Dr. Howard K Steinman
Lewisville, TX 75056
Office: 858-349-5084
Fax: 972-435-4487
LITIGATION SUMMARY AND EXPERT WITNESS SERVICES
Howard K. Steinman, M.D., a board certified dermatologist, serves as an independent dermatology expert witness and maintains a comprehensive medicolegal practice spanning the full spectrum of dermatology and dermatologic surgery. Since 2000, he has been retained in more than 75 cases, and his caseload is balanced, with 66% plaintiff and 34% defense. He is experienced in providing verbal testimony, having participated in thirteen depositions and nine trial testimonies.
CORE EXPERTISE AND MEDICOLEGAL AREA FOCUS
Dr. Steinman evaluates issues regarding the standard of care, medical negligence, causation, and clinical damages. His primary forensic case experience focuses on litigation involving:
• Cutaneous Oncology Malpractice: Delayed diagnosis, incorrect staging, incomplete or improper excision, and wrong-site surgery involving melanoma, squamous cell carcinoma, and basal cell carcinoma.
• Mohs Micrographic Surgery Disputes: Complex procedural complications, tumor recurrences, and post-operative wound management disputes.
• Procedural and Cosmetic Adverse Outcomes: Complications arising from skin flaps and grafts, lasers, chemical peels, therapy-induced or environmental burns, and toxic chemical exposures.
• Civil and Criminal Assessments: Objective dermatologic assessments for personal injury, civil litigation, and criminal defense matters.
- Dermatology
- Medical Malpractice
- Q: Please list your professional accreditations, degrees, licenses, and certificates granted:
- A: Board Certified Dermatologist - American Board of Dermatology
Fellowship-trained Mohs surgeon
M.D. Degree - Washington University School of Medicine
Medical License - Texas
- Q: Please list your affiliations or memberships in any professional and/or industry organizations:
- A: American Academy of Dermatology
American College of Mohs Surgery
Australasian College of Cutaneous Oncology
Noah Worcester Dermatological Society
- Q: Please list any teaching or speaking experience you have had, including subject matter:
- A: Teaching:
Adjunct Associate Professor, Department of Surgery, Campbell University- Current
Associate Professor of Dermatology, Texas A&M University Health Sciences Center College of Medicine, 2009 - 2012
Director of Mohs surgery and Dermatologic Surgery, Scott & White Medical Center, Temple, TX, 2009 - 2012
Asst Clinical Professor of Dermatology (Voluntary), University of California, San Diego, School of Medicine, 1989 - 2009
Asst Clinical Professor of Dermatology (Full time faculty). University of California, San Diego, School of Medicine, 1984 - 1989
Speaking:
Co-Director, Fundamentals of Mohs Surgery Course, 1995 - 2019 - six to ten lectures per course
Faculty: Mohs Surgery Closure Course, 2018 - present
Speaking Experience:
More than 75 presentations at American College of Mohs Surgery, American Academy of Dermatology, American Society for Dermatologic Surgery, American Society for Mohs surgery, Pacific Dermatology Association, Florida Society of Dermatology and Dermatologic Surgery, Australasian College of Cutaneous Oncology, Texas Dermatology Society, Dallas/Fort Worth Dermatology Society, Fall Clinical Dermatology Conference, Skin Disease Education Foundation
Subject Matter:
Mohs surgery: basic and advanced techniques, indications, instrumentation, tissue processing, indications, complications, mapping, surgical pearls, and reconstruction techniques.
Facial aging, chemical peels, botulinum (Botox), chemical peels, laser surgery, cosmetic camouflage, local anesthesia, facial nerve blocks, working with unhappy patients, patient satisfaction, short scar face lifts, surgical pearls, anatomic danger zones (for nerves and vessels)
- Q: Have any of your accreditations ever been investigated, suspended or removed? (if yes, explain)
- A: No
- Q: On how many occasions have you been retained as an expert?
- A: 75
- Q: For what area(s) of expertise have you been retained as an expert?
- A: Mohs surgery
Mohs surgery reconstruction
Post surgical scars
Squamous Cell Carcinoma
Basal cell carcinoma recurrence
Skin cancer recurrence malpractice
Melanoma diagnosis and treatment
Scar evaluation - murder trial
Chemical Peel Injury
Gasoline burns - traumatic hair loss
Domestic violence bruise and wound evaluation
Blepharoplasty complications - Q: In what percentage of your cases were you retained by the plaintiff?
- A: 63%
- Q: In what percentage of your cases were you retained by the defendant?
- A: 37%
- Q: On how many occasions have you had your deposition taken?
- A: 13
- Q: When was the last time you had your deposition taken?
- A: December 17, 2025
- Q: On how many occasions have you testified as an expert in court or before an arbitrator?
- A: 8
- Q: For how many years have you worked with the legal industry as an expert?
- A: 28
- Q: What services do you offer? (E.g.: consulting, testing, reports, site inspections etc.)
- A: Expert witnessing
Case reviews
Mohs surgery microscopic slide review
Patient examinations
- Q: What is your hourly rate to consult with an attorney?
- A: $750
- Q: What is your hourly rate to review documents?
- A: $750
- Q: What is your hourly rate to provide deposition testimony?
- A: $1000 (in my local area) or $4500 per day if overnight travel is required
- Q: What is your hourly rate to provide testimony at trial?
- A: $1000 (in my local area) or $4500 per day if overnight travel is required
- Q: Please list any fees other than those stated above (E.g.: travel expenses, copy fees, etc.)
- A: Notary fee: $25.00
- AIDS-Related Kaposi's Sarcoma Displays Differential Expression of Endothelial Surface Antigens
- An Aggressive Microcystic Adnexal Carcinoma Infiltrating the Sternum
- Routine usage of sentinel node biopsy in melanoma management must cease
- Authors’ response to a reply to: Re: Routine usage of sentinel node biopsy in melanoma management must cease
- Mohs' Micrographic Surgery of the Head and Neck
- Malignant papillary mesothelioma of the tunica vaginalis testes: Cutaneous metastases showing pagetoid epidermal invasion
- Melanoma extravascular migratory metastasis: an important underrecognized phenomenon
- Merkel cell carcinoma update: the case for two tumours
- Reevaluating Mohs Surgery Appropriate Use Criteria for Primary Superficial Basal Cell Carcinoma
- Comment and Reply to Mohs Appropriate Use Criteria for Primary Superficial Basal Cell Carcinoma
- The characteristics of Mohs surgery performed by dermatologists who learned the procedure during residency training or through postgraduate courses and observational preceptorships
- Hemidesmosomes (HDs), anchoring fibrils (AFs) and intermediate filaments (IFs) in basal cell carcinoma (BCC)
- Prolonged adverse events following photodynamic therapy: regulatory implications
- Novel Photodynamic Therapy Does Not Prevent New Skin Cancers: Randomized Controlled Trial
- Sentinel lymph node biopsy – reply
- Patients more likely to prefer surgery to novel photodynamic therapy
- Revised Mohs surgery care guidelines for squamous cell carcinoma in-situ are overdue
- Commentary on “Superficial Basal Cell Cancers Demonstrate Higher Rates of Mixed Histology
- Reply to 'Correlation of Basal Cell Carcinoma Subtype with Histologically Confirmed Subclinical Extension During Moh Micrographic Surgery
- Multicenter Selective Lymphadenectomy Trial 1 ‐ key primary data remain unavailable
- Authors response to a reply to Re Routine usage of sentinel node biopsy in melanoma
- Sentinel lymph node biopsy – reply.
- Sentinel lymph node biopsy has a limited role in melanoma management
- Keratoacanthoma: Update on the Debate
- Authors reply to Commentary on Reevaluating Mohs Surgery Appropriate Use Criteria for Primary Superficial Basal Cell Carcinoma
- Streptokinase/Streptodornase for skin testing
- Rapidly Growing, Asymptomatic, Subcutaneous Nodules: Nodular Faciitis
- Inflammatory Linear Verrucous Epidermal NevusEpidermal Protein Analysis in Four Patients
- Methotrexate in lieu of razoxane for incapacitating psoriasis
- White piedra: a case report
- Immediate-type hypersensitivity to Crataegus monogyna (hawthorn)
- Aquagenic pruritus
- Malignant papillary mesothelioma of the tunica vaginalis testes
- Bowenoid Papulosis
- The Prevaence of Water-Induced Itching
- Water induced itching without cutaneous signs: Aquagenic pruritus
- Acquired ichthyosis in a patient with acquired immunodeficiency syndrome and Kaposi's sarcoma
- Polycythaemia rubra vera and water-induced pruritus: Blood histamine levels and cutaneous fibrinolytic activity before and after water challenge.
- Water-induced pruritus
- Fenoprofen-induced toxic epidermal necrolysis
- Congenital, Segmental Pigmented Lesions Segmental Neurofibromatosis
- Cardiac Calcifications and Yellow Papules in a Young Man_Pseudoxanthoma elasticum
- More on Mohs
- How the AAD should meet the challenges of the future: establish a House of Delegates (Editorial)
- Micrographic surgery
- A method for working with displeased patients – B.L.A.S.T.
- Letter to The Editor: “Skin Cancer Is Skin Cancer”: Readers Counter Editorial, Urge Re-assessment of classifications.
- Sentinel lymph node biopsy may no longer be a critical component of melanoma management.
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