Chemical Peels-Physician-performed peels are available with medical grade acids at varying strengths and with different chemicals (TCA and Jessner’s Modified Solution) to help peel the skin to soften wrinkles, scars, and other lesions; fade age spots and other abnormal or irregular skin pigmentation; and also stimulate skin collagen and elastin to help tone loose and sagging skin. Lighter peels require multiple treatments to achieve similar results to deeper peels.

Laser Skin Rejuvenation Procedures-Skin rejuvenation can be done with different lasers. The Nd:Yag laser can treat vascular lesions and also heat deeper skin layers to promote collagen and elastin and skin tightening while the Er:Yag laser can also heat the skin and deeper layers in a different way than the Nd:Yag to stimulate collagen and elastin and tighten skin and the Er:Yag also can be set to peel and resurface the skin to soften wrinkles, scars, and other lesions; fade age spots and other abnormal or irregular skin pigmentation; and also to remove benign lesions. Multiple lighter peels are required to achieve similar results as to a deeper peel.

Laser Hair Reduction-Nd:YAG laser targets the blood supply and germ cells of the actively growing hair follicles to destroy “crops” of hair which, over time and successive treatments, reduce the numbers of overall hair follicles thus, thinning the “forest” of hair in that area. Compared to other machines/lasers targeting hair pigment, the Nd:Yag may be able to treat lighter hairs with minimal or no pigment and are safer (with less risk of causing hypo- or hyper-pigmentation) for people of color who have more pigment in their skin which can be negatively affected. While permanent hair reduction is the goal with any hair reduction machine, some people seem to be more resistant (possibly due to some underlying hormonal issue) to achieving complete removal and require more numerous treatments or intermittent “maintenance” treatments.   

Laser Spider Vein Treatment-The Nd:Yag laser targets the blood in the vessels, generating heat that destroys the blood and the blood vessel wall. The vein then shrinks and eventually is resorbed and fades over time. Laser or light therapy are preferred methods for treating facial veins. Repeat touch up treatments are often necessary.

Sclerotherapy Spider Vein Treatment-Chemicals like Asclera®  are injected into the spider vein, causing it to collapse, scar, and eventually resorb and fade over time. Repeat touch up treatments are often necessary.

Botox®  or Xeomin® -These injectable neuromuscular modulators cause a temporary relaxation or paralysis of the muscles injected. They have cosmetic use for relaxing active facial wrinkles like frown lines between the brows, “crows feet” around the eyes, forehead lines, chin wrinkles, wrinkles around the mouth, platysmal neck bands,downturning of the corners of the mouth. They are only FDA-approved for cosmetic use for some facial muscles but are commonly used in all those areas. They also have FDA-approval for other therapeutic uses such as for excessive sweating and chronic migraine. For insurance coverage for therapeutic uses (like excessive sweating and chronic migraine) you need to first see your primary care provider and document the diagnosis, the severity of the problem and document your response (or lack thereof) to other treatment options. It is usually easier for you to get prior authorization approval from your insurance if you see other local providers. However, you can choose to have these treatments performed here without this documentation and approval (particularly if your symptoms are not quite severe enough to meet insurance criteria), if you simply pay yourself, without submitting to your insurance.

Dermal Fillers-Allergan’s Juvederm®  family of dermal fillers are useful for comprehensive facial sculpting including cheek, chin, and lip augmentation and for softening skin folds and sagging due to aging, or for filling of facial scars or other defects or skin deficits.

Body Sculpting Fat Dissolving Injections-Injection lipolysis is a type of mesotherapy whereby a single chemical or a combination thereof, is injected into localized areas of fat, causing breakdown of the fat cells which are later absorbed. Kybella®  is the only FDA-approved formulation of deoxycholic acid injection for dissolving fat that is causing a double chin or submental fullness. Other chemicals like phosphatidylcholine and deoxycholate combined can be used under the chin and in other body areas though these chemicals are not as yet FDA-approved and require pre-ordering (with a specific patient prescription and preparation from a special compounding pharmacy). Multiple treatments are often required to achieve desired results.

Hypotrichosis Treatment-Latisse® , is the only FDA-approved prescription medication for inadequate eyelashes due to aging or other causes is available for purchase. When brushed on the upper lashes nightly, it is proven to make lashes thicker/fuller, longer, and sometimes darker.

Skin Care-Newport Cosmeceutical products are available at comparable or less cost than otherwise available online and regular and seasonal discounts are additionally available at NILSS. Newport products contain retinol (Vitamin A), Vitamins C, E & K, alpha-hydroxy-acids (e.g., glycolic), hyaluronic acid, peptides, green tea and gingko biloba extracts, spot-correctors (e.g., kojic acid and hydroquinone), and other ingredients “designed to deliver dramatic results in a minimal amount of time.” Prescription-strength retinoids (e.g., tretinoin) and spot-correcting products (e.g., hydroquinone) can be prescribed as well and then purchased at the pharmacy of your choice, though these “cosmetic” prescriptions are not usually covered under most medical prescription plans. 

See the Useful LInks page for links to websites with more detailed information.