Botox / Dysport

These are injections that will relax the muscle injected and effectively diminish or remove wrinkles that are made by that muscle movement. The most common areas treated are the forehead, around the eyes (crows feet), and between the eyebrows (11 lines). Other areas that may be treated include the neck, nose (bunny lines), angles of the mouth (marionette lines), upper lip (smoker’s lines), chin, and a gummy smile.

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Restylane

These are injections of hyaluronic acid into the second layer of the skin (dermis). The dermis is made up of collagen and hyaluronic acid, and the replacement of hyaluronic acid leads to improvement of deeper wrinkles and creases. This filler will last approximately 6 months. Ideal areas for this filler include the smile lines, the areas around the mouth, small scars, underneath the eyes (tear troughs) and the lines between the eyes.

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Juvederm

These are injections of hyaluronic acid into the second layer of the skin (dermis). The dermis is made up of collagen and hyaluronic acid, and the replacement of hyaluronic acid leads to improvement of deeper wrinkles and creases. This filler will last approximately 6-8 months. Juvederm Ultra is a thinner, less crosslinked filler ideal for smaller lines and wrinkles. Juvederm Ultra Plus is a thicker filler more ideal for deeper lines and volume replacement. Areas for this filler include the smile lines, the areas around the mouth, small scars, underneath the eyes (tear troughs) and the lines between the eyes.

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Radiesse

This is a calcium hydroxylapetite filler that is an excellent choice for deeper wrinkles and folds. It works well in the chin, smile lines, and cheeks. This is not a good choice for the area between the eyes or under the eyes.

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Chemical Peels

We use glycolic peels for the treatment of acne and for the “lunchtime” peel to refresh your skin and give you a natural glow. For sun damage, melasma, or other signs of sun damage, we use a TCA peel to give your skin a completely new look that you will love.

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IPL Laser Treatment

Intense Pulsed Light (IPL) is a wide-wavelength modality that can be used to target the signs of sun damage, rosacea, blood vessels, and hair removal. We use the Palomar Starlux 500, the gold standard in IPL treatment, in our office for the treatment of red and brown on the face, neck, chest, arms, and hands, as well as for hair removal for the entire body.

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Laser Resurfacing

Laser resurfacing is ideal for acne scarring, scarring, wrinkles, and photodamage. There are two main types: ablative fractional resurfacing and nonablative fractional resurfacing.
Nonablative fractional resurfacing lasers do not damage the top layer of the skin and have minimal downtime with only a sunburn appearance. These lasers are ideal for mild acne scarring and mild wrinkling around the eyes and mouth. Approximately 3-5 treatments are needed to see results.

Ablative fractional resurfacing lasers damage the top layer and the second layer of the skin, and do have a 1 week downtime with crusting, oozing, and scabbing. These lasers are ideal for all types of scarring and wrinkling, and is the gold standard of laser resurfacing. Only 1 or 2 treatments are needed for results. Caution must be exercised with darker skinned patients as light areas and dark areas may result from this treatment.

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Microdermabrasion

What is Microdermabrasion?

Microdermabrasion is a skin-freshening technique that helps repair facial skin that takes a beating from the sun and the effects of aging. Your medical care professional uses a device like a fine sandblaster to spray tiny crystals across the face, mixing gentle abrasion with suction to remove the dead, outer layer of skin. As with other skin rejuvenation techniques, more than one treatment may be needed to reduce or remove fine wrinkles and unwanted pigmentation. Other methods are also available that utilize a diamond fraise to essentially gently sand the skin.

How does Microdermabrasion work?

The hand piece emits crystals onto the surface of the skin, resulting in a gentle abrasion or "polishing" process. Each treatment takes from 30 minutes to an hour. The number of treatments recommended for maximal results can range between 5 and 12, spaced from 2 to 3 weeks apart. Maintenance of results requires periodic repeat treatments after the initial regimen is completed. Microdermabrasion may be combined with a light chemical peel to increase the effect.

What are the advantages of microdermabrasion?

Microdermabrasion leaves skin with a fresher, more glowing look. It diminishes sun damage, fine lines and wrinkles, enlarged pores, and coarse textured skin. Microdermabrasion also makes it easy for high-tech skin care products to actually penetrate into the deeper layers of the skin and help build collagen, which gives skin its youthful appearance

Sclerotherapy

Sclerotherapy is a medical specialty in which the doctor treats cosmetic and functional vein disorders. Many types of doctors deal with vein disorders, however not all doctors who deal with veins really understand how to do the job properly so that the problem is solved and does not return.

Most people come to a sclerotherapist for one of two reasons: appearance and discomfort. Probably the majority are concerned about the cosmetic appearance of "spider" veins just under the skin. True spider veins are fed from the arterial system and when compressed they refill from the center giving the impression of a spider spreading its legs.

What Are Spider Veins?

Spider veins are small, thin veins that lie close to the surface of the skin. Although these smaller veins are connected with the larger venous system, they are not an essential part of it. A number of factors contribute to the development of spider veins, including heredity, pregnancy and other events that cause hormonal shifts, weight gain, occupations or activities that require prolonged sitting or standing, and the use of certain medications.

Millions of women are bothered by spider veins - those small yet unsightly clusters of red, blue or purple veins that most commonly appear on the thighs, calves and ankles. In fact, it's estimated that at least half of the adult female population is plagued with this common cosmetic problem.

How is Sclerotherapy performed?

Sclerotherapy is performed in a doctor’s office. In most cases, a 23 percent sodium chloride sterile solution mixed with lidocaine (a local anesthetic) and heparin is injected into a very fine needle directly into the blood vessel, using a very fine needle. A solution without lidocaine is available for people who are allergic to lidocaine. The number of varicose veins injected in one session is variable, depending on the size and location of the veins, and the patient’s overall medical condition.

Sotredecol, or STS, is a chemical irritant that causes the vein to shut down. And it can be mixed with air to create a foam. This is also an effective treatment for saphenous reflux. Mild discomfort may occur, and a cramping sensation may be felt for 1 to 2 minutes when larger varicose veins are injected. The sclerotherapy procedure itself takes about 30 to 45 minutes.

What are side effects of sclerotherapy?

Certain side effects may be experienced after sclerotherapy. Larger injected varicose veins may become lumpy and hard for several months before resolving. Raised red areas may appear at the injection sites and should disappear within a few days. Brown lines or spots on the skin may be noted at the site of the injection, possibly caused by a form of iron that escapes from the injected veins. In most cases, they disappear within 3 to 6 months, but can be permanent about 5 percent of the time. Bruising may occur around the injection site and can last several days or weeks.

What should I bring to my appointment?

You will receive specific instructions on how to prepare for your spider vein treatment. Carefully following these instructions will help the procedure go more smoothly. You'll be instructed not to apply any type of moisturizer, sun block or oil to your legs on the day of your procedure. You may want to bring shorts to wear during the injections, as well as your physician-prescribed support hose, and slacks or sweatpants to wear home. When scheduling your procedure, keep in mind that your legs may be bruised or slightly discolored for some weeks afterward. You probably won't be comfortable wearing shorts, a swimsuit or a mini skirt until after your legs have cleared up a bit.

What should I expect after sclerotherapy treatment?

After treatment you will be able to drive yourself home. You may resume your regular activities and are encouraged to walk. You will be instructed to wear support hosiery or compression wraps to compress the treated vessels. Support stockings purchased from a department store may not be adequate if a heavy compression stocking is prescribed.

After the procedure, avoid aspirin, ibuprofen and other anti-inflammatory medications for at least 48 hours. Tylenol may be used if needed. Do not take hot baths or sit in a whirlpool or sauna, or apply hot compresses or any form of heat to the injected areas for 48 hours after treatment. In addition, avoid direct exposure to sunlight (sun bathing and tanning beds) jogging, high-impact aerobics and swimming for 7 to 10 days after the procedure.

Showers are permitted, but the water should be cooler than usual. The injection sites may be washed with a mild soap and lukewarm water.