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James Ralston

MD, FAAD

James Ralston, MD, FAAD, is a board-certified dermatologist and accomplished dermasurgeon known for his outstanding contributions to dermatology. As President of the Dermatology Center of McKinney, he provides comprehensive medical, surgical, and cosmetic dermatologic care to patients throughout North Texas.

Dr. Ralston has earned recognition as Best Physician – Dermatologist by the McKinney Chamber of Commerce’s Best of McKinney for 14 consecutive years, most recently in 2024. In 2025, he was named Best Dermatologist by Star Local Media and received the Top Docs Winner award from Living Well Magazine for the seventh year in a row. He has also won multiple honors from Living Magazine, including Best Dermatologist, Best Place for Botox, Best Med Spa, Best Laser Hair Removal, and Best Place for Tattoo Removal. Additionally, he is a recipient of D Magazine’s Best Doctors award.

Dr. Ralston is a Fellow of the American Academy of Dermatology and an active member of the American Society for Dermatologic Surgery. He also participates in the American Society for Laser Medicine and Surgery (ASLMS) and serves on the AAD media team.

He remains committed to excellence in patient care and continues to drive innovation and education in dermatology.

Professional Contributions and Education

Dr. Ralston is a national lecturer for physicians and aesthetic providers on lasers and medical/aesthetic technology. He also trains physician assistant (PA) and medical assistant (MA) students in dermatology for various colleges and collaborates with McKinney Independent School District to educate high school students about dermatology.

Dr. Ralston received his medical degree from The University of Texas Medical School at Houston and completed his dermatology residency at the State University of New York (SUNY) in Buffalo, New York, where he served as Chief Resident.

He also completed a fellowship in Cutaneous Oncology and Photodynamic Therapy (PDT) at the prestigious Roswell Park Cancer Institute in Buffalo, New York. During his fellowship, he explored advanced technologies to develop less invasive methods for treating skin cancer and precancerous conditions. Dr. Ralston has contributed textbook chapters and articles to medical literature and was awarded Best Clinical Science Report from Roswell Park Cancer Institute. He has also received additional training in skin surgery, including Mohs micrographic surgery.

Clinical Expertise

Dr. Ralston provides the latest treatments for a wide range of dermatological concerns in pediatric, adolescent, and adult patients, including skin cancer, eczema, acne and acne scars, wrinkles, age spots, rashes, and psoriasis.

He utilizes advanced treatment options such as PDT, which combines laser or other light with topical medicine to treat skin cancer, acne, sun damage, and other conditions. His professional interests focus on using technology to enhance the art and science of medicine for optimal skin health through preventative and quality care.

Personal Life

Dr. Ralston, his wife, and their three children love living in McKinney. He enjoys music, technology, reading, the arts, and spending time with his family. Dr. Ralston is excited to welcome you to his patient family.