Cosmetic Dermatology

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Injectables, Fillers & Volumizers

BOTOX® Cosmetic


Botox injections are the most commonly performed cosmetic procedure used to reduce or eliminate the appearance of facial wrinkles through minimally invasive injections. These injections are made from botulinum toxin A, a therapeutic muscle-relaxing agent approved by the FDA for several different uses. When injected into the skin, it can block the nerve muscles that are responsible for the repetitive actions that cause fine lines and wrinkles, smoothing them away for a younger and more refreshed appearance.

After treatment, the appearance of your wrinkles begins to improve within 24 hours, with full results developing gradually over the next five days. Most patients achieve their desired results after just one injection, although additional treatment sessions may be required in the future. The results of Botox injections typically last up to four months, with some patients reporting results lasting up to a full year.

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Juvéderm® Injectable Gel


Juvéderm Injectable Gel is a safe, effective gel that restores volume to the skin and smoothes away moderate to severe facial wrinkles and folds. Juvéderm is the first FDA-approved dermal filler proven safe and effective for persons of color. The Juvéderm gel is made of hyaluronic acid with a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing needed for this procedure.

Topical or injectable anesthesia may be used during this procedure to numb the treatment area and minimize any potential discomfort. The results of this procedure are available right away and can usually last for up to a year, the longest results available from any hyaluronic acid product.

Juvéderm® VOLUMA™ XC


Juvéderm Voluma is a new, FDA-approved dermal filler formulated specifically to add volume to the face around the cheeks and chin. This is the only injectable gel created to provide a subtle, natural enhancement to the mid-face, addressing changes in definition that occur over time. Juvéderm Voluma can help restore more youthful contours by plumping up the area that so often loses volume as part of the aging process. It can also return a firmer shape to the jaw line when some softening has set in.

Juvéderm Voluma is not only an effective treatment method, but it is long lasting as well. In many patients, the results will last for a period of up to 18 months.

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Radiesse is a synthetic injectable filler that has been approved by the FDA to reduce moderate to severe wrinkles, folds and creases around the nose and mouth by stimulating the natural production of collagen in the skin. This product is made of microspheres composed of calcium hydroxylapatite within a water-based gel and is made from minerals similar to what makes up our bones. Radiesse can be injected directly into the skin with no need for pre-testing.

Radiesse is most effective in reducing the appearance of smile lines, nasolabial folds, marionette lines and other wrinkles around the nose and mouth. The results of this procedure are visible immediately after the injection and can last for up to a year or even longer.With continued treatment, patients will require fewer and fewer injections.



Xeomin is a form of botulinum toxin type A that can be injected into the muscles just beneath the skin to reduce facial lines and wrinkles. Particularly effective in treating deep frown lines between the eyebrows, Xeomin has received FDA approval.

Like other types of botulinum treatments, Xeomin prevents muscles from contracting. However, Xeomin is different from its predecessors in that it contains no additives, which may decrease a patient’s antibody reaction. If the immune system is not creating antibodies to fight it, the treatment will be much more successful.

Results of Xeomin treatment are typically evident in one week and last between three and six months.

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Sculptra is an injectable filler that restores facial fat lost by the effects of lipoatrophy, including sunken cheeks, hollow eyes and other indentations. This filler is injected below the surface of the skin in the areas of fat loss. The Sculptra injection consists of an alpha hydroxyl acid called poly-L-lactic acid, or PLLA. This product is safe, synthetic, biocompatible, biodegradable and long-lasting. No pre-testing is required for Sculptra treatments.

The results of Sculptra will appear gradually after the injection, with most patients able to achieve their desired results after just one treatment session. The length of the results can vary from patient to patient, but often last for up to two years.

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Belotero is the latest, most advanced form of dermal filler available today. It has a unique ability to integrate with the tissues of your skin, providing volume and a more youthful shape to your face. Belotero can reduce lines and wrinkles while enhancing your own facial contours. This treatment is particularly successful around the nose and mouth, achieving smoother skin with natural-looking results. The quick and nearly painless procedure typically takes 20 minutes and most people can return to work immediately afterward. The results of Belotero treatment are not permanent and vary by individual. For most patients, the effects are still visible nine months after an injection. Follow-up treatments are typically done every six to 12 months

Fat Transplantation

Also called fat grafting or autologous fat transfer, fat transplantation involves the removal and relocation of the patient’s own body fat to plump up an area of the face. It is a surgical procedure that involves restoring lost volume in the lips, temples, cheeks or chin with the patient’s own fat. This procedure is effective in treating sunken areas, facial lines, acne scars and other problems of lost volume that have developed as a result of aging, sun damage and other conditions. Fat transplantation is also commonly used for wrinkle and crease reduction.

Fat is removed from the patient through liposuction. It is often taken from an area that has excess fat that the patient is happy to have sculpted, such as the abdomen, buttocks or thighs. It is then processed and purified before being injected into the area being treated. Both sites are numbed with local anesthesia prior to treatment.

Unlike fillers and other volume-enhancing treatments, fat transplants are taken from the patient’s own body, and as a result it does not carry a risk of allergic reaction or rejection. The fat is naturally accepted by the body. Fat transplantation procedures may also last longer than synthetic materials. Other advantages include a short recovery time, long-lasting results and effectiveness on any skin type.

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Pristine ™ Microdermabrasion delivers a precision diamond peel with laser-cut diamond heads that are designed to improve the overall appearance and quality of the skin. Pristine ™ works via dual mechanism of exfoliation and vacuum. The mechanical exfoliation process produces superficial ablation of the outer skin layers and stimulates the renewal of skin cells. The vacuum stimulates blood flow, helping in rebuilding collagen and elastin, and encourages lymphatic activity. Microdermabrasion can also be combined with other cosmetic procedures.

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Ear piercings should only be performed by a properly trained and licensed person using a new, sterile needle. Having the ears pierced is a very common procedure, but poor after-care can lead to infections that may have permanent effects on the health and appearance of the ears. The most important part of caring for newly pierced ears is keeping the piercing clean. The ear lobe can become infected if the area is exposed to bacteria. The ideal method of cleaning is to soak a cotton swab in hydrogen peroxide and apply it to both sides of the ears, once in the morning and once in the evening each day. If the pierced area starts to redden or itch, an antibiotic ointment may be needed to prevent an infection from developing. If the redness and/or itching persist for more than a couple of days or fluid drainage occurs, it may be necessary to visit the doctor.

Earlobe Repair

Over time, a pierced earlobe can become stretched if a person frequently wears large or heavy earrings. In addition to creating a long or wide opening, earrings may tear completely through the lobe. A torn earlobe may also result from trauma, such as having an earring pulled off or caught on clothing. Torn earlobes can be repaired with a quick in-office procedure performed under local anesthesia.

Cosmetic Removal of Moles & Birthmarks

Many moles and birthmarks on the skin are completely benign, and pose no threat to the person on whom they appear, even if they are unsightly. Oftentimes, though, patients will want these moles removed because they find them to be unattractive. Fortunately, there are a number of effective removal treatment options available today including, lasers, pulsed light therapy and surgical excision.

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Removal of Skin Tags

Skin tags are little pieces of skin that stick out from the surface of the skin. While skin tags are not cancerous and don’t cause problems unless they are continuously irritated, many people nevertheless choose to have these painless growths removed for precautionary or cosmetic purposes. Small tags may be removed without the use of anesthesia, while larger ones may require a local anesthetic.

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Call (203) 972-7546 or schedule a consultation to learn more.