Our provders will discuss your cosmetic goals with you and recommend the best treatment for you.  Click on the links below to learn about the services we offer:

BOTOX® Cosmetic 

After years of squinting, laughing, frowning, smoking, and worrying, the skin around the eyes and on the forehead will often develop deep lines and wrinkles called "expression lines." A frequent concern is that they often make you look older, tired, or stressed. Until recently, these advanced furrows have been difficult to treat. Now, by utilizing this FDA approved muscle-relaxing agent, expression lines can be significantly reduced.

Smile, laugh, frown, and make all the facial expressions you want and stop worrying about wrinkles!


How does BOTOX® Cosmetic work?
The contractions and movements of the facial muscles are controlled by signals from the brain. BOTOX® Cosmetic and Xeomin simply prevent the muscle from allowing responses to these messages. As a result, the muscle relaxes and the overlying skin remains unwrinkled and smooth.

What is treatment like?
botox logoWith a very fine needle, BOTOX® Cosmetic is injected into the specific muscle that is contracting and causing the lines and wrinkles on the face. Once you are unable to make the expression that creates the wrinkle, the lines will diminish. Deep lines will not completely disappear but they will soften. Some patients with very deep lines may benefit from also havinga dermal filler. Treatment is effective, safe, and takes approximately 15 minutes. The pain is a minimal "pin prick" and no anesthetic is required. Immediately following treatment, you may resume regular activities!

How long does the treatment last?
The effects usually last three to four months, and fade away gradually. Following several treatments, the results may last four to eight months or longer. 

Are there any possible side effects?
Side effects, if any, are usually mild and temporary. Temporary bruising is sometimes experienced, though this symptom resolves itself within two to three days. In rare cases, there can be a slight drooping of an eyelid or asymmetry of expression. If this should happen, please call our office.

What type of results will I see?
Typically, the effect of treatment is visible within three days. Maximum benefits are reached between 10 to 14 days. Once the muscle becomes dormant and the skin softens, you will have a more relaxed and youthful appearance.

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Dermal Fillers

Juvéderm™

Juvéderm® is a smooth consistency gel made of hyaluronic acid—a naturally occurring substance in your skin that helps to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

What can I Expect  and How Long Will Treatment Last?
Because Juvéderm® injectable gel is a simple, nonsurgical wrinkle treatment, there is minimal recovery or downtime. So you can make an appointment for treatment —and get right back to your life.

Before you go: We recommend that you avoid any medications that can prolong bleeding, such as aspirin and non-steroidal anti-inflammatories for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site.

We will examine the soft tissue of your face to assess the depth of wrinkles and folds to determine your treatment. Juvéderm® injectable gel is available in two formulations—Juvéderm® Ultra for versatility in contouring and volumizing facial wrinkles and folds, and Juvéderm® Ultra Plus, a robust formulation for volumizing and correcting deeper folds and wrinkles. This allows us to tailor treatment to your unique needs.

Although anesthesia is not required, topical or injectable anesthesia is available to numb the treatment area first. Juvéderm® is then injected under your skin to fill wrinkles and folds. Following the injection, your healthcare professional may gently massage the treated areas. The procedure is quick and easy. The injection itself usually takes only about 15 minutes. There is minimal recovery or downtime. You will see an immediate improvement in the treatment areas. Most individuals need one treatment to achieve optimal wrinkle smoothing. JUVÉDERM® is the ONLY hyaluronic acid (HA) filler FDA approved* to last up to 1 year

And one treatment can smooth your lines and wrinkles for up to 1 year!  Supplemental “touch up” treatments may be required to achieve and maintain optimal results.

Restylane®

Restylane® is long lasting cosmetic filler that provides dramatic results for improving the appearance of facial lines, wrinkles, and folds. This is a non-surgical solution to soften facial lines and wrinkles, restore volume and fullness to the skin, plump up lips, and fill in scars. Restylane® injected into the lips can give back fullness to lips that have receded. The cosmetic results are visible immediately, bestowing you with a more youthful and invigorated look.

What is the treatment like?
Restylane® is injected in small amounts under your skin to fill creases, lines, wrinkles, or folds. It is also injected around the lip area to create volume, resulting in a more youthful appearance. A skin test is not necessary prior to treatment, so treatment can be performed at any time. In order to optimize your comfort, the treatment area may be anesthetized with a topical cream or anesthetic block. Treatment results are immediately evident.

How long do the results last?
Depending on many factors, such as your lifestyle, age, and skin structure, your results may last as long as six months to a year or more. You may require a touch up treatment two to four weeks after the first treatment to achieve your desired result. Treatment to enhance the lips is reported to last much longer than treatment using standard collagen filler. When the effect of the treatment begins to diminish, you can replenish the area as needed.

What can I expect following treatment?
You can resume normal activities following treatment. The most commonly reported side effect has been redness and swelling at the injection site. These effects typically resolve within a few hours or, at most, a day or two. Results are immediately evident. Lines, wrinkles, and folds look softer and 

your skin looks smooth.

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Laser Treatmentbefore after laser treatment photos

Men and women of all ages are currently seeking better alternatives to maintaining healthy, youthful skin. Medical laser and intense pulsed light technology has evolved to provide non-invasive, "no down time" treatments for certain benign skin conditions. If you suffer from broken or raised capillaries/rosy cheeks, spider veins, birthmarks, port wine stains, Rosacea, or pigmented lesions such as age spots, sun spots and uneven pigmentation, laser skin treatments can provide a safe and effective alternative for you. Enjoy a more youthful appearance with skin rejuvenation!

What does treatment involve?
Light safely passes through the outermost layers of skin in search of the targeted vascular or pigmented lesions. Without damaging the surrounding skin, the laser's intense light is absorbed by the targeted lesion. The light energy is then converted to heat and this initiates the process of eliminating the lesion. The treated lesion will gradually fade or diminish. In many cases, smaller vessels or pigmentation spots are eliminated in one to two treatments. Medium or larger vessels may take additional treatments.

Laser treatment can be utilized for small facial areas or for the entire face. Recently, full-face treatments have become increasingly popular. Many people suffer from larger broken capillaries on their nose and cheeks and will have medium and smaller vessels on other facial areas. A full-face treatment will improve the overall facial appearance by creating a more uniform skin color and by smoothing the texture of the skin.

The laser hand piece quickly advances across the skin delivering pulses to the treatment site. A full-face treatment typically lasts anywhere from 20 to 40 minutes. Smaller areas, such as the nose, can be treated in 15 minutes. In some cases, a topical anesthetic cream is first applied to numb the treatment area. For a short period of time following treatment, a cold compress may be applied to soothe the possible appearance of slight swelling or redness of the skin. Treatments on the face, chest, neck, hands, legs, and abdomen are all done safely and quickly with laser technology.

How many treatments are required?
During your consultation, your skin's condition will be evaluated and a customized treatment program will be suggested. In some cases, only one or two treatments are required. However, in many cases three to five or more treatments will be required to achieve premium results. The number of treatment sessions will depend on the type of lesion to be treated, the location of the lesion on the body, and its size and color. In many cases, it is recommended that treatments applied to the face be repeated at three to four week intervals. The time intervals of your treatments will be determined during the consultation where many of these issues and concerns may be addressed.

 

Are there any side effects?
Side effects are rare. Immediately following treatment, the skin may appear flushed, brown-pigmented spots may appear darker, and capillaries may be more visible, before improvement takes place.

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Microdermabrasion

Men, women, and teens all share a common desire to have healthy, youthful skin. Microdermabrasion is a non-surgical, exfoliating treatment helpful for those unhappy with acne scarring, sun-damaged skin, age spots, freckles, stretch marks, fine lines, scars, and rough skin. Treatment is most frequently performed on the face. Microdermabrasion is a safe, therapeutic approach to skin care when used alone, or in combination with other treatments.

What is treatment like?
Microdermabrasion is performed with a stream of fine crystals, which are delivered across the skin's surface and then removed via vacuum, uprooting the damaged cells to reveal fresh, invigorated skin.

Newer technology with the Silk Peel system allows you to have all the benefits of microdermabrasion without the crystals!  By utilizing a diamond tip on the resurfacing device, the Silk Peel leaves skin fresh and youthful by precisely exfoliating the dry, rough, damaged outer layer of skin. Depending upon your individual needs, Silk Peel treatments can also be customized by infusing the skin with cosmeceuticals to moisturize your skin, treat acne, or treat hyperpigmentation.

What are the benefits of Microdermabrasion and SilkPeel?
Microdermabrasionand SilkPeel improve:

  • Skin Texture
  • Uneven Skin Color
  • Dull or Dry Patches
  • Acne and Acne Scarring
  • Rough, Thick or Dry Skin
  • Clogged Pores and Blackheads
  • Large Pores
  • Fine Lines
  • Sun Spots
  • Age Spots

Skin is restored to a more youthful appearance and best of all there is no "down time". Resume regular activities immediately!

What results can I expect?
Poor health, diet, aging, stress, and the elements of nature can hinder the skin's cell renewal process. Microdermabrasion accelerates the cellular turnover process, bringing you closer to healthier, younger-looking skin. It allows you to gradually resurface your skin without the risks, side effects, and down time of more aggressive alternatives. In as little as 20 minutes, this gentle, abrasive technique efficiently produces satisfying results. Improvements in appearance and texture will occur with successive treatments. Microdermabrasion can be used aggressively to achieve dramatic results, but does not take the place of surgical or laser treatments.

How many treatments will I need?
To achieve maximum results, five initial treatments are usually recommended, typically scheduled one to three weeks apart. Follow-up sessions are recommended every four to eight weeks. You will experience a progressive improvement throughout your treatment program.

 

How does my skin look immediately after treatment?
Microdermabrasion leaves your skin feeling soft and you will notice a healthy glow to your complexion. Due to the increase of circulation, a mild temporary blush surrounding the treated area may be the only evidence of your therapy.

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Sclerotherapy

Pregnancy, prolonged standing, and heredity are the primary causes of unsightly and often painful varicose and spider veins. As we age, more visible leg veins frequently emerge and our existing veins become increasingly noticeable. Spider veins most commonly show up on the legs but can also appear on the face. There is a simple solution to this problem: a sclerosing solution and a cosmetic procedure called sclerotherapy!

What is Sclerotherapy?
Sclerotherapy was developed over 75 years ago and at present is one of the most prevalent treatments for spider and varicose veins. During the treatment, a sclerosing agent is injected into the vein through a tiny needle. Treatment can last from 15 minutes to 45 minutes, depending on the number of veins treated in a particular session. Upon injection, the solution replaces the blood in the vein, generating irritation and corrosion to the walls of the vessel. The body then initiates the natural healing process and the vein begins to decompose, shrink, and eventually disappear.

What results will I see?
Gradual improvement will be noticed. Many patients experience 60% to 80% of the treated vessels resolved. During your consultation, you will be advised as to the number of treatments necessary to achieve desired results.

What are the side effects?
In most cases, you will be able to resume regular activities immediately. However, excessive standing or vigorous activities are not advised for 24 to 48 hours. Following treatment, the affected veins may darken and the area may appear bruised. Support hose or a snug wrapping to the treated area is recommended. This application of pressure will help reduce side effects and aid in more effective healing and treatment. After the treatment of larger vessels, the affected area may appear pigmented, but this is temporary and will fade over time.

Who is a candidate?
Our dermatologists will determine if you are a candidate. During your consultation, a review of your medical history will ascertain the cause and severity of your condition. Depending on the types of veins, a combination of different treatment modalities may be suggested.

How many treatments will it take?
The number of sessions required varies from individual to individual and should be discussed with our dermatologists. In some cases, as few as two or three treatments will fulfill the desired outcome. In other situations, several treatments may be required to achieve the optimum result.

 

What is treatment like?
The vessels in question will be examined and reviewed with you by our dermatologist. A treatment strategy will then be decided upon to eradicate these veins. You may be asked to stand while the problem veins are marked and photographed. The sclerosing agent will then be injected into the targeted veins. Discomfort is minimal and no anesthesia is required. You will be asked to wear support hose or a supportive wrap for a short period of time following treatment. This precautionary post-treatment measure will apply compression to the treated vessels to prevent recurrence.

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Chemical Peels and ViPeel

Men and women alike share a common desire to have healthy, youthful skin. Exposure to the sun and the elements in combination with adverse living habits contribute to the appearance of our skin. Chemical peels are increasingly popular with those who are unhappy about acne scarring, sun-damaged skin, age spots, freckles, fine lines, rough skin, and uneven pigmentation.

What is a Chemical Peel?
Chemical peels are topically applied acids that aid in the restoration and rejuvenation of the skin's surface. They create a uniform and controlled shedding of several layers of the skin. Depending on the nature and depth of the peel, a significant number of layers can be exfoliated allowing new growth to be exposed, creating a fresh vibrant appearance.

Who are candidates?
Your skin type and the results you are aspiring to achieve will determine if you are a candidate, as well as which class of peel is most appropriate for you.

What are the benefits of a Chemical Peel?
Chemical peels can enhance your appearance by reducing blotchy and uneven pigmentation, fine lines and wrinkles, freckling, age spots, sun-damaged skin, and acne scars in a relatively brief measure of time. Chemical peels accelerate the production of new cells. Enjoy fresh smooth skin immediately after your first treatment!

What are the side effects?
Chemical peels have become increasingly popular because of the array of advantages and relative lack of complications. Side effects are rare and usually temporary. Some side effects include uneven pigmentation, redness, and very infrequent scarring if the skin is not cared for appropriately. Sun protection is crucial to minimize the risk of side effects. A treatment program of individually suited products and sun protection will benefit your skin's ability to maintain the results of the peel. You can decrease the likelihood of side effects by carefully following the instructions from your dermatologist.

Types of Chemical Peels:
Chemical peels are classified as superficial, medium, and deep peels.

Superficial Peel- This peel is designed to help smooth coarse, dry skin, improve the texture of sun-damaged skin, and even out skin tone. The recovery is generally rapid and usually involves some minor flaking. A series of treatments is ordinarily recommended to obtain the desired result over a period of time. Typically, there is no down time and with appropriate sun protection, you can resume regular activities immediately.

Medium Peel- Medium peels contain a stronger potency of acids. Medium peels target the epidermis and upper dermis and cause the skin to slough within five to seven days. Immediately after treatment the skin has a red appearance and is occasionally accompanied by swelling. Within a day the skin turns brown in color, and after three or four days the skin initiates the peeling process.

Deep Peel- Deep peels produce the most dramatic results. This peel is recommended for treating wrinkles, scars, blemishes and, in some cases, precancerous skin lesions. A deep peel targets the dermis. In some cases, anesthesia is required during the procedure to reduce the warm to hot stinging sensation. After a deep peel, the skin is red and can result in some swelling and blistering. A crust may form and the skin will turn brown just prior to peeling. Many layers of the skin will peel over a period of one to two weeks. An ointment may be given to keep the area moist. Temporarily, the new skin will have the color and sensation of significant sunburn, which will gradually fade to your normal skin color.

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Contact Us

Dermatology & Advanced Skin Care

(410) 203-0607
6021 University Blvd, Suite 390 Ellicott City, MD 21043