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.

Botox

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.

Learn more at botoxcosmetic.com

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, Restylane, Radiesse, or Sculptra) 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/Restylane/Radiesse) and 1-2 years (Sculptra).

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.


Restylane/Juvederm

Juvederm

Fillers like Restylane and Juvederm are natural sugars called hyaluronic acids (think a natural substance that is the glue between your skin cells). These are injected into lines, creases, and grooves in the face and provide a near instantaneous correction of medium to deep lines. They are also injected into the lips to provide plumping, or more volume or definition to the lips.

Learn more at juvederm.com

Frequently asked questions:

What are the risks?
The mostly temporary risks associated with this type of cosmetic treatment include bruising, swelling, slight discomfort (feels tender like a bruise), and mild redness at injection sites. There are however, some serious risks that are rare, such as scarring.

What is a treatment like?
Fillers are injected directly into the wrinkles or lips. We usually use a topical numbing cream to make the injection comfortable. Most patients feel only a minimal discomfort and feel that the result is well worth that small discomfort.

How often should fillers be injected?
Fillers are injected directly into the wrinkles or lips. We usually use a topical numbing cream to make the injection comfortable. Most patients feel only a minimal discomfort and feel that the result is well worth that small discomfort.

How much does it cost and how much product is needed?
For Restylane/Juvederm, most women will need one to two syringes per appointment. Expect to pay $400 to $700 per syringe. If you’re on the younger side, a half syringe of Restylane twice a year might be plenty. If you are using more than two or three syringes per appointment, it might be time to consider Sculptra, which will reduce your need for Restylane/Juvederm.

Restylane (Medicis) and Juvederm (Allergan) are sterile gels consisting of non-animal, cross-linked, hyaluronic acid (HA) and are made in a laboratory. HA is a natural sugar found in skin. They contain no human or animal DNA and have the best safety profile of all the fillers currently on the market. These products are FDA approved for use in the nasolabial fold and are used “off-label” in other areas. Juvederm causes less puffiness for the first few days after a treatment. In my opinion, it is also slightly smoother.

What are dermal fillers used to treat?
This depends somewhat on which dermal filler you’re using, but the broad answer is lines and wrinkles. They can also be used to plump and define lips and fill hollow areas on the face. Here are some of the areas where they work best:

  • Lines from the nose to the mouth (nasolabial fold)
  • Lines from the mouth to the chin (melomental fold)
  • Lines above the upper lip
  • Frown lines (best combined with Botox Cosmetic)
  • In the lips for volume and definition
  • To restore volume to cheekbones or cheeks
  • In some situations, under the eyes
  • To fill out the backs of the hands and make veins look less prominent

Kybella

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.

Learn more at mykybella.com

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.


Scition BBL/IPL

Scition

BBLs™ enables treatment of multiple skin conditions with various wavelengths seamlessly using change-on-the-fly Smart Filters.

  • 420 – Acne
  • 515 – Pigmented Lesions, such as freckles, age spots.
  • 560 – Vascular Lesions, such as cherry angiomas, telangiectasias, and rosacea.
  • 590 – Deeper Lesions / Darker Skin Types
  • 590, 640 + 695 – Hair Removal

Learn more at sciton.com

Frequently asked questions:

What do they do?
IPL‘s are laser “cousins” in that they have different wavelengths of light blended together like a fine wine. Different wavelengths are used for different problems like brown spots, red blood vessels, unwanted hair, sun damage, etc. A good laser can target the problem without harming the surrounding skin.

What are the risks?
In expert hands, the risks of BBL or IPL cosmetic treatments are very small: usually a little swelling and/or an increase in redness or the brown spots for 3 to 7 days after the treatment. A good consultation will prepare you for those.

What is a treatment like?
Most treatments require you to lie down and wear protective goggles or eye coverings. You will often have a cool gel applied to your face. The BBL gives you a short pulse that feels like the mild snap of a rubber band on your skin. These pulses are applied over the area being treated. Most BBL treatments are not relaxing or soothing, but most patients find the treatments quite tolerable. Usually treatments for redness or brown spots and for hair removal or wrinkles require a series, often once a month for 3 to 6 months. After that, a typical maintenance schedule would be once or twice a year.

How much do BBL treatments cost?
A series of 3-5 treatments for redness or brown spots on the face or neck will usually be $1,000-2500 ($300-500 per individual treatment). Hair removal is less, but depends on the area being treated.


Microneedling

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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