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Skin By Design Dermatology & Laser Center, PA
516 Lexington Ave
San Antonio, TX 78215
Uber
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Procedures
Complexion Analysis
What Is Profect Studio?
it is a comprehensive, state-of-the-art digital and ultraviolet photographic system that analyzes the individual characteristics and condition of your skin.
What Does Profect Studio Show?
ultraviolet images reveal a much broader range of pigmentation and vascular conditions in your skin than the eyes can see. these include skin texture, solar damage, wrinkles, pore size, acne, melasma, and dehydration.
What Is The Benefit Of Profect Studio?
the images make it possible for the doctors to develop a targeted, personalized program that can be tracked over time.
Botox
What Is Botox?
botox is a purified protein that when expertly injected improves or eliminates the appearance of frown lines and wrinkles between the brows and clears away crow's feet. it can be used on the forehead, nose, and around the lips and chin. it also can produce a nice eyebrow lift. botox has been used therapeutically for over 15 years. the fda as well as 75 other countries approves it. millions of procedures are administered every year. according to a recent survey, botox has the highest perceived patient satisfaction rating of all physician-administered cosmetic treatments.
What Causes Frown Lines Between The Brows?
the lines that appear between the brows actually result from repeated muscle movement and the passage of time. when those muscles contract, they draw the brows together. as skin becomes less elastic, repeated frowning results in permanent creases and etched lines between the brows. botox may also be used for preventative measures- by eliminating certain muscle movement patterns, deeply etched lines or permanent creasing of the skin in certain areas may be alleviated.
What Is The Treatment Like?
a few tiny injections are made into the muscles that cause lines to become etched in areas. the doctor will determine exactly where to administer the injections to achieve the best results. no anesthesia is required. the entire procedure takes about 10 minutes. it is recommended that a patient wait for approximately 3 hours before any strenuous activity.
What Kind Of Results Can Be Expected?
results will be noticeable within days of treatment and will last up to 4 months.
Does Botox Help With Other Conditions?
yes. botox is also fda approved for severe underarm sweating when topical agents do not work. botox helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands.
Where Should I Go For Botox?
only a licensed professional with the knowledge and skill required for optimum results should administer botox injections. at skin by design dermatology, only the doctors administer botox and dermal filler injections.
Can Botox Be Combined With Other Types Of Treatments?
absolutely! botox frequently is combined with dermal injectable fillers and re-volumizing agents like sculptra. ideally, botox also is injected before laser skin resurfacing procedures. during the post-laser phase, skin may have improved results if certain muscles cannot fold or crease skin in the repeated pattern as before treatment. monthly hydrafacial md treatments will also keep your skin healthy and looking radiant.
Aft
aft pulsed light treatments.
What Is Aft?
aftTM (advanced fluorescent technology) is considered state-of-the-art technology that visibly reduces vascular and pigmented lesions, creating even skin color, and reducing broken blood vessels. by providing smooth, consistent light pulses, the energy delivered to the skin is gentle, yet highly effective in resolving color issues. it can be used for any part of the body. the most popular areas are the face, neck, chest, shoulders, back, and hands.
What Are Vascular And Pigmented Lesions?
red vascular lesions such as rosacea, port wine stains, and facial redness are caused by an abnormal clustering of blood vessels. brown pigmented lesions such as lentigos, melasma, and seborrheic keratoses, are clusters of melanin in the skin. usually these become more pronounced with age.
How Does Aft Work?
selective pulsed light energy is absorbed by the target areas, heating and closing the targeted blood vessels. with pigmented lesions, the light energy heats the melanin in the lesion and causes it to fragment. the melanin fragments are then absorbed by the body.
How Long Does The Treatment Take?
the treatment takes 30 minutes. for the first visit, allow an additional 30 minutes to develop your skin plan.
What Are The Advantages Of Aft Treatments?
aftTM requires no down time and can be used to treat many types of vascular and pigmented lesions quickly.
How Many Treatments Will I Need?
this will depend on your individual goals and circumstances. for best results, repeated treatments are required.
Is It Safe?
controlled levels of light and gentle energy parameters assure safe, effective treatment. uniquely shaped pulses precisely heat the intended target. this optimal use of energy increases safety.
Does It Hurt?
aftTM treatments are tolerable. the feeling is similar to a sunburn.
Where Should I Go For Aft Treatments?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform aft treatments.
Can Aft Be Combined With Other Types Of Treatments?
absolutely! many patients also enjoy a dermal filler like radiesse® or juvedermTM to restore volume and fullness to the skin. a monthly hydrafacial mdTM treatment will also help your skin look healthy and radiant.
Pixel Perfect
What Is Pixel Perfect?
pixel perfect is a brand new, state-of-the-art aesthetic laser treatment that lifts away years from your face. it can help reverse the early signs of aging and counteract years of sun damage or acne scarring. it provides noticeable results, often in as little as a single treatment.
What Are The Results From Pixel Perfect?
you will see dramatic improvement in the tone and texture of your skin. many patients choose pixel perfect because it clears sun-damaged skin, smoothes fine lines and wrinkles, shrinks the appearance of pores, fills in acne scars, and blends uneven pigmentation.
How Does Pixel Perfect Work?
it creates thousands of microscopic perforations. this stimulates new collagen growth to improve your skin's texture and tone and fights fine lines and wrinkles.
When Should I Come For My Consultation?
you should make an appointment for your consultation prior to treating.
How Does Pixel Perfect Compare To Other Types Of Treatments?
if you have considered traditional ablative laser skin resurfacing, dermabrasions, or deep chemical peels but were put off by the extended recovery time or anesthesia required, pixel perfectTM offers a great balance. it can provide the dramatic results of these procedures but with fewer risks. plus, it reduces necessary healing time from up to 30 days to 7 days or less.
How Long Are The Treatments?
treatments last one hour. for the first treatment allow an additional 30 minutes for the development of your individual skin plan.
Is It Safe?
treatments are safe and effective without injections or surgeries. pixel perfectTM has been used to treat thousands of people worldwide.
Does It Hurt?
most patients tolerate the treatment well. you can expect your skin to be flushed and red after the treatment, something similar to sunburn.
Where Should I Go For Pixel Perfect Treatments?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform pixel perfect treatments.
Can Pixel Perfect Be Combined With Other Types Of Treatments?
absolutely! many patients enjoy botox, a purified protein that reduces lines between the brows 2 weeks prior to pixel perfect treatments. a monthly hydrafacial md treatment will also help your skin look healthy and radiant.
Juvederm
What Is Juvederm?
juvederm is the only fda approved hyaluronic acid filler that lasts up to 1 year. it has a unique manufacturing process that creates a smooth consistency gel that flows easily into the skin and provides a smooth natural look and feel. no allergy skin tests are needed prior to treatment.
What Does Juvederm Do?
it instantly restores your skin's volume and smoothes away facial wrinkles and folds like smile lines.
How Many Formulations Does Juvederm Have?
it has 2 formulations which allow us to tailor treatment to your unique needs. juvederm ultra provides versatility in contouring and volumizing facial wrinkles and folds. it is also excellent for adding volume to the lips. juvederm ultra plus is a more robust formulation for volumizing and correcting deeper folds and wrinkles.
Is Treatment With Juvederm Painful?
injections may cause some discomfort. the smooth consistency of juvederm allows us to administer it easily and smoothly. and juvederm is injected directly into the skin using a fine needle to reduce injection discomfort. we also numb the treatment area and have medicines available to further minimize discomfort.
How Long Does Treatment Take?
the injection process takes less than 30 minutes. juvederm is a quick and easy procedure.
Can People With Different Skin Tones/ Colors Be Treated?
juvederm is the first fda-approved hyaluronic acid dermal filler that has proven its safety and effectiveness in people of color. studies show no increased risk of hyperpigmentation or scarring in people of color.
What Are The Possible Side Effects?
most side effects are mild and will last only 7 days or less. the most common include redness, swelling, bruising, and itching. there is minimal recovery or downtime.
Where Should I Go For Juvederm?
only a licensed professional with the knowledge and skill required to achieve optimum results should administer juvederm.
How Is Juvederm Different From Botox?
juvederm is dermal filler that provides volume and is used to treat wrinkles and folds resulting from a loss of volume beneath the surface of the skin such as lines around the mouth and nose. botox® relaxes muscle activity and can be used to treat lines around the eyes, forehead, and mouth.
Restylane / Perlane
What Are Restylane And Perlane?
restylane and perlane are fda-approved dermal fillers that restore volume and fullness to the skin.
What Is Restylane And Perlane Made Of?
they are made of hyaluronic acid. this is a natural substance that already exists in the human body. it hydrates and adds volume to the skin as well as smoothes wrinkles and folds. perlane® has a larger particle size to correct deeper wrinkles and folds.
Are They Safe?
yes. dermatologists have used them all over the world for years. after your treatment, you might have some redness, bruising, or swelling. this will normally last less than 7 days. sun exposure and cold outdoor activities should be avoided until any redness or swelling disappears. we have products available to minimize any side effects.
Can Restylane And Perlane Be Used Anywhere On The Face?
both products are fda approved and can be used in any area of the face. restylane can also be used to add volume to the lips.
How Long Do Restylane And Perlane Last?
studies have shown that they last for about six months. recent studies have shown that they induce new collagen formation, which may explain why repeated treatments last longer and longer.
Do The Injections Hurt?
restylane and perlane are injected directly into the skin in tiny amounts by an ultra fine needle. the procedure is simple and convenient, with practically instantaneous results. the injections may cause some discomfort. we have medicines to minimize this.
What Should I Do Prior To Treatment?
restylane and perlane do not require pre-testing, but you should take a few precautions before being treated. avoid using aspirin and non-steroidal anti-inflammatory medications because these may increase bruising or bleeding at the injection site. also, if you have previously suffered from facial cold sores, discuss this with the doctors.
Where Should I Go For Restylane And Perlane?
only a licensed professional with the knowledge and skill required to achieve optimum results should administer restylane or perlane.
How Are Restylane And Perlane Different From Botox?
restylane and perlane are natural cosmetic fillers. botox is a purified protein that reduces frown lines between the brows. botox and fillers are frequently used together for an enhanced and long lasting effect. monthly hydrafacial md treatments and usage of skinmedica lipplump system can also help your skin look healthy and radiant.
Radiesse
What Is Radiesse?
radiesse is an fda approved injectable filler that restores fullness to your cheeks. it also helps to reduce deep smile lines, smoker's lines, and small facial scars.
What Is Radiesse Made Of?
radiesse is made of calcium-based microspheres suspended in a natural gel. it is unique in that it works with the body as a scaffold to support and stimulate the growth of the body's own collagen. the creamy, soft texture of radiesse feels soft and natural just like your original, young skin.
How Is Radiesse Different From Other Products?
radiesse may last longer that other dermal fillers: 9-15 months. this means that in the long term you may be paying less, as you do not need as many treatments. also, each syringe has 30% more product than some other fillers. radiesse is especially effective for correcting deeper nasolabial folds and marionette lines.
Is Radiesse Safe?
yes. although the fda recently approved radiesse for facial augmentation, it has been used extensively in italy and other european countries for years. there are no allergic reactions.
Do The Injections Hurt?
the injections are slightly uncomfortable. we have medicines to help minimize this. radiesse is injected with a tiny needle in between the two layers of your skin, filling in furrows and lines. as the natural volume is restored between the skin's layers, depression, wrinkles, and scars are lifted, resulting in smooth, even skin.
How Long Do Treatments Take?
treatment takes less than one hour. you will see results instantly.
What About Side Effects And Recovery?
you may have mild swelling and bruising at the injection site. you can expect this to disappear within a week.
Where Should I Go For Radiesse?
only a licensed professional with the knowledge and skill required to achieve optimum results should administer radiesse.
Can Radiesse Be Combined With Other Treatments?
absolutely! many patients are very satisfied by combining radiesse with botox, which is a purified protein that reduces frown lines between the brows. also, radiesse can be combined with other fillers like juvederm to correct fine lines and enhance lips. a monthly hydrafacial md treatment can also help your skin look healthy and radiant.
Artefill
What Is Artefill?
artefill is the first and only non-resorbable injectable filler for correction of nasolabial folds. it is dual acting. first, it visibly corrects wrinkles, then it provides the support the skin needs for permanent wrinkle correction.
How Long Does Artefill Last?
artefill lasts up to 5 years.
How Is Artefill Different From Dermal Fillers?
artefill has a different composition which is a combination of filtered microspheres and purified collagen which serves as a carrier for the microspheres. the microspheres are not absorbed by the body, so they remain intact. this provides a permanent support structure that prevents wrinkling.
How Will My Face Feel After Treatment?
artefill will not be felt after treatment. you will see the results immediately and be able to return to normal daily activities shortly after your treatment. artefill usually causes less swelling and bruising than other fillers due to the collagen that it contains.
Where Should I Go For Artefill?
only a licensed professional with the knowledge and skill required to achieve optimum results should administer artefill.
Can Artefill Be Combined With Other Treatments?
absolutely! many patients are happy with the results obtained by combining artefill with a lip-plumping filler like restylane or juvederm as well as with botox, a purified protein that reduces frown lines between the brows. a monthly hydrafacial md treatment can also help your skin look healthy and radiant.
Sculptra
What Is Sculptra?
sculptra is a facial volumizer that will give you a fuller, more youthful appearance. it also improves sunken cheeks and hollow eyes. used in europe since 1999, sculptra is frequently called "the liquid facelift." although we have used sculptra "off label" for several years, sculptra has recently been fda approved specifically for cosmetic use and renamed sculptraaesthetic.
How Does Sculptra Work?
sculptra is injected below the surface of the skin in the area of fat loss. it improves appearance by providing a gradual increase in skin thickness.
Are The Results From Sculptra Immediate?
no. after your first treatment, it may appear that sculptra worked immediately because of swelling from the injection and the water used to dilute sculptra. in a few days, when the swelling goes down and the water is absorbed by your body, you may look as you did before your treatment. sculptra takes time to gradually correct the depression in your skin.
How Many Treatments Are Required?
we will recommend the appropriate amount of treatment sessions and the amount of sculptra you will need at each session.
How Long Do Treatment Results Last?
sculptra lasts for up to 2 years.
Do Injections Of Sculptra Hurt?
as with any injection, there may be some discomfort. lidocaine, an anesthetic, is added to sculptra. a topical anesthetic may also be used. sculptra is injected in small amounts using a fine needle.
What Can I Expect After Treatment?
redness, swelling or bruising may occur in the treatment area. within the first 24 hours after treatment, an ice pack should be applied several times a day to reduce swelling and bruising. for 5 days you should massage the treated areas several times a day to evenly distribute the product in the skin.
Where Should I Go For Sculptra?
only a licensed professional with the knowledge and skill required to achieve optimum results should administer sculptra.
Can Sculptra Be Combined With Other Types Of Treatments?
absolutely! many patients are happy with the results obtained by combining sculptra with an immediate-acting dermal filler like restylane or juvederm as well as with botox, a purified protein that reduces lines between the brows. a monthly hydrafacial md treatment will also help your skin look healthy and radiant.
Acne Care
What Is Acne?
just beneath the surface of the skin are hundreds of tiny glands called sebaceous glands. these glands produce oil, which normally passes through the pores to the skin to keep it soft and smooth. during adolescence, hormonal changes can stimulate the glands to produce extra amounts of this oil which can then clog the pores. when the pores become clogged, this oil gets trapped beneath the skin and acne bacteria thrive in these clogged pores. in a short time, the skin becomes irritated, red, and swollen resulting in the formation of a pimple. at certain times of life, this process becomes very active, troublesome, and hard to control.
Is Acne Limited To Adolescents?
no, it is not. millions of women face adult acne beginning in early to mid twenties. nearly half of all women have acne flare-ups and increased facial oiliness during the week preceding their menstruation. it occurs whether or not you had acne as a teenager and can be physically and emotionally devastating. hormones, childbirth, menopause, or stopping the pill are usually the cause.
Are There Different Types Of Acne Treatments?
yes there are many different types of treatments. at skin by design dermatology & laser center, p.a. every patient gets an individualized acne treatment plan developed by an experienced medical doctor. your plan may include one or more of the following: blue-u® photodynamic therapy, acne facials, chemical peels, hydrafacial mdTM treatments, prescription medications, steroid injections, and medical grade skin care products.
What Is Blue-u Photodynamic Therapy?
blue light is a unique spectrum of light that kills acne bacteria in the skin. blue-u® is fda cleared for light-alone treatment of moderate inflammatory acne. treatments are simple: you sit with your face close to the blue light for 16 minutes once or twice per week. it is safe, not painful, and not hot. on some patients, the doctors will apply a topical photosensitizer called levulan® kerastick® immediately before the blue-u® treatment. rapidly growing cells and oil glands absorb the photosensitizer and are destroyed by a reaction caused by the light.
What Are Acne Facials?
the doctor uses a medical device to remove pore blockages. by extracting these impactions the pores are cleared of excess oil and debris. blemishes are less likely to form, improving acne faster than other forms of acne treatments.
What Are Extractions?
the doctor uses a medical device to remove pore blockages. by extracting these impactions the pores are cleared of excess oil and debris. blemishes are less likely to form, improving acne faster than other forms of treatments.
What Are Chemical Peels?
please go to the chemical peels section of this website.
What Are Hydrafacial Md Treatments?
please go to the hydrafacial md section of this website.
What Are Medical Grade Skin Care Products?
please go to the medical grade products section of this website.
Where Should I Go For Acne Care?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform acne care.
Laser Hair Removal
How Does It Work?
a low energy laser beam is used. as the laser energy passes through the skin, it is absorbed by the pigment in the hair follicles. this converts the laser energy to heat, which kills the follicle cells without damaging surrounding tissue.
How Does It Differ From Other Hair Removal Methods?
shaving requires regular daily maintenance and can irritate skin. razor burn and ingrown hairs are quite common. tweezing is slow, temporary, and suitable only for small areas. depilatory creams are messy and offer temporary solutions. waxing may be painful and hair eventually grows back. it can cause allergic reactions and inflammation of the hair follicles. electrolysis can leave scarring, is painful, and very time consuming because a needle is actually inserted into each follicle, one at a time.
Are All Lasers The Same?
no. we use the cynosure apogee elite laser that allows the selection of the wavelength that best meets each patient's needs. all skin types and tones can be treated using the alexandrite wavelength for lighter skin types and the nd:yag wavelength for darker skin types. another advantage of this laser is the speed: it treats many times faster than other lasers. lower legs, for example, only take 45 minutes. and for your comfort, the laser has a built in smart cool system.
Is It Safe?
absolutely! according to the american society for aesthetic and plastic surgery about two million people enjoy laser hair removal every year, making it the second "botox" is the first most requested non-surgical cosmetic procedure in the us.
Does It Hurt?
as the laser beam is gently guided over your skin, you will feel a slight tingling sensation, often described as a rubber band ping. if needed, a topical anesthetic gel may be applied.
How Many Treatments Will I Need?
hair grows in cycles. only hair that is actively growing on the day of your treatment can be successfully treated. in most body sites, only approximately 30% of the hair follicles will be in their active phase at the same time. keep in mind that no two persons are the same. many factors influence hair growth such as age, ethnicity, hormones, diet, medication, metabolism, and even time of year. each has a part in your hair's location, thickness, and resilience. however, for most persons 4-6 treatments spaced 4-6 weeks apart will result in permanent hair removal. with us, when you buy four treatments, the fifth is free.
What Can I Expect After Each Treatment?
after the first treatment, most people can expect up to a 15% reduction in hair, up to 20% after the second, up to 30% after the third, up to 60% after the fourth, up to 80% after the fifth, and over 90% after the sixth treatment.
What Should I Do Before Treatment?
avoid sun exposure and tanning salons because tanning limits the effectiveness of laser hair removal. do not pluck, bleach, use depilatories or wax for 30 days prior to treatment because these methods of hair removal take the hair shaft out of the follicle. if you have had cold sores or herpes simplex it is important to let us know because these may flare with laser hair removal.
What Happens During Treatment?
your skin will be carefully examined and shaved and you will be marked with a white pen to guide the laser. you will need to wear safety glasses to protect your eyes from the laser light during treatment. the laser settings are calibrated to your skin color, hair color and hair texture. multiple hairs are treated at once, with little or no skin irritation.
What Happens After Treatment?
immediately after treatment, your skin may be red or feel sunburned. for the first 24 hours, avoid rubbing or scrubbing, very hot showers, excessive perspiration and sun exposure. be sure to use an effective sun block such as procyte z-silc. because laser hair removal is a non-surgical, non-invasive procedure, you can return to work and normal activities right away. also, for the first 2-3 weeks after your treatment it will look like your hair is growing. actually, it is the dead hair being pushed out.
Chemical Peels
What Is A Chemical Peel?
a chemical peel is exactly what it sounds like: chemical solutions are applied to the skin in order to cause the layers to peel away and reveal younger, healthier layers beneath. once the dead layer is gone, the new skin provides a glowing appearance. wrinkles and sun damage are reduced and the skin is much softer.
What Are The Benefits Of A Chemical Peel?
there are many benefits, such as resurfacing leathery sun-damaged skin, exfoliating dull dry skin, cleaning clogged pores, minimizing enlarged pores, reducing age spots, improving scars, increasing circulation, polishing mild imperfections, and stimulating production of new, young skin cells and collagen.
How Long Does It Take?
a chemical peel takes only 10 to 30 minutes. normal activities can resume immediately since there is no down time. after the treatment most people will peel for 2-3 days.
Is It Safe?
yes. chemical peels have been used for over 100 years to create an even and controlled shedding of damaged skin cells. reactions to a chemical peel are similar to a sunburn and range from mild to more pronounced. it is very important to avoid any exposure to the sun. your new skin is very sensitive and susceptible to injury. always apply an effective sun block like t-silc 20 minutes before you go outside. if you have a history of cold sores or herpes simplex infections, it is very important that you tell us. the sensitivity of your new skin can make you more susceptible to outbreaks.
Does It Hurt?
undergoing a chemical peel may involve mild discomfort. for best results, the night before the peel, and again in the morning, wash your face with a cleanser such as epionce milky lotion cleanser. do not apply any lotions or cosmetics. avoid retinoids like retin-a, tazorac, differin, renova, etc. for 3 days prior to the peel.
Are There Different Types Of Chemical Peels?
glycolic peels, such as glytone professional peels, improve skin tone and texture and help reduce hyperpigmentation. glycolic peels also stimulate collagen growth. melanage is the first hydroquinone plus retinoid masque for the treatment of hyperpigmentation. it is freshly compounded at the time of dispensing to assure potency and reliability. a comprehensive at-home system is included to reduce likelihood of re-pigmentation. salicylic peels are particularly helpful for acne. vitalize peel is a very gentle peel that lessens fine lines and wrinkles giving skin a more youthful appearance.
Where Should I Go For Chemical Peels?
only a licensed professional with the knowledge and skill required to achieve optimum results should administer chemical peels.
Can Chemical Peels Be Combined With Other Treatments?
absolutely! many patients have excellent results by combining a chemical peel with botox, a purified protein that reduces frown lines between the brows, and dermal fillers like juvederm and radiesse that improve the appearance of fine lines and wrinkles. a hydrafacial md treatment prior to a chemical peel allows the ingredients to penetrate deeper, which increases their effectiveness.
Microdermabrasion
What Are The Benefits?
with edge systems microdermabrasion, you can have smoother, healthier, younger looking skin without lasers, pain, or surgery. it is the most superficial of skin resurfacing treatments. all of the following skin conditions can be improved: dull, lifeless skin, enlarged pores, oily skin, blackheads and whiteheads, stretch marks, age spots, fine lines, crow's feet, sun damage, and mild acne scars. it works well on all skin types, even darker tones.
How Long Does It Take?
it is a convenient skin refresher that takes less than 30 minutes with no downtime for recovery. you can apply make-up and return to work immediately afterwards.
How Does It Work?
edge systems microdermabrasion is a vacuum-based, crystal-free system for gentle abrasion and polishing. it removes lifeless, sun damaged, dead, and flaking cells to uncover your silky new skin just below the surface. it also promotes collagen production and stimulates blood circulation. most patients combine it with a hydrafacial md treatment.
How Soon Are The Results Seen?
if you are like most patients, after your first treatment, your skin will have a soft pink, healthy glow. the benefits increase with additional treatments until your skin has a sleek, even texture.
What Parts Of The Body Can Be Treated?
the face is the most commonly treated area. if you have signs of aging or skin imperfections on your chest, back, neck, arms, or hands, edge systems microdermabrasion will rejuvenate as well as retexture these areas.
What Do Treatments Feel Like?
because it is noninvasive and does not wound the skin surface, there is virtually no discomfort during or after treatments. you may feel a slight stinging sensation during treatment, but anesthesia is not necessary.
Where Should I Go For Treatments?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform edge systems microdermabrasion.
Can It Be Combined With Other Treatments?
absolutely! a combination treatment with a chemical peel enhances results for both treatments since the penetration of the active ingredients in the treatments is greater. edge systems micodermabrasion also helps enhance results with dermal fillers such as restylane and radiesse as well as botox, a purified protein that reduces frown lines between the brows.
Hydrafacial Md
What Is Hydrafacial Md?
it takes its name from the root word hydrate: to cause to take up moisture. this ability to moisturize the skin separates it from all other skin resurfacing procedures. it removes dead skin cells and impurities while bathing the new skin with cleansing, hydrating, and moisturizing serums. the treatment is soothing, refreshing, non-irritating, and immediately effective.
Why Is Hydrafacial Md Good For My Skin?
hydration is the foundation of healthy, radiant skin. the hydrafacial md is a hydrating and non-irritating treatment.
Am I A Candidate For The Hydrafacial Md Treatment?
the treatment is designed for all skin types. even the most sensitive skin tolerates it. we will custom blend the treatment serums for your unique skin conditions.
How Long Does The Treatment Take?
it is a fast, efficient treatment that takes about 30 minutes.
Is There Any Downtime Or Pain?
there is no discomfort during the procedure. it is often described as feeling like a cool paintbrush moving slowly over the face.
What Results May Be Expected?
many people report seeing visible skin refinement and an even, radiant skin tone after just 1 treatment. the results may last 5-7 days or even longer.
How Many Treatments Are Needed?
a series of 6 treatments, one each week is recommended for improving the appearance of fine lines, wrinkles, hyperpigmentation, and oily/acne prone skin. after your first series of treatments, you can maintain your results with a treatment every 2-4 weeks.
Where Should I Go For Treatments?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform hydrafacial md treatments.
Can Hydrafacial Md Treatments Be Combined With Other Kinds Of Treatments?
absolutely! a combination treatment with a chemical peel enhances results for both treatments since the penetration of the active ingredients in the treatments is greater. hydrafacial mdTM treatments also enhance topical treatments and improve the results of botox treatments, a purified protein that reduces frown lines between the brows.
Dermaplaning
What Is Dermaplaning?
dermaplaning removes the outer layers of dead, dull skin with a fine blade. it evenly skims off the surface layers of skin. this leaves skin clean and smooth. there is no downtime and your skin looks better right away.
What Are The Benefits Of Dermaplaning?
dermaplaning helps to refinish the skin's top layers. this improves acne scars; smoothes out facial wrinkles, and sometimes removes growths called keratoses. dermaplaning also temporarily removes unwanted fine, lightly colored hair from the face. it is our only procedure that safely and effectively removes this type of hair.
How Long Does A Treatment Take?
a dermaplaning treatment takes less than 30 minutes for the full face.
Does It Hurt?
dermaplaning does not hurt. it feels like something's mildly scratching. there is no facial redness after treatment.
Where Should I Go For Dermaplaning?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform dermaplaning.
Can Dermaplaning Be Combined With Other Types Of Treatments?
absolutely! dermaplaning prior to other skin care treatments like hydrafacialTM or chemical peel enhances their effectiveness. also many patients take advantage of the visit to have botox®, a purified protein that reduces frown lines between the brows as well as a dermal filler like juvedermTM that corrects fine lines and enhances lips.
Collagen Stimulation
What Is Collagen?
collagen is a protein that serves as a key structural component of connective tissue such as skin, bones, and ligaments. dermis, the inner layer of the skin, contains large amounts of collagen whose fibers form a supporting mesh responsible for the skin's mechanical characteristics such as strength, texture, and resilience.
What Happens To Collagen Over Time?
as with any material, collagen is subject to wear and tear: it slowly breaks down over time. skin cells called fibroblasts are capable of producing collagen. as we age, the skin's ability to replace damaged collagen diminishes and more gaps and irregularities develop in the collagen mesh. this process eventually leads to wrinkles, facial sag, and rough skin texture. in addition, age spots, uneven skin tone, spider veins, and dilated capillaries can show up on the face. thus, one important goal of prevention is to reduce collagen breakdown and increase its supply.
Can Collagen In Aging Skin Be Stimulated?
yes it can. the appearance of fine lines and even deeper wrinkles especially around the lips, cheeks, and forehead as well as crow's feet around the eyes, smoker's lines and frown lines, acne scars, and loose skin around the neck and jowls can be substantially improved.
How Is Collagen Stimulated?
the cynosure® apogee eliteTM laser at the nd:yag wavelength employs a revolutionary patented laser process which targets and gently heats collagen in the dermis while protecting the epidermis.
What Will The Procedure Itself Be Like?
you and the doctor will wear safety glasses to protect your eyes during the procedure. the doctor will use a small hand piece that touches your skin to deliver the laser light. this will take less than 30 minutes. side effects are minimal and normal activities can be resumed immediately.
Does It Hurt?
because the laser's smart coolTM is so effective, patients say it feels like a slight snapping sensation. a topical anesthetic may be used.
Where Should I Go For Collagen Stimulation?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform collagen stimulation treatments.
Can Collagen Stimulation Be Combined With Other Treatments?
absolutely! many patients take advantage of the office visit for botox®, a purified protein that reduces frown lines between the brows, as well as fillers like juvedermTM that correct fine lines and enhance lips. daily topical usage of skinceuticals ce ferulic and a retinol like green cream help rebuild collagen and reduce wrinkles.
Pigmented Lesions
What Are Pigmented Lesions?
melanin is what gives our skin its color. pigmented lesions are dark in color simply because melanin is abnormally concentrated in one area of the skin. this can be due to various factors. some are present at birth, but most occur with age or as a result of overexposure to the sun. most are harmless but can be aging and unattractive.
Are There Different Types Of Pigmented Lesions?
yes. lentigines or age spots are premature aging brown marks, which appear on the backs of hands. sunburn freckles are the result of sun damage and occur on the back, upper chest, and shoulders.
What Should I Do Before Treatment?
if the area to be treated has a fresh suntan or has been treated with self-tanning lotion, it is best to wait a couple of weeks for the tan to fade before having treatment, because the tan will absorb and waste some of the laser energy intended for the pigmented lesion. a fresh suntan or color from a recent application of self-tanning lotion could also absorb enough laser energy to increase the risk of skin irritation or blistering.
How Are Pigmented Lesions Treated?
we use the cynosure® apogee eliteTM laser set at the alexandrite wavelength. energy from the laser is very well absorbed by cells containing excessive concentrations of pigment, and not well absorbed by normal tissue, so the laser stimulates your body to eliminate the unwanted excessive pigment while having little or no effect on other tissues or on normal skin color. lesions typically become raised and darker immediately after treatment and flake off the skin in about 10 days.
How Many Treatments Are Needed?
most people require 1-3 treatments spaced 4-8 weeks apart.
Does It Hurt?
no, each pulse of laser light feels like tiny specks of hot bacon grease on the skin. most patients find it very tolerable.
What Happens After Treatment?
for the first half hour after treatment, the treated area may feel hot like sunburn and it might be red for the rest of the day. protect the treated area from sun exposure until the skin is completely healed and the skin color has returned to normal.
Where Should I Go For Pigmented Lesions Treatments?
only a licensed professional with the knowledge and skill required to achieve optimum results should treat pigmented lesions.
Can Pigmented Lesions Treatments Be Combined With Other Types Of Treatments?
absolutely! many patients take advantage of the office visit to have botox® which is a purified protein that reduces frown lines between the brows as well as dermal fillers like juvedermTM that correct fine lines and enhance lips.
Vein Treatments
What Are Spider Veins?
spider veins are small, discolored blood vessels found on the skin of the face, chest, neck, and legs. they may appear in a sunburst or spider web pattern or as a series of short, unconnected lines. on the legs, they can appear together with varicose veins and may be scattered or concentrated in several areas. they are connected to larger vein systems but they are not necessary for circulation.
What Causes Them?
spider veins are the result of several conditions: sun damage, adult acne, pregnancy, occupational factors like standing for extended periods of time, hormonal influence, and side effects of medications. spider veins are not dangerous, but can noticeably mar otherwise clear skin.
Who Gets Them?
spider veins can occur in both men and women. more frequently, females request spider vein removal on their legs. both men and women are concerned about visible veins on their faces and necks.
How Are Spider Veins Treated?
sclerotherapy is a non-surgical procedure that has been used for over 50 years to remove spider veins from legs, faces, necks, and chests. a special solution is injected into the blood vessel that causes the vein to be absorbed and disappear. treatments do not require anesthesia. we can advise you as to how many treatments you will need. usually 1-3 treatments are required.
How Are Spider Veins Treated?
laser treatment is another popular option for treating spider veins. as light is absorbed by the blood vessels, they shrivel up and dissolve into the normal skin. laser treatments are performed without anesthesia. the nd:yag laser is also used to reduce redness caused by rosacea.
Does Spider Vein Removal Hurt?
there is some discomfort.
Are There Any Side Effects?
since there are no incisions, you will have minimal side effects. you can return to your normal activities immediately following treatment. you may experience temporary symptoms such as redness or bruising. depending on your treatment plan, we may recommend that you wear compression stockings for a short time.
Where Should I Go For Spider Vein Treatments?
only a licensed professional with knowledge and skill required to achieve optimum results should treat spider veins.
Can Spider Vein Removal Be Combined With Other Treatments?
absolutely! many patients also take advantage of the visit for botox®, a purified protein that reduces frown lines between the brows, as well as for popular dermal fillers like juvedermTM and radiesse®.
Aesthetic Services
What Are Aesthetic Services?
aesthetic services are non-medical procedures that help you achieve younger, more flawless looking skin. since your skin and body are unique, aesthetic services are personalized to effectively address your problems and concerns. all skin types and a wide variety of skin conditions such as clogged pores, dehydrated skin, aging skin, rosacea, and acne can be improved.
What Is Waxing?
waxing is a technique to remove unwanted hair. a wax combination is spread thinly over the skin. a cloth strip is pressed on the top and then removed, taking hair with the wax. all hair colors including white, red, and blonde can be treated. waxing is not permanent: it lasts 6-8 weeks.
What Are Facials?
a facial is a skin treatment that deeply cleanses, exfoliates excess dead skin cells, and nourishes the skin. the result is clear, well hydrated skin. facials can also help improve acne.
What Is Tinting?
eyebrow and eyelash tinting is a quick, painless, non-surgical procedure using vegetable dye as tint. tinting enhances the length, thickness, and fullness of eyebrows and eyelashes. compared to putting on mascara, the effects of tinting are very natural and last 6-8 weeks. the color is custom blended based on your skin type and hair color.
What Is Eyelash Perming?
eyelash perming is a natural way of making the eyelashes more visible and plumper. active people benefit from eyelash perming because the curls of the eyelashes will not go away even in extreme physical conditions. it lasts 6-8 weeks.
What Are Eyelash Extensions?
eyelash extensions give you longer, thicker, eye opening, and very natural looking eyelashes. no one will know that they are not yours. they are applied to your individual eyelashes one at a time. they are safe in the shower, while swimming, sleeping, or exercising.
Where Should I Go For Aesthetic Services?
only a licensed professional with the knowledge and skill required to achieve optimum results should perform aesthetic services. at skin by design dermatology & laser center, p.a. all aesthetic services are performed by a licensed aesthetician under close supervision of a medical doctor.
Can Aesthetic Services Be Combined With Other Types Of Treatments?
absolutely! many patients take advantage of the visit to have botox®, a purified protein that reduces frown lines between the brows as well as a dermal filler like juvedermTM that corrects fine lines and enhances lips.
Specials
15 % off All Treatments + Procedures
Includes all lasers (truSculpt 3D, Laser Genesis, Excel V, Pixel, ClearLift, IPL, hair removal), all dermal fillers, all chemical peels, SkinPen, SilkPeel MD + much more. Exclude Botox, products, already discounted packages + other specials
20% off and Gift with Purchase Epionce Renewal Products
Gift Certificates available for any treatment or amount. For appointment or consultation
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General Info
Payment Types
All Major Cards
Hours
Monday:
9:00am - 5:00pm
Tuesday:
9:00am - 5:00pm
Wednesday:
9:00am - 5:00pm
Thursday:
9:00am - 5:00pm
Friday:
-
Saturday:
-
Sunday:
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About Us
Skin By Design Dermatology & Laser Center, P.A.
Sharon Sandercock, MD and Allison Stocker, MD / We are committed to excellence in skin health and treatments, from acne to anti-aging and everything in between.
We offer the most effective options available in the ever-changing world of cosmetic dermatology: fractionated lasers for skin resurfacing, lasers for skin tightening, pigmented lesions and vascular issues, hair removal, and spider veins; a full menu of dermal injectables: Botox, Dysport, Sculptra, Juvederm, Restylane, Perlane, Radiesse, Belatero, Expression, Artefill; chemical peels: Probiotic Youthboost, Melanage, VI Peel, VI Precision and Precision Plus, SkinMedica Peels, Beta (salicylic) Peels, acne peels, TCA, and many more; HydraFacial MD, brow shaping, tinting, and waxing, Dermaplaning, Acne Blu-U, Photodynamic Therapy for pre-cancers and acne, and medical grade-only products.