Cosmetic Dermatology Services
Cosmetic dermatology is a rapidly changing field, and we pride ourselves in using the latest treatments and techniques to achieve a natural and youthful appearance for our patients. Our providers take the time to thoroughly discuss each patient’s goals and expectations before selecting the optimal treatment. The right cosmetic procedure can make a significant impact on how one looks and feels, boosting self-esteem and confidence.
Botox is a simple and safe procedure that can be performed during a routine visit, with no downtime and little to no discomfort. Botox works by temporarily reducing the contractions of the muscles that cause persistent frown lines, forehead wrinkles, or smile lines around the eyes. If treatments are not continued, the muscles will gradually return to normal function and wrinkles will return. Botox can also be used to treat excessive sweating and jaw pain.
Our goal with Botox is to give our patients a “softer and relaxed look”, not eliminate movement.
Over time, the natural volume of youthful skin diminishes as wrinkles and folds settle in. Fillers instantly restore volume and smooth away deep lines and facial creases. Fillers can also minimize dark circles under the eyes, return lost volume in the hands, add fullness to the lips, improve acne scars, and shape the nose.
Before the procedure, a topical numbing cream is applied to minimize any potential discomfort. The injections typically take between fifteen and thirty minutes, and the results are immediate with minimal downtime. Depending on the type of filler and location on the body, the effects can last for six months to two years.
The dermal fillers we primarily use are Juvéderm Ultra, Juvéderm Ultra Plus, Voluma XC, Restylane, Restylane Lyft, and Sculptra.
Kybella is the first FDA approved injectable that improves submental fullness or “double chin.” It can significantly improve the contour of the chin and neck, eliminating the need for an invasive surgical procedure. Injections are performed into the fat under the chin, typically one to two months apart, with most patients seeing a significant difference within three months of starting treatment.
Acne can leave behind scars that persist even after breakouts have cleared, affecting self-esteem and confidence. Fortunately, there are many treatment options that can significantly improve acne scars. These treatments vary depending on the type of acne scarring, as well as the skin pigmentation of the patient. We offer a variety to treat acne scars including subcision, KTP Excel-V laser, Fraxel Dual laser, and dermal filler injections.
Brown Spots or Sun Spots
Brown spots or sun spots are the result of aging and are more pronounced in areas of sun exposure like the face, chest, and hands. They are not cancerous, but can make you look and feel much older than your actual age. Fortunately, there are several options to treat brown spots safely and effectively. Both individual spots and larger areas like the face or chest can be treated. Treatments include chemical peels, Clear + Brilliant Permea, Fraxel Dual 1927 and KTP Excel-V laser.
Chemical peels have been used for years, as they are a safe and effective treatment for many skin conditions. We offer peels to help correct hyperpigmentation, brown spots, sun spots, melasma, and acne. Chemical peels can also be performed to improve skin tone and texture, and to prevent premature signs of aging. When treating acne, we prefer salicylic acid peels, while, for overall skin rejuvenation, we use glycolic acid peels.
There are many different ways to address hyperpigmentation, or darker areas of skin on the face and body. Topical regimens including prescription lightening ingredients can be helpful, especially in combination with pigment-specific procedures such as laser treatments and chemical peels.
Melasma is a common condition primarily seen in young women. It is patchy, brown, hyperpigmentation of the face most often located on the forehead, cheeks, nose and upper lip. Melasma is usually triggered by sun exposure or hormonal changes caused by birth control pills or pregnancy. Vigilant sun protection and lightening creams can prove effective treatments; however, for more resistant melasma, stronger treatments include the Clear + Brilliant Permea and Fraxel Dual 1927 lasers, as well as the Cosmelan depigmentation peel.
Novathreads are a synthetic, absorbable surgical suture composed of polydioxanone (PDO) which are used to lift the skin on the face and body. Your skin fully absorbs the suture within 4 to 6 months, and results last up to one year. The insertion of the threads under the skin gives an immediate lift, and results improve over the course of about 3 months, as your skin repairs itself and creates new collagen. Novathreads are particularly useful for correcting laxity in the lower face, which is often difficult to treat with dermal fillers alone. This procedure is performed in the office, and is minimally invasive.
PRP and Microneedling
PRP is platelet rich plasma, which contains growth factors and other regenerative and healing cells derived from blood. PRP can be used in a variety of ways, and we are offering multiple different treatments that incorporate this new technology.
- PRP for hair loss
- PRP with microneedling
- PRP injections
We can use PRP as a substrate and glide for microneedling. Once the skin is injured, this allows the growth factors to penetrate deep into the skin, which means more dramatic results. PRP also helps speed up the recovery process. This treatment is ideal for a patient that wants to improve the overall texture of their skin. PRP can also be injected deep into the skin to help promote collagen growth. It is a great preventative treatment for patients looking to fight the aging process.
The PRP can also be injected into the scalp, and we concentrate the injections to the specific problem areas discussed with the patient. We recommend a series of treatments for the best result.
Rosacea, Facial Redness, Broken Capillaries and Blood Vessels
Rosacea is a very common skin condition affecting over 16 million Americans. It manifests in patients as redness, broken capillaries, or flushing, which can be treated with the KTP Excel-V laser. Most patients see improvement with one treatment, but multiple treatments may be required depending on the severity of the condition, the type of blood vessel, and the skin type of the patient.
Seborrheic keratoses are brown, warty growths that can develop on the face, neck and body as we age. They are extremely common and can vary in number, with some people having hundreds. Seborrheic keratoses are not cancerous, but can be irritating and cosmetically disturbing. They can be removed with minimal recovery time using electrosurgery or cryosurgery.
Skin tag removal
Skin tags are extremely common growths, which can be bothersome and cosmetically displeasing. Depending on the size and location, they can be removed simply by cryosurgery, electrodessication, or snip removal.
Skin texture or tone
Although everyone is born with baby soft skin, sun damage and exposure to the elements can take their toll resulting in rough, uneven skin texture and tone. We will offer an individualized skin care regimen and discuss other treatments including chemical peels, and laser therapies like Laser Genesis, Clear + Brilliant, and Clear +Brilliant Permea.
Ulthera is a noninvasive procedure that uses ultrasound energy to lift and tighten skin on the face, neck and chest. Ultrasound energy heats the deep layers of the skin, creating microinjuries to the same layer that is lifted during a facelift. As the skin heals, new collagen is produced, creating a lift. Optimal results are seen six months post procedure. Ulthera is a great option for patients that are not ready or do not want to undergo a surgical procedure. Popular treatment areas include the lower face for a tighter jawline and minimized double chin, the brow to improve lid sagging, as well as the neck for firming and tightening of the skin. There is some minor discomfort during the procedure, which is managed with oral medications . A great part of Ulthera versus other invasive procedures is that there is no downtime. After Ulthera, patients look normal and can go out to dinner, or go back to work.
Wrinkles and Fine Lines
With age, it is natural to develop static fine lines and wrinkles. Each person ages differently, as both genetics and lifestyle factors, such as sun exposure and smoking, influence the aging process.
Wrinkles can be treated in many different ways. Botox injections relax facial muscles improving wrinkles that occur with movement. Filler injections plump up the skin restoring lost volume and improving deep lines.
For some patients, Botox and filler injections are not enough, and they require laser resurfacing to reduce wrinkles and stimulate new collagen formation. We use the latest technologies including Clear + Brilliant, Laser Genesis, and the Fraxel Dual Laser to improve the appearance of fine lines and wrinkles.