Duncan Dermatology provides compassionate and uncompromising patient care with an emphasis on medical dermatology, skin cancer surveillance and prevention, and aesthetic dermatology focusing on healthy skin.


We take pride in providing high-quality, patient-centered care with thoroughness and attention to details. Our board-certified, experienced providers are also good listeners, addressing patient concerns and getting to the bottom of things to figure out solutions.  


Karynne O. Duncan, M.D.

KOD Picture June 2019.jpeg

Dr. Kary Duncan, founder of Duncan Dermatology in 2003, is a graduate of the University of Notre Dame and received her Doctorate of Medicine from the University of Colorado School of Medicine.  She completed a residency and was selected as a chief medical resident in Internal Medicine at the University of Colorado School of Medicine.  She then went on to complete a residency in Dermatology and was again chosen as a chief medical resident at Yale University School of Medicine. Prior to moving to the Napa Valley in 2002, Dr. Duncan was on faculty at the University of Colorado in both the departments of Internal Medicine and Dermatology, and she also served as the Assistant Chief of Medicine at the University of Colorado Hospital.


Dr. Duncan is board certified both in Internal Medicine and Dermatology and is a fellow of the American College of Physicians (FACP) and the American Academy of Dermatology (FAAD).  She remains active in the world of academic dermatology as a Director of the American Board of Dermatology and as an author of various publications. She's received numerous awards, including “Best Doctors in America” and “The Bay Area’s Top Doctors Award.” 


Read more about Dr. Duncan.

Carlos Wolf, M.D.

Dr. Carlos Wolf

Plastic surgery expert Dr. Carlos Wolf regularly visits Duncan Dermatology to administer injectables. 


A partner at Miami Plastic Surgery with more than thirty years-experience, Dr. Wolf received his Doctorate of Medicine from the University of Miami School of Medicine and completed a residency in Head/Neck surgery at Tulane University in New Orleans. He then completed his fellowship in Facial Plastic and Reconstructive Surgery through the American Academy of Facial Plastic and Reconstructive Surgery.


He is board certified by both the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology, and a fellow of the American Academy of Facial and Reconstructive Surgery. 

Read more about Dr. Wolf.

Lisa Aldrich, BSN, MSN, APRN

Lisa Aldrich, Nurse Practitoner

A practicing nurse since 1986, Lisa’s nursing career began in the Medical Intensive Care Unit, where she worked for five years before transferring to the Neonatal Intensive Care Unit at Yale New Haven Hospital Saint Raphael Campus. After nearly 20 years as an RN, she decided to specialize in dermatology and pursued a Master of Science degree in nursing from Yale University in 2005.

Lisa performs total body skin exams, skin biopsies, and minor surgical procedures to treat many diseases of the skin, hair and nails. She also uses the Aerolase LightPod Neo® laser for acne, skin rejuvenation, and psoriasis.


Lisa loves her profession and has a passion for providing the best possible care while educating patients with a friendly approach that puts people at ease. She has been an active member of the Dermatology Nurses’ Association since 2003 and is a past president of the Northern California DNA Chapter. She is also a member of the Society of Dermatology Physician’s Assistants.


Originally from Madison, Connecticut, Lisa relocated to Napa in 2007. She and her husband have a small home vineyard and enjoy making wine with friends.

Catherine Lenz, Physician Assistant (PA-C)

Catherine Lenz

A board-certified Physician Assistant with more than 18 years experience, Catherine Lenz is a skin cancer specialist and performs skin biopsies and surgical dermatology procedures to treat many diseases of skin, hair, and nails in patients of all ages. 


After getting her start in medicine as an operating room Scrub Tech, Catherine knew she wanted to pursue dermatology when she could not put down a book on skin diseases. As a Physician Assistant, she has exceptional skills in cosmetic dermatology procedures such as BOTOX® Cosmetic, including its use for hyperhidrosis (excessive sweating) and the use of facial fillers. She has many years of experience performing procedures that include: scar resurfacing, skin rejuvenation, chemical peels, microneedling, tattoo removal, laser vein treatments for the face, sclerotherapy for unwanted leg veins, dark spot correction and laser hair removal.


Throughout her career, Catherine has focused on treating the “whole person,” not just the disease. She believes in a traditional approach to medicine, in which caregivers listen to patients and deliver high-quality care with respect and compassion.

A graduate of the University of California, Davis, Catherine is a diplomat of the Society of Dermatology Physician Assistant. She has two grown children and enjoys cycling, gardening, cooking, beekeeping, and running with her toy Aussie, “Sangi,” in St. Helena and Fair Oaks, California.

Tasha Abri, Skin Care Therapist


With over ten years of experience in the skincare field, Tasha focuses on the latest in medical aesthetic techniques, treatments, and therapies, with a desire to help her patients look and feel their best. 

Having grown up around the medical aesthetic world, Tasha was interested in skin care from a young age.  Certified in chemical peeling and microdermabrasion, Tasha enjoys furthering her expertise through educational workshops.  As a results-driven Skin Therapist she is focusing on the medical facials offered at Duncan Dermatology, HydraFacialMD, chemical peels, and microcurrent.  She enjoys the intricacies each patient brings and is excited to educate patients on the importance of the health and care of their skin. 


In her free time, Tasha enjoys time with her husband, three children, and their dog.  They love trips to Tahoe and traditional Persian family dinners.  

Saskia Akey, Skin Care Therapist


Having grown up in Northern California, watching her aesthetician mother open and grow a local Napa spa, skin care runs deep within Saskia.  

Throughout her time in college, Saskia's passion for health and nutrition guided her, ultimately leading her to pursue a career in skin care. Like mother - like daughter, Saskia approaches her skin care treatments in a balanced and holistic way - realizing that each patient is unique, with varying concerns. Saskia brings fresh eyes, techniques and ideas into each treatment, educating each patient and helping him/her achieve their skin care goals.


Saskia is certified in microdermabrasion, advanced light technology, chemical peeling, microcurrent and nutrition. She is constantly looking to further educate herself in the newest modalities. Interested in furthering her knowledge and career, Saskia is working on becoming certified in lymphatic drainage. She eventually hopes to pursue a nursing career specializing in skin health and cosmetic treatments.  

In her free time, you can find Saskia in a Bikram yoga or spin class, or running the streets of Napa. She enjoys traveling, camping, and researching the latest trends in skin care! 


Duncan Dermatology

1104 Adams St. # 201

St. Helena, CA 94574

(707) 967-0800 (phone)

(707) 967-0870 (fax) 

@DuncanDermatology (Instagram)

Patient Portal


Skin Lab by Duncan Dermatology

1126 Adams St. Suite B

St. Helena, CA 94574

(707) 967-0800 (phone)

@SkinLabDuncanDermatology (Instagram)