Name: Juno Dermatology
Address: 3801 PGA Blvd Ste 107, Palm Beach Gardens, FL, 33410
Telephone: 561-594-0050

Medical Dermatology

Acne

Acne is the most frequent skin condition in the United States. It is characterized by pimples that appear on the face, back and chest. Every year, about 80% of adolescents have some form of acne and about 5% of adults experience acne. Acne is made up of two types of blemishes:

Whiteheads/Blackheads

also known as comedones, are non-inflammatory and appear more on the face and shoulders. As long as they remain uninfected, they are unlikely to lead to scarring.

Red Pustules or Papules

are inflamed pores that fill with pus. These can lead to scarring.

Causes

In normal skin, oil glands under the skin, known as sebaceous glands, produce an oily substance called sebum.

The sebum moves from the bottom to the top of each hair follicle and then spills out onto the surface of the skin, taking with it sloughed-off skin cells. With acne, the structure through which the sebum flows gets plugged up. This blockage traps sebum and sloughed-off cells below the skin, preventing them from being released onto the skin's surface. If the pore's opening is fully blocked, this produces a whitehead. If the pore's opening is open, this produces blackheads. When either a whitehead or blackhead becomes inflammed, they can become red pustules or papules.

It is important for patients not to pick or scratch at individual lesions because it can make them inflamed and can lead to long-term scarring.

Treatment

Treating acne is a relatively slow process; there is no overnight remedy. Some treatments include:

Benzoyl Peroxide

Used in mild cases of acne, benzoyl peroxide reduces the blockages in the hair follicles.

Oral and Topical Antibiotics

Used to treat any infection in the pores.

Hormonal Treatments

Can be used for adult women with hormonally induced acne.

Tretinoin

A derivative of Vitamin A, tretinoin helps unplug the blocked-up material in whiteheads/blackheads. It has become a mainstay in the treatment of acne.

Extraction

Removal of whiteheads and blackheads using a small metal instrument that is centered on the comedone and pushed down, extruding the blocked pore.

Rosacea

Rosacea is a chronic skin condition that causes facial redness, acne-like pimples, visible small blood vessels on the face, swelling and/or watery, irritated eyes.

This inflammation of the face can affect the cheeks, nose, chin, forehead or eyelids. More than 14 million Americans suffer from rosacea. It is not contagious, but there is some evidence to suggest that it is inherited. There is no known cause or cure for rosacea. There is also no link between rosacea and cancer.

Rosacea generally begins after age 30 and goes through cycles of flare-ups and remissions.

Over time, it gets ruddier in color and small blood vessels (like spider veins) may appear on the face. If left untreated, bumps and pimples may form, the end of the nose may become swollen, red and bulbous and eyes may water or become irritated.

Rosacea occurs most often among people with fair skin who tend to blush or flush easily.

It occurs more often among women than men, but men tend to suffer from more severe symptoms. Most patients experience multiple symptoms at varying levels of severity.

Symptoms

These symptoms may also appear on the neck, chest, scalp and ears. Common symptoms include:

Flushing

Persistently Red Skin on the Face

Bumps Or Acne-like Pimples

Visible Blood Vessels on Facial Skin

Watery Or Irritated Eyes

Burning, Itching Or Stinging of Facial Skin

Skin Roughness and Dryness

Raised Red Patches

Swelling (Edema)

Leading Triggers

While there is no cure for rosacea and each case is unique, your doctor will probably prescribe oral antibiotics and topical medications to reduce the severity of the symptoms. When the condition goes into remission, only topical treatments may be needed. In more severe cases, a vascular laser, intense pulsed light source or other medical device may be used to remove any visible blood vessels and reduce excess redness and bumpiness on the nose. To help reduce the incidence of flare-ups, a gentle daily skin care routine is recommended that includes the use of mild, non-abrasive cleansers, soft cloths, rinsing in lukewarm water (not hot or cold), and blotting the face dry (not rubbing). Additionally, individuals with rosacea need to protect themselves from sun exposure by using sunscreens with SPF 15 or higher and sunblocks that eliminate UVA and UVB rays. Patients are also encouraged to keep a record of flare-ups to try and determine the lifestyle and environmental triggers that aggravate the condition. Research conducted by the National Rosacea Foundation found that the leading triggers for rosacea are:

Sun Exposure

Hot Or Cold Weather

Emotional Stress

Wind

Alcohol

Heavy Exercise

Spicy Foods

Hot Baths

Heated Beverages

Some Skin Care Products

Humidity

Indoor Heat

Moles

Moles are brown or black growths, usually round or oval, that can appear anywhere on the skin. They can be rough or smooth, flat or raised, single or in multiples. They occur when cells that are responsible for skin pigmentation, known as melanocytes, grow in clusters instead of being spread out across the skin. Generally, moles are less than one-quarter inch in size. Most moles appear by the age of 20, although some moles may appear later in life. Most adults have between 10 and 40 moles. Because they last about 50 years, moles may disappear by themselves over time. Most moles are harmless, but a change in size, shape, color or texture could be indicative of a cancerous growth. Moles that have a higher-than-average chance of becoming cancerous include:

Congenital Nevi

Moles present at birth. The larger their size, the greater the risk for developing into a skin cancer.

Atypical Dysplastic Nevi

Irregularly shaped moles that are larger than average. They often appear to have dark brown centers with light, uneven borders.

Higher frequency of moles

If any of these conditions occur, please make an appointment to see one of our dermatologists right away. The doctor may do a biopsy of the mole to determine if it is or isn't cancerous and/or may surgically remove it. People with 50 or more moles are at a greater risk for developing a skin cancer. In some cases, abnormal moles may become painful, itchy, scaly or bleed. It's important to keep an eye on your moles so that you can catch any changes early. We recommend doing a visual check of your body monthly, including all areas that don't have sun exposure (such as the scalp, armpits or bottoms of feet). Use the American Academy of Dermatology's ABCDEs as a guide for assessing whether or not a mole may be becoming cancerous:

Asymmetry

Half the mole does not match the other half in size, shape or color.

Border

The edges of moles are irregular, scalloped, or poorly defined.

Color

The mole is not the same color throughout.

Diameter

The mole is usually greater than 6 millimeters when diagnosed, but may also be smaller.

Evolving

A mole or skin lesion that is different from the rest, or changes in size, shape, or color.

Psoriasis

Psoriasis is a skin condition that creates red patches of skin with white, flaky scales. It most commonly occurs on the elbows, knees and trunk, but can appear anywhere on the body. The first episode usually strikes between the ages of 15 and 35. It is a chronic condition that will then cycle through flare-ups and remissions throughout the rest of the patient's life. Psoriasis affects as many as 7.5 million people in the United States. About 20,000 children under age 10 have been diagnosed with psoriasis. In normal skin, skin cells live for about 28 days and then are shed from the outermost layer of the skin. With psoriasis, the immune system sends a faulty signal which speeds up the growth cycle of skin cells. Skin cells mature in a matter of 3 to 6 days. The pace is so rapid that the body is unable to shed the dead cells, and patches of raised red skin covered by scaly, white flakes form on the skin. Psoriasis is a genetic disease (it runs in families), but is not contagious. There is no known cure or method of prevention. Treatment aims to minimize the symptoms and speed healing.

Treatment

Psoriasis is classified as Mild to Moderate when it covers 3% to 10% of the body and Moderate to Severe when it covers more than 10% of the body. The severity of the disease impacts the choice of treatments.

Mild to Moderate Psoriasis

Mild to moderate psoriasis can generally be treated at home using a combination of three key strategies: over-the-counter medications, prescription topical treatments and light therapy/phototherapy.

Types of Psoriasis

People who have psoriasis are at greater risk for contracting other health problems, such as heart disease, inflammatory bowel disease and diabetes. It has also been linked to a higher incidence of cardiovascular disease, hypertension, cancer, depression, obesity and other immune-related conditions. Psoriasis triggers are specific to each person. Some common triggers include stress, injury to the skin, medication allergies, diet and weather. There are five distinct types of psoriasis:

Plaque Psoriasis (Psoriasis Vulgaris)

About 80% of all psoriasis sufferers get this form of the disease. It is typically found on the elbows, knees, scalp and lower back. It classically appears as inflamed, red lesions covered by silvery-white scales.

Guttate Psoriasis

This form of psoriasis appears as small red dot-like spots, usually on the trunk or limbs. It occurs most frequently among children and young adults. Guttate psoriasis comes on suddenly, often in response to some other health problem or environmental trigger, such as strep throat, tonsillitis, stress or injury to the skin.

Inverse Psoriasis

This type of psoriasis appears as bright red lesions that are smooth and shiny. It is usually found in the armpits, groin, under the breasts and in skin folds around the genitals and buttocks.

Pustular Psoriasis

Pustular psoriasis looks like white blisters filled with pus surrounded by red skin. It can appear in a limited area of the skin or all over the body. The pus is made up of white blood cells and is not infectious. Triggers for pustular psoriasis include overexposure to ultraviolet radiation, irritating topical treatments, stress, infections and sudden withdrawal from systemic (treating the whole body) medications.

Erythrodermic Psoriasis

One of the most inflamed forms of psoriasis, erythrodermic psoriasis looks like fiery, red skin covering large areas of the body that shed in white sheets instead of flakes. This form of psoriasis is usually very itchy and may cause some pain. Triggers for erythrodermic psoriasis include severe sunburn, infection, pneumonia, medications or abrupt withdrawal of systemic psoriasis treatment.

Over-the-Counter Medications

The U.S. Food and Drug Administration has approved of two active ingredients for the treatment of psoriasis: salicylic acid, which works by causing the outer layer to shed, and coal tar, which slows the rapid growth of cells. Other over-the-counter treatments include:

Scale lifters that help loosen and remove scales so that medicine can reach the lesions.

Bath solutions, like oilated oatmeal, Epsom salts or Dead Sea salts that remove scaling and relieve itching.

Occlusion, in which areas where topical treatments have been applied are covered to improve absorption and effectiveness.

Anti-itch preparations, such as calamine lotion or hydrocortisone creams.

Moisturizers designed to keep the skin lubricated, reduce redness and itchiness and promote healing.

Prescription Topical Treatments

Prescription topicals focus on slowing down the growth of skin cells and reducing any inflammation. They include:

Anthralin, used to reduce the growth of skin cells associated with plaque.

Calcipotriene, that slows cell growth, flattens lesions and removes scales.

It is also used to treat psoriasis of the scalp and nails.

Calcipotriene and Betamethasone Dipropionate.

In addition to slowing down cell growth, flattening lesions and removing scales, this treatment helps reduce the itch and inflammation associated with psoriasis.

Calcitriol, an active form of vitamin D3 that helps control excessive skin cell production.

Tazarotene, a topical retinoid used to slow cell growth.

Topical steroids, the most commonly prescribed medication for treating psoriasis.

Topical steroids fight inflammation and reduce the swelling and redness of lesions.

Light Therapy/Phototherapy

Controlled exposure of skin to ultraviolet light has been a successful treatment for some forms of psoriasis. Three primary light sources are used:

Sunshine (both UVA and UVB rays)

Sunshine can help alleviate the symptoms of psoriasis, but must be used with careful monitoring to ensure that no other skin damage takes place. It is advised that exposure to sunshine be in controlled, short bursts.

Excimer lasers

These devices are used to target specific areas of psoriasis. The laser emits a high-intensity beam of UVB directly onto the psoriasis plaque. It generally takes between 4 and 10 treatments to see a tangible improvement.

Pulse dye lasers

Similar to the excimer laser, a pulse dye laser uses a different wavelength of UVB light. In addition to treating smaller areas of psoriasis, it destroys the blood vessels that contribute to the formation of lesions. It generally takes about 4 to 6 sessions to clear up a small area with a lesion.

Moderate to Severe Psoriasis

Treatments for moderate to severe psoriasis include prescription medications, biologics and light therapy/phototherapy.

Oral medications

This includes acitretin, cyclosporine and methotrexate. Your doctor will recommend the best oral medication based on the location, type and severity of your condition.

Biologics

A new classification of injectable drugs, biologics are designed to suppress the immune system. These tend to be very expensive and have many side effects, so they are generally reserved for the most severe cases.

Light Therapy/Phototherapy

Controlled exposure of skin to ultraviolet light has been a successful treatment for some forms of psoriasis. Two primary light sources are used:

Sunshine (both UVA and UVB rays)

PUVA

This treatment combines a photosensitizing drug (psoralens) with UVA light exposure. This treatment takes several weeks to produce the desired result. In some severe cases, phototherapy using UVB light may lead to better results.

Rashes

"Rash" is a general term for a wide variety of skin conditions. A rash refers to a change that affects the skin and usually appears as a red patch or small bumps or blisters on the skin. The majority of rashes are harmless and can be treated effectively with over-the-counter anti-itch creams, antihistamines and moisturizing lotions. A rash may be a sign of a more serious illness, such as Lyme Disease, Rocky Mountain Spotted Fever, liver disease, kidney disease or some types of cancers. If you experience a rash that does not go away on its own after a few weeks, make an appointment to see one of our dermatologists to have it properly diagnosed and treated. Rashes can be a symptom for other skin problems. The most prevalent of these are:

Atopic Dermatitis, the most common form of eczema.

Bacterial Infections, such as impetigo.

Contact Dermatitis, a type of eczema caused by coming into contact with an allergen.

Chronic skin problems, such as acne, psoriasis or seborrheic dermatitis.

Fungal Infections, such as ringworm and yeast infection.

Viral Infections, such as shingles.

Skin Cancers

Skin cancer is the most common form of human cancers, affecting more than one million Americans every year. One in five Americans will develop skin cancer at some point in their lives. Skin cancers are generally curable if caught early. However, people who have had skin cancer are at a higher risk of developing a new skin cancer, which is why regular self-examination and doctor visits are imperative. The vast majority of skin cancers are composed of three different types: basal cell carcinoma, squamous cell carcinoma and melanoma.

Basal Cell Carcinoma

Despite the different appearances of the cancer, they all tend to bleed with little or no cause. Eighty-five percent of basal cell carcinomas occur on the face and neck since these are areas that are most exposed to the sun. Risk factors for basal cell carcinoma include having fair skin, sun exposure, age (most skin cancers occur after age 50), exposure to ultraviolet radiation (as in tanning beds) and therapeutic radiation given to treat an unrelated health issue. Diagnosing basal cell carcinoma requires a biopsy - either excisional, where the entire tumor is removed along with some of the surrounding tissue, or incisional, where only a part of the tumor is removed (used primarily for large lesions). This is the most common form of skin cancer. Basal cells reside in the deepest layer of the epidermis, along with hair follicles and sweat ducts. When a person is overexposed to UVB radiation, it damages the body's natural repair system, which causes basal cell carcinomas to grow. These tend to be slow-growing tumors and rarely metastasize (spread). Basal cell carcinomas can present in a number of different ways:

raised pink or pearly white bump with a pearly edge and small, visible blood vessels

pigmented bumps that look like moles with a pearly edge

a sore that continuously heals and re-opens

flat scaly scar with a waxy appearance and blurred edges

Treatments for basal cell carcinoma include

Cryosurgery

Some basal cell carcinomas respond to cryosurgery, where liquid nitrogen is used to freeze off the tumor.

Curettage and Desiccation

The preferred method of dermatologists, this treatment involves using a small metal instrument (called a curette) to scrape out the tumor along with an application of an electric current into the tissue to kill off any remaining cancer cells.

Mohs Micrographic Surgery

The preferred method for large tumors, Mohs Micrographic Surgery combines removal of cancerous tissue with microscopic review while the surgery takes place. By mapping the diseased tissue layer by layer, less healthy skin is damaged when removing the tumor.

Prescription Medicated Creams

These creams can be applied at home. They stimulate the body's natural immune system over the course of weeks.

Radiation Therapy

Radiation therapy is used for difficult-to-treat tumors, either because of their location, severity or persistence.

Surgical Excision

In this treatment the tumor is surgically removed and stitched up.

Squamous Cell Carcinoma

Squamous cells are found in the upper layer (the surface) of the epidermis. They look like fish scales under a microscope and present as a crusted or scaly patch of skin with an inflamed, red base. They are often tender to the touch. It is estimated that 250,000 new cases of squamous cell carcinoma are diagnosed annually, and that 2,500 of them result in death. Squamous cell carcinoma can develop anywhere, including inside the mouth and on the genitalia. It most frequently appears on the scalp, face, ears and back of hands. Squamous cell carcinoma tends to develop among fair-skinned, middle-aged and elderly people who have a history of sun exposure. In some cases, it evolves from actinic keratoses, dry scaly lesions that can be flesh-colored, reddish-brown or yellow black, and which appear on skin that is rough or leathery. Actinic keratoses spots are considered to be precancerous. Like basal cell carcinoma, squamous cell carcinoma is diagnosed via a biopsy either excisional, where the entire tumor is removed along with some of the surrounding tissue, or incisional, where only a part of the tumor is removed (used primarily for large lesions). Treatments for basal cell carcinoma include:

Cryosurgery

Some basal cell carcinomas respond to cryosurgery, where liquid nitrogen is used to freeze off the tumor.

Curettage and Desiccation

Mohs Micrographic Surgery

Prescription Medicated Creams

These creams can be applied at home. They stimulate the body's natural immune system over the course of weeks.

Radiation Therapy

Radiation therapy is used for difficult-to-treat tumors, either because of their location, severity or persistence.

Surgical Excision

In this treatment the tumor is surgically removed and stitched up.

Melanoma

While melanoma is the least common type of skin cancer

it is by far the most virulent. It is the most common form of cancer among young adults age 25 to 29. Melanocytes are cells found in the bottom layer of the epidermis. These cells produce melanin, the substance responsible for skin pigmentation. That's why melanomas often present as dark brown or black spots on the skin. Melanomas spread rapidly to internal organs and the lymph system, making them quite dangerous. Early detection is critical for curing this skin cancer.

Melanomas look like moles and often do grow inside existing moles.

That's why it is important for people to conduct regular self-examinations of their skin in order to detect any potential skin cancer early, when it is treatable. Most melanomas are caused by overexposure to the sun beginning in childhood. This cancer also runs in families.

Melanoma is diagnosed via a biopsy.

Treatments include surgical removal, radiation therapy or chemotherapy.

What to Look For

The key to detecting skin cancers is to notice changes in your skin. Look for:

Large brown spots with darker speckles located anywhere on the body.

Dark lesions on the palms of the hands and soles of the feet, fingertips toes, mouth, nose or genitalia.

Translucent pearly and dome-shaped growths.

Existing moles that begin to grow, itch or bleed.

Brown or black streaks under the nails.

A sore that repeatedly heals and re-opens.

Clusters of slow-growing scaly lesions that are pink or red.

ABCDE Guide

If any of these conditions occur, please make an appointment to see one of our dermatologists right away. The doctor may do a biopsy of the mole to determine if it is or isn't cancerous. . The American Academy of Dermatology has developed the following ABCDE guide for assessing whether or not a mole or other lesion may be becoming cancerous.

Asymmetry

Half the mole does not match the other half in size, shape or color.

Border

The edges of moles are irregular, scalloped, or poorly defined.

Color

The mole is not the same color throughout.

Diameter

The mole is usually greater than 6 millimeters when diagnosed, but may also be smaller.

Evolving

A mole or skin lesion that is different from the rest, or changes in size, shape, or color.

Prevention

Roughly 90% of nonmelanoma cancers are attributable to ultraviolet radiation from the sun. That's why prevention involves:

Staying out of the sun during peak hours (between 10 a.m. and 4 p.m.).

Covering up the arms and legs with protective clothing.

Wearing a wide-brimmed hat and sunglasses.

Using sunscreens year round with a SPF of 15 or greater and sunblocks that work on both UVA and UVB rays.

Look for products that use the term "broad spectrum."

Checking your skin monthly and contacting your dermatologist if you notice any changes

Getting regular skin examinations. It is advised that adults over 40 get an annual exam with a dermatologist.

Warts

Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. They may disappear without any treatment. However, in most cases eliminating warts takes time. The location of a wart often characterizes its type:

Common warts

can appear anywhere on the body, although they most often appear on the back of fingers, toes and knees. These skin-colored, dome-shaped lesions usually grow where the skin has been broken, such as a scratch or bug bite. They can range in size from a pinhead to 10mm and may appear singly or in multiples.

Filiform warts

look like a long, narrow, flesh-colored stalk that appears singly or in multiples around the eyelids, face, neck or lips. They are sometimes called facial warts. They may cause itching or bleeding, but are easy to treat with over-the-counter medications.

Flat (plane) warts

appear on the face and forehead. They are flesh-colored or white, with a slightly raised, flat surface and they usually appear in multiples. Flat warts are more common among children and teens than adults.

Genital warts

appear around the genital and pubic areas. It is also possible to get genital warts inside the vagina and anal canal or in the mouth (known as oral warts). The lesions start small and soft but can become quite large. They often grow in clusters. They are both sexually transmitted and highly contagious. In fact, it is recommended you generally avoid sex with anyone who has a visible genital wart. Genital warts should always be treated by a physician.

Plantar warts

appear on the soles of the feet and can be painful since they are on weight-bearing surfaces. They have a rough, cauliflower-like appearance and may have a small black speck in them. They often appear in multiples and may combine into a larger wart called a mosaic wart. Plantar warts can spread rapidly.

Subungual and periungual warts

appear as rough growths around the fingernails and/or toenails. They start as nearly undetectable, pin-sized lesions and grow to pea-sized with rough, irregular bumps with uneven borders. Subungual and periungual warts can impede healthy nail growth. Because of their location, they are difficult to treat and generally require medical attention.

Most warts respond to over-the-counter treatments

If self-treatments don't work after a period of about 4 to 12 weeks, contact our dermatologist. We'll assess your warts and recommend the best option. Always contact the dermatologist if a wart is causing pain, changes in color or appearance and for all genital warts. including:

Cryotherapy

which freezes off the wart using liquid nitrogen or nitrous oxide.

Electrosurgery

which sends an electric current through the wart to kill the tissue.

Laser surgery

which essentially heat up the wart until the tissue dies and the wart eventually falls off.

Nonprescription freezing products

(dimethyl ether), aerosol sprays that freeze the warts and cause them to die off.

Salicylic acid preparations

which dissolve the protein (keratin) that makes up the wart and the thick layer of skin that covers it. It comes in gels, pads, drops and plasters and takes 4 to 6 weeks to eradicate the warts.

Cosmetic & Laser Procedures

Botox® Cosmetic

Botox® has been safely and successfully used for the treatment of facial wrinkles over the past decade.

This purifed protein works by temporarily weakening the treated muscles thereby preventing the formation and exaggeration of expression type wrinkles, such as frown lines on forehead and between the eyes as well as crow's feet. The improvement of wrinkles does not appear until 3-4 days after the injection and peaks at 10 days. On the average, the beneficial effect lasts 3-5 months. Injections may be repeated safely as often as desired.

Juvederm® XC

Juvederm® XC is an injectable gel filler that is used to instantly smooth unwanted wrinkles and restore natural youthful facial contours.

This product may be used to rejuvenate multiple problem areas with most common being "parentheses" lines along the sides of your nose, marionette lines that form below the corners of the mouth, and vertical lines above and around the lips. Juvederm® XC offers long-lasting results for up to 1 year with 1 treatment.

Juvederm® XC is composed of hyaluronic acid (HA) which is a naturally hydrating substance found in our skin.

HA binds and absorbs water, thereby maintaining volume in the face. As we age, the amount of HA in the skin is diminished, contributing to the loss of volume and unsightly wrinkles and lines.

This is a quick, in-office procedure with minimal downtime.

Juvederm® XC is infused with an anesthetic to make the experience more comfortable.

Voluma XC

Juvederm Voluma XC is the first and only FDA-approved filler to instantly add volume to the cheek area.

Gives a subtle lift

Helps restore contour for up to 2 years

Look up to 5 years younger

Nonsurgical

contains modifed hyauronic acid (HA), derived from a naturally occuring complex sugar

Laser Hair Reduction

At Juno Dermatology, we offer the latest technology for hair laser reduction. The VectusTM laser by Palomar® is able to deliver fast, uniform, permanent hair reduction for the widest range of skin types-- without sacrificing comfort.

The advantages of laser hair removal with VectusTM

Excellent long term results

Fast treatment sessions that can only take minutes

Great for reducing hair from larger areas

Comfortable treatments with no downtime

Frequently Asked Questions

How does it work?

Laser energy is used to target and destroy hair follicles responsible for hair growth without harming surrounding tissues, so there is minmal risk. Your provider will determine if you are a good candidate for the procedure based on a variety of factors.

What areas can be treated ?

Permanent laser hair reduction can remove hair from the face, back, chest, arms, underarms, bikini area and legs.

How long does it take?

The procedure takes just minutes for small areas and up to 30 minutes for larger areas.

How many treatments will I need?

On the average, six treatment sessions are recommended because laser hair removal technology can only affect hair in active phases of growth. You do not need to let hair grow out between treatment sessions.

What will treatment feel like?

Most people feel only a slight, momentary " snap" at the treatment sight during the procedure.

How quickly will I recover?

You can resume regular daily activities immediately following treatment.

Are there any side effects?

Typically, most people experience a mild, sunburn-like sensation, possibly accompanied by some minor swelling, immediately following the treatment. This usually lasts two to 24 hours. Ask a provider at Juno Dermatology during your consultation about other possible side effects and the necessary post treatment care.

Laser Treatment of Freckles and Sun Damage

Photorejuvenation with Palomar Icon. At Juno Dermatology, we offer the latest advance in photorejuvenation with our Palomar Icon® Aesthetic System. This nonsurgical procedure uses gentle pulses of light to treat unwanted pigmentation on you face, chest, hands and more. Treatment can be performed in as little as 30 minutes with minimal discomfort and downtime.

Frequently Asked Questions

How does it work?

Photorejuvenation employs pulses of intense, optimized light to deliver energy into your skin, targeting pigmented lesions such as sun spots and freckles.

Does it hurt?

Majority of patients feel little to no discomfort during the procedure.

How many treatments will I need?

You will see some improvement after the first session. Depending on the severity of your condition, several treatments are typically required to achieve optimal results.

What can I expect following the treatment?

Immediately after the procedure, most patients will typically experience a mild, sunburn-like sensation, possibly along with minor swelling, lasting two to 24 hours. Your pigmented lesions will temporarily turn a shade darker and will gradually fade over the next few days.

How quickly will I recover?

You can return to your regular daily activities immediately.

Laser Treatment of Vascluar Lesions

At Juno Dermatology, we offer the latest advance in treatment of vascular lesions with our Palomar Icon® Aesthetic System. This nonsurgical procedure uses gentle pulses of light to treat unwanted facial blood vessels, generalized redness caused by rosacea and/or sun damage, cherry angiomas ("red moles"), and vascular birthmarks. This treatment carries minimal discomfort and downtime.

Frequently Asked Questions

How does it work?

Photorejuvenation employs pulses of intense, optimized light to deliver energy into your skin, targeting vascular lesions.

Does it hurt?

Majority of patients feel little to no discomfort during the procedure.

How many treatments will I need?

You will see some improvement after the first session. Depending on the severity of your condition, several treatments are typically required to achieve optimal results.

What can I expect following the treatment?

Immediately after the procedure, most patients will typically experience a mild, sunburn-like sensation, possibly along with minor swelling, lasting two to 24 hours. Your vascular lesions will gradually fade over the next two weeks.

How quickly will I recover?

You can return to your regular daily activities immediately.

Laser Skin Resurfacing

At Juno Dermatology, we offer the latest advance in non-ablative fractional skin resurfacing with Palomar® 1540 nm erbium laser. This nonsurgical procedure can easily improve a variety of skin imperfections on your face and body without lengthy downtime. It has been proved to be effective and safe in patients of all skin types. Our state-of-the-art device offers the advantage of several different resurfacing options allowing treatment of the following conditions:

Fine Lines and Wrinkles

Diminished Skin Tone and Uneven Texture

Acne Scars

Surgical and Traumatic Scars

Stretch Marks

Melasma

Frequently Asked Questions

How does it work?

Fractional skin resurfacing does not remove the top layer of the skin, but rather uses laser energy microbeams to create tiny areas of tissue trauma that extend into deep layers of the skin. Your body's natural healing process stimulates new, healthy tissue in the affected areas, resulting in healthier, younger skin.

Does it hurt?

Non-ablative fractional skin resurfacing is very well tolerated. Your doctor will apply topical numbing cream prior to procedure to minimize discomfort during treatment. Most patients will only experience mild stinging sensation

How many treatments will I need?

A series of up to three treatments, spaced 2-4 weeks apart, is typically required to achieve desired results.

What can I expect after treatment?

You may experience mild swelling, redness, and warmth similar to a sunburn in the treated area, typically lasting only a few days. Usually, you may resume your regular daily activities the same day, although more aggressive procedures may require several days of healing.

Scar Treatment

Frequently Asked Questions

What Causes Scarring?

Scarring is a byproduct of body's natural healing response to trauma and is determined by your skin type, genetics, and general health status. Overactive healing process may result in red, raised scars called hypertrophic scars. The term keloid scars is used to describe more severe cases, where the scar growth extends beyond the borders of the original wound. Depressed or atrophic scars are commonly seen with acne.

Scar Treatment Options

There is no single treatment that will work for every scar. During your visit, Dr. Krishtul will evaluate your scars and devise a treatment plan that best matches your type of scars. Hypertrophic scars are typically treated with combination of steroid injections and laser procedures. At Juno Dermatology, we can improve both the redness and texture of most scars with our state-of-the-art laser devices. Keloid scars are notoriously difficult to treat. Dr. Krishtul typically starts our with steroid injections to flatten out the scar as much as possible. In some cases, she will then surgically remove them, followed by a rigorous treatment protocol. Acne scars and other atrophic scars respond well to laser skin resurfacing. Dr. Krishtul also uses dermal fillers to help fill in deep scars.

Medi Spa Services

The iS Clinical® "Fire and Ice" Facial (1hr)

Popular amongst Hollywood celebrities, this intensive clinical facial is designed to rapidly reduce fine lines and wrinkles while smoothing and softening your skin. Awakening your senses, this phenomenal treatment incorporates both active and soothing formulas, which evoke aromas of warm cinnamon spice and brisk cool peppermint. This is a great treatment to enhance your skin's natural glow and vitality. Perfect for your special event or if you just feel like pampering yourself!

The iS Clinical® Foaming Enzyme Facial (1hr)

This effervescent treatment features active foaming agents for light and effective exfoliation for all skin types, leaving the skin clear and glowing for days. Feel the tingling sensation of the unique enzyme mask while it dissolves away the skin's impurities. Great for a pick me up or before that special event! Appropriate as an anti-aging treatment and safe enough for sensitive skin types.

The iS Clinical® Exfoliating Clear Skin Facial (1hr)

An advanced treatment application designed for gentle exfoliation with soothing and healing benefits for oily, congested, acne prone or otherwise problematic skin. This facial includes warm steam to open the pores followed by extractions to clear the skin of blockages and congestion. Experience the Clarifying Mud Masque which helps calm irritated skin as well as a Coolmint Masque which soothes and refreshes.

Image Skincare® Perfection Peel (30mins)

This effective resurfacing treatment delivers the ultimate in perfection for your skin. The proprietary combination of alpha and beta-hydroxy acids, resorcinol and retinol in a blend of peptides and plant derived stem cells creates "perfection" in addressing photo damage, deeper lines and wrinkles, as well as pigmentation and acne. Includes

Image Skincare® Wrinkle Lift Peel (30min)

This ultra-resurfacing glycolic and retinol treatment exfoliates dead skin cells, leaving skin firmer and healthier. Visibly reduces the appearance of fine lines.

Image Skincare® TCA Orange Peel (30min)

A powerful medical grade TCA/ salicylic acid peel aggressively treats aging and sun-damaged skin. Single application reveals a new you. Ideal for advanced photo aging.

iS Clinical® Soothing Facial (30 min)

This treatment offers soothing relief after long, hot summer days. Formulated with hyaluronic acid, green tea extract, aloe vera, and other healing ingredients that hydrate and calm inflamed skin. Perfect for rosacea or sunburned skin.

iS Clinical® Eye Bright Treatment (30 min)

This treatment targets the delicate needs of the eye area. Notice a reduction in under-eye puffiness and dark circles, encourage microcirculation, calm, soothe, and firm. Giving you an overall brightening of the eye area for a healthier looking complexion.

Pristine® Diamond-Peel Microdermabrasion (20 min)

Using genuine laser-cut diamond-tip applicators, Pristine® exfoliates the skin surface while a gentle suction removes skin impurities. Whisk away those dead skin cells to uncover fresh, clear and rejuvenated skin. Safe and effective for face and body, this treatment is virtually painless and has minimal to no downtime. You will see visible results immediately after your very first treatment! A series of 4-6 sessions spaced 2-3 weeks apart will provide the best overall results.