surgeon, 45th Aeromedical-Dental Squadron, Patrick AFB, FL. Responsible for providing and directing the medical care of all Space Launch Squadrons at Cape Canaveral Air Station, and continued medical contingency response for all Space Shuttle launches and landings from Kennedy Space Center. Medical oversight for Combat Search and Rescue (CSAR) and civilian rescue operations for Florida coastal region.
02/00 Deployed for in-country aeromedical training of Department of Defense and Department of State anti-narcotics aviation & special operations personnel at remote operational sites within Columbia, South America.
07/00 – 06/03 Resident in Dermatology, Naval Medical Center San Diego.
07/03 Staff Dermatologist, Keesler AFB Medical Center, Biloxi, MS.
08/03 – 09/03 Sole military Dermatologist on Keesler AFB military medical / humanitarian assistance exercise in El Salvador, Central America.
08/04 Staff military Dermatologist for Military Tropical Medicine course, provided sole dermatologic in-country training & humanitarian care to remote sites in Guyana, South America.
08/05 – 12/05 Disaster relief / recovery efforts to Gulf Coast region following Hurricane Katrina.
10/05 Oversaw training and care delivery of US military medical personnel as sole staff military Dermatologist, Tropical Medicine Foundation of the Amazon – Manaus, Brazil, South America.
01/06 Completed Active Duty service obligation, separated with Honorable Service from the U.S. Air Force.
08/09 Returned to USAF Reserves as Senior Flight Surgeon, 315th Aeromedical-Dental Squadron, Charleston AFB. Direct support of C-17 flight operations and personnel.
07/10 Deployed as Flight Surgeon/ staff Dermatologist for MEDRETE humanitarian mission to Costanza, Dominican Republic.
09/11-Present LtCol, USAF Inactive Ready Reserve.
Military Flight Time: 520.1 Hours
Combat/ Combat Support Flight Time: 41.5 Hours
Aircraft Flown: UH-60, UH-1, C-9, AH-64, CH-47, C-130, KC-135, HH-3, T-37, E-8, C-310, C-212, C-17
MILITARY TRAINING COURSES
– U. S. Army Officer Basic Course – 1990
– Combat Casualty Care Course – 1994
– U. S. Army Flight Surgeon Course – 1994
– NASA/ Dept. of Defense Flight Surgeons’ Course – 1995
– U. S. Air Force Aerospace Medicine Primary Course, Distinguished Graduate – 1998
– U. S. Air Force Medical Red Flag Training – 1999
– NASA/ Dept. of Defense Space Operations Medical Support Training Course – 1999
– Kennedy Space Center Space Shuttle Medical Support Training Course – 1999
– Military Tropical Medicine Course – 2002
– Chemical, Biological, Radiological, Nuclear and Explosive (CBRNE) Emergency Medical Preparedness and Response Clinician Course – 2005
CERTIFICATIONS / PROFICIENCIES
– Basic Life Support Provider – Helicopter Emergency Escape Device (HEEDS) Certification – Advanced Cardiac Life Support Provider – U.S. Navy Water Survival (N-3) Certification
– FAA Military Aviation Military Examiner – Altitude Chamber / Rapid Decompression Certification
– Centrifuge Training Qualification (9G) – Multi-Place HELO Dunker (N-9) Certification
– Ejection Seat Qualification
– Medical Survival, Evasion, Resistance & Escape (SERE) Course & Certification
CIVILIAN WORK HISTORY
01/06 – 06/06 Staff Dermatologist, Dartmouth-Hitchcock Medical Center, Lebanon, NH.
07/06 – 06/07 Fellow in Procedural Dermatology / Mohs Micrographic Surgery at Medical University of South Carolina under Dr. Pearon Lang and Dr. Joel Cook, Charleston, SC.
07/07-06/09 Founding Director of the Dermatologic Surgery Unit, Colorado Springs Dermatology Clinic, Colorado Springs, CO. Staff Mohs Micrographic Surgeon and Clinical Dermatologist.
07/09- Present Associate Professor, Departments of Dermatology/ Dermatologic Surgery, Medical University of South Carolina, Charleston. Staff Mohs Micrographic Surgeon and Clinical Dermatologist.
HONORS AND RECOGNITION
– Distinguished Graduate, U. S. Air Force Aerospace Medicine Primary Course
– Defense Meritorious Service Medal
– Meritorious Service Medal
– Air Force Aerial Achievement Medal
– Air Force Outstanding Unit Award
– National Defense Service Medal, w/ bronze star
– Armed Forces Expeditionary Medal
– Global War on Terrorism Service Medal
– Armed Forces Service Medal
– Army Overseas Service Ribbon
– Air Force Longevity Service Award Ribbon, w/ 2nd oak leaf cluster
– Air Force Training Ribbon
– Army Service Ribbon
– NATO Medal
– Army Certificate of Achievement x 5
– U. S. Army Flight Surgeon Badge / Wings
– U. S. Air Force Senior Flight Surgeon Badge / Wings
– U. S. Air Force Medical Corps Chief Physician Badge
– Army Physical Fitness Training Badge
– Selected as Ivy Day Address Speaker, Commencement Exercises
– Tulane Medical School Student Executive Council
– Senator – Tulane University Associated Student Body
– U. S. Army Health Professions Scholarship
– Magna Cum Laude Graduate and Departmental Honors in Biology
– President, Student Government Association
– Ross Trust Scholarship Award [Graduate most committed to world service in sociology, religion, medicine or education]
– Ellis H. Brown Leadership Award [Senior demonstrating outstanding leadership, character & service to the College]
– Senior Class President
– Omicron Delta Kappa, President
– Alpha Epsilon Delta
– Member, President of the Maroon Jackets [Collegiate honor society]
– President’s Scholarship
– E. Bernard Weiss Scholarship [Outstanding pre-med applicant]
– Conrad & Marcel Schlumberger Scholarship
– Alpha Chi, National Academic Honor Society
– National Dean’s List
– National Collegiate Student Government Award
– Who’s Who Among American Colleges & Universities, 1988 & 1989
Top Dermatologist – Charleston, SC, “The Leading Physicians of The World.” International Association of Dermatologists – 2014.
Who’s Who in Medicine and Healthcare 2009-2013
– South Carolina Dermatological Association (Former President, 2011-2012; Vice President, 2012-2013)
– Fellow of the American Academy of Dermatology
– Fellow of the American College of Mohs Surgery
– Fellow of the American Society of Dermatologic Surgery
– Charleston Medical Society
– Association of Military Dermatologists
– Society of U. S. Army Flight Surgeons
– Society of U. S. Air Force Flight Surgeons
-Dermatology Department Representative, MUSC Interdisciplinary Peer Review Council
-UMA Ambulatory Operations Advisory Committee
-Clinical Dissertation Advisory Committee, College of Graduate Studies, Epidemiology Dept.
Reviewer Dermatologic Surgery
Reviewer JAMA Dermatology
08/88 – 05/89 In Vitro Induction of Chick Cornea, Centenary College of Louisiana.
05/89 – 08/89 Microbiology Research Assistant, Naval Oceanographic Research Development & Activity NASA John C. Stennis Space Center, MS.
05/91 – 07/91 Analysis of Hepatic Processing of Endotoxin during Hypovolemic Shock in the Rat, Walter Reed Army Institute of Research, Division of Surgery.
09/90 – 05/91 Full Thickness Skin Flap Survival after Administration of Topical Tretinoin in Sprague-Dawley Rats, Tulane University Medical Center, Dept. of Plastic Surgery.
12/02 – 07/03 Intense Pulsed Light pilot study, Naval Medical Center San Diego, Dermatology Department.
01/05 – 01/06 Principal Investigator for Enhanced Military Readiness, Safety and Personal Bearing through Treatment of Pseudofolliculitis Barbae study at Keesler AFB with ISW Group, Inc. and Washington University School of Medicine, St. Louis, MO.
Benoit A, Leach BC, Cook J. Applications of Burow’s grafts in the reconstruction of Mohs Micrographic Surgery Defects. Dermatol Surg. 2017: Apr 43(4):512-20.
Hayes B, Swick J, Leach B, Maize J Sr, Ralston J. Keratoacanthoma centrigugum marginatum: A diagnostic and therapeutic challenge. JAAD Case Rep. 2016 May 25:2(3):206-208.
Trufant JW, Marzolf S, Leach BC, Cook J. The utility of full-thickness skin grafts (FTSGs) for auricular reconstruction. J Am Acad Dermatol. 2016 Jul;75(1):169-76.
Hollmig ST, Leach BC. Reconstructive Conundrum: Reconstruction of a complex auricular defect. Dermatol Surg. 2015 Oct:41(10):1175-78.
Trufant JW, Leach BC. Commentary: Wound edge eversion: Surgical dogma or diversion? J Am Acad Dermatol. 2015 Apr(72): 681-2.
Hollmig ST, Leach BC, Cook J. Single-stage flaps in facial reconstruction. Dermatol Surg. 2014 Sep:40 Suppl 9:S62-70.
Wheless L, Jacks S, Mooneyham, Potter KA, Leach BC, Cook J. Skin cancer in organ transplant recipients: More than the immune system. J Am Acad Dermatol. 2014 Apr(40): 1157-8.
Sola CA, Leach BC, McClellan SD, Butler, G. Dermatofibrosarcoma protuberans: A second primary tumor displaying Bednar and fibrosarcomatous subtypes. Dermatol Surg. 2014 Jan; 40: 82–85.
Sage RJ, Leach BC, Cook J. Antihelical cartilage grafts for reconstruction of Mohs micrographic surgery defects. Dermatol Surg. 2012 Dec;38(12):1930-7.
Mahlberg MJ, Leach BC, Cook J. The spiral flap for nasal alar reconstruction: our experience with 63 patients. Dermatol Surg. 2012 Mar;38(3):373-80.
**Winner of the ACMS Young Investigator Award 2012**
Chuang GS, Leach BC, Wheless L, Lang PG, Cook J. Preoperative Expectations and Values of Patients Undergoing Mohs Micrographic Surgery. Dermatol Surg. 2011 Mar;37(3):311-9.
**Winner of the ACMS Young Investigator Award 2011**
Leach BC, Cook J. Revisionary technique for alar rim notching: The stair-step flap. Dermatol Surg. 2009 Oct; 35(10):1549-54.
Leach BC, Kulbersh JS, Day TA, Cook J. Cranial neuropathy as a presenting sign of recurrent aggressive skin cancer. Dermatol Surg. 2008 Apr; 34(4):483-97.
Sturgill WH, Leach BC, Spolyar MM, Ross EV. Evaluation of a novel flashlamp system (FLS) incorporating optimal spectral filtration for the treatment of photoaging. Lasers in Surgery and Medicine 2005 Aug; 37(2):108-13.
Leach BC, Graham BS. Papular lesion of the proximal nail fold—quiz case. Archives of Dermatology 2004 Aug. 140 (8):1003-8.
Leach BC, Goldman MP. Comparative trial between sodium tetradecyl sulfate and glycerin in the treatment of telangiectatic leg veins. Dermatologic Surgery 2003; 29:612-615.
Regn DD, Leach BC, Torres G. It’s not only the lungs: A case of purpura fulminans associated with streptococcal pneumonia. Society for Air Force Physicians Abstract 2005 Mar.
Spolyar MM, Leach BC, Sturgill WH, Ross EV. Use of a long-pulse flashlamp in the treatment of telangiectasia and dyspigmentation. Lasers in Surgery and Medicine 2003; s 15:27.
06/07 Press Conference with First Lady of South Carolina, Melanoma and Skin Cancer Prevention, Hollings Cancer Center, Charleston, SC.
“Doctor’s Note: How to Stay Healthy While Traveling Overseas” Emily Bryant, Front Door, Spring 2005. 1(2):20.
“Around the World” Emily Bryant, Front Door, Spring 2005. 1(2):21.
“Full disclosure: Doctors, manufacturers should reveal conflict information” Karen Warshaw, Dermatology Times. Jun 2009.
“New Directions in Melanoma Management” Kimberly McGhee, Progressnotes. May-Jun 2013:9-13.
04/97 Performance Issues and Physiology of Night Vision, International Air College, Allied Air Forces Central Europe Tactical Leadership Programme, Florennes Air Base, Belgium.
07/01 Trichoblastoma Occurring in a Previous Basal Cell Carcinoma Excision Site, Gross & Microscopic Case Presentation, Uniformed Services Dermatology Seminar, San Diego, CA.
02/02 Bednar Tumor (Pigmented Dermatofibrosarcoma Protuberans); Gross & Microscopic Case Presentation, American Academy of Dermatology, New Orleans, LA.
06/02 Linear Darier’s Disease, Gross & Microscopic Case Presentation, San Diego Dermatologic Society Meeting, San Diego, CA.
08/02 Pigmented Dermatofibrosarcoma Protuberans, Gross & Microscopic Case Presentation, Uniformed Services Dermatology Seminar, San Antonio, TX.
04/03 Use of a Long-Pulse Flashlamp in the Treatment of Telangiectasia and Dyspigmentation, American Society for Laser Medicine and Surgery, Anaheim, CA.
07/03 Profound Bullous Pemphigoid, Gross & Microscopic Case Presentation, San Diego Dermatologic Society Meeting, San Diego, CA.
08/04 Tropical Dermatology, Medical Association of Guyana, Georgetown Public Health Hospital, Georgetown, Guyana.
06/05 Atypical Erythema Induratum (Lobular Panniculitis w/ Fibrohistiocytic Proliferation and Extensive Hemorrhage), Gross & Microscopic Case Presentation, Uniformed Services Dermatology Seminar, Bethesda, MD.
06/05 Purpura Fulminans in a Patient with Pneumococcal Sepsis and Multiple Organ Dysfunction, Gross & Microscopic Case Presentation, Uniformed Services Dermatology Seminar, Bethesda, MD.
06/05 Lupus Profundus, Gross & Microscopic Case Presentation, Uniformed Services Dermatology Seminar, Bethesda, MD.
04/06 Cutaneous Photobiology & Laser-Tissue Interaction, Dartmouth-Hitchcock Medical Center, Hanover, NH.
05/07 Tropical Dermatology, Medical University of South Carolina, Charleston, SC.
06/07 Cutaneous Flap Dynamics and Design, Medical University of South Carolina, Charleston, SC.
04/09 Clinical Pearls: Revisionary Technique for Alar Notching Rim Notching: The Stair-Step Flap, American College of Mohs Surgery, Austin, TX.
10/10 Repair of Repairs: Correction of Alar Notching. American Society for Dermatologic Surgery, Chicago, IL.
02/11 Young Physicians Symposium: Management of Office Staff Issues. American Academy of Dermatology, New Orleans, LA.
03/11 Skin Cancer & Mohs Micrographic Surgery, MUSC College of Medicine Dermatology Interest Group, Charleston, SC
04/11 Cutaneous Oncology & Mohs Micrographic Surgery, Board of Trustees, Hollings Cancer Center, Charleston, SC.
04/11 Plenary Session: What’s New in Cutaneous Oncology/ Literature Review. American College of Mohs Surgery, Las Vegas, NV.
02/12 Management of Office Staff. American Academy of Dermatology, American Academy of Dermatology, San Diego, CA.
12/12 Instructor, Facial Plastic, Reconstructive & Trauma Surgery Dissection Course, MUSC Dept of Otolaryngology-Head & Neck Surgery, Charleston, SC.
04/13 Dempsey K, Jacks S, Leach B, Swick J. An Unusual Presentation of Angiosarcoma: Solid Facial Edema in an 82 Year-old Man. Abstract and Poster Session, South Carolina Dermatological Association meeting.
04/13 Kahn N, Kahn J, Hampton M, Leach BC. Unusual Case of Serratia Infection and Keratoacanthoma Marginatum Treated with 5-Fluorouracil Injection. Abstract and Poster Session, South Carolina Dermatological Association meeting.
12/13 Instructor, Facial Plastic, Reconstructive & Trauma Surgery Dissection Course, MUSC Dept of Otolaryngology-Head & Neck Surgery, Charleston, SC.
04/14 Toward Aesthetic Reconstruction: Lessons in Artful Repair. South Carolina Dermatological Association.
*Invited Guest Lectureship, Dr. Richard Dobson Memorial Lecture.
05/14 Hollmig S, Leach B, Cook J. The Utility of Single-Stage Interpolation Flaps for Soft Tissue Reconstruction of the Head and Neck. Abstract and Poster Session. American College of Mohs Surgery meeting, Phoenix, AZ.
11/14 Tumor Board: Adnexal Tumors of Metastatic Potential. American College of Mohs Surgery Regional Meeting, Charleston, SC.
04/15 Cutting Edge Reconstruction: Utility of Subcutaneous Pedicled Flaps in the Reconstruction of Deep/Complex Facial Defects, American College of Mohs Surgery, San Antonio, TX.
03/16 Hohenberger M, Lagrew J, Leach BC. Paramedian Forehead Flap Salvage via Pedicle Full Thickness Skin Graft. Abstract and Poster Session. South Carolina Academy of Dermatology and Dermatologic Surgery, Charleston, SC. *Third Place award winner
05/16 Variations in Mohs Technique: Pros & Cons. American College of Mohs Surgery. Orlando, FL.
05/17 The Nasal Tip Rotation Flap for Reconstruction of the Lateral Nasal Tip, Anterior Ala and
Soft Triangle: Our Experience with 55 Patients. Abstract and Poster Session. American College of Mohs Surgery meeting, San Francisco, CA.