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Cosmetic Dermatology

Cosmetic Dermatology focuses on the improvement, enhancement and appearance of skin, hair and nails aesthetically, artistically and cosmetically. Rarely considered a medical necessity, it can still resolve medical dermatological concerns.


BotoxBotox (or Dysport) is used to relax overactive muscles and smooth wrinkles. It is most often used as a cosmetic treatment in the forehead, between the brows, and for crow’s feet around the eyes. Results normally last between 3-6 months.

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Frequently asked questions:

What is a Botox treatment like?
Botox is injected with a very small needle directly into the muscle that needs to be relaxed to erase the wrinkle. Most people feel only a tiny stinging sensation. We use “numbing” cream in our office for 20-30 minutes prior to treatment to make the injections virtually painless.

How often does Botox need to be done?
The effects of Botox are somewhat cumulative. You may need to go every three to four months for the first year, depending on what area you’re treating. After that, the interval often extends out. Many of my patients who have been coming for a long time come every 5 to 6 months. Botox is still the gold standard cosmetic treatment for frown lines.

What is the difference between Botox and fillers?
Botox (or Dysport) is used to relax overactive muscles and smooth wrinkles. It is most often used as a cosmetic treatment in the forehead, between the brows, and for crow’s feet around the eyes. Results normally last between 3-6 months.

Fillers (Juvederm) are cosmetic treatments used to fill and re-contour the face, replace lost volume, and fill deeper folds/wrinkles. Fillers are most often used in the cheek bones, nasolabial folds (around the mouth), temples and lips. Results usually last between 4-12 months (for Juvederm).

How much does it cost and how much product is needed?
This really depends on your face and how many areas you’re treating. I find many of my patients need a little bit less Botox as time goes on because muscles are less active. Expect to pay approximately $200 to $1,000 per treatment depending on how many areas you are treating (frown lines, forehead, eyes, lower face, etc.) and depending on how big your facial muscles are. Men almost always need more than women because they have bigger muscles – even in their faces.


KybellaDouble trouble. That certainly is the truth when it comes to your chin. No one likes the look of excess fullness beneath the face, yet millions of Americans suffer from the dreaded double chin and do nothing to correct or eliminate it.

Eliminating the double chin is no exception. The recent introduction and use of deoxycholic acid, known also as Kybella, has provided displeased individuals worldwide a safe, easy, and effective way to get rid of that excess flesh just below the jaw.

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Frequently asked questions:

What is Kybella?
If you haven’t yet heard of deoxycholic acid or Kybella, you likely will in the near future. The first of its kind, Kybella is an innovative, non-invasive injectable treatment method for the removal of excess fatty flesh on the neck commonly known as the “double chin”.

How does Kybella work?
The clinically-proven use of deoxycholic acid to target and eliminate fat deposits in the neck involves a series of multiple injections applied around the neck and face over a period of time. The injections contain a synthetic version of deoxycholic acid, a naturally-occurring substance found within the body that facilitates the breakdown and absorption of fat cells. Use of Kybella acts as a way to target and eliminate cells permanently, which means the results are long-term.

What is treatment like?
Kybella is administered only by trained medical professionals and consists of a series of 15 to 20 minute sessions in which multiple injections are directly applied to the targeted areas. An initial consultation prior to each session will help you and your provider determines the specifics of your treatment. The sessions will take place no sooner than four to six weeks between each, and the total number of sessions will again depend on your individual assessment. However, often no more than 2 – 4 sessions total is recommended.

Because the procedure is non-invasive, it’s practically pain-free with zero physical down time. Patients only experience slight bruising, numbness, and/or swelling visible after each visit.

Over time, your body resolves the swelling, revealing a slimmer, more youthful neck.

What makes Kybella especially great is that results are permanent. The fat destroyed by Kybella will never return.


Microneedling is a cosmetic dermatology procedure that uses small needles to prick the skin. The purpose of treatment is to generate new collagen and skin tissue for smoother, firmer, more toned skin. Microneedling is used on the face to treat scars, wrinkles and large pores. The procedure is minimally invasive with little downtime and is considered safe for most people who are in overall good health. Redness and irritation is expected for a few days after the procedure. The procedure is performed by a cosmetic dermatology physician assistant at our practice.

For the best results it is recommended to complete three treatments approximately one month apart. The cost is $500 per treatment and total preparation and procedure time is about two hours.

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