About My Practice
Why do you choose not to delegate procedures?
I perform all of my own injectable treatments because I enjoy interacting with my patients. I am committed to giving my patients the personalized, one-on-one attention they have come to expect.
What is your favorite part of your job?
If I ever win the lottery, I will still enjoy being a dermatologist. I love the creativity of cosmetic dermatology, the problem solving of skin cancer treatments and the science behind skin-care products. What I do every day is fun, and I enjoy every single aspect of it.
How have you popularized your techniques, making them more well-known?
I have been featured in Elle, Self, Time, Good Housekeeping, The New York Times and The Wall Street Journal. I have also appeared on NBC, ABC and CBS’ The Early Show for my dermatologic contributions.
What have you done to educate the dermatologists of tomorrow?
My practice is the training center for many of the cosmetic products we use, and I train physicians from around the world. I also write book chapters and journal articles that teach the best practices. I am a voluntary assistant professor at the University of Miami and a consulting associate at Duke University. I also founded the Cosmetic Bootcamp®, a leading-edge specialty physician training program.
A Minute With
- Celeb photos my patients most often bring in
Jennifer Garner, Grace Kelly and Angelina Jolie
- Career-defining procedure
Fillers have changed my career. To be able to translate what the patient already has into what they can achieve is an art form. As a cofounder of the Cosmetic Bootcamp (the leading core specialty training meeting), I work with plastic surgeons, oculoplastic surgeons, head and neck surgeons and other dermatologists to learn better ways and new places to inject. Recently, we’ve started to inject fillers into the arms, chest, legs and neck
- Three words that best describe me
Meticulous, curious, persistent
- What sets my practice apart
We really go above and beyond to make people happy
- The most outrageous medical myth i’ve heard
That Botox is poison
- Most memorable thing i learned this year
I learned a new way of injecting fillers while I was in Stockholm that really transformed my abilities
- The biggest misconception about my field
That they can achieve their goals in
a single visit. Instead, I try to explain
the entire process of what we are
going to do and that the best results
don’t happen over night
- What is your dream innovation?
Adjustable fillers that could be
expanded once injected
- My ultimate skin-care advice
Make sure you know the specific ingredients your skin needs. I formulated my ScientificRx line with professional-grade skin-care ingredients to provide patients with what they need to restore moisture and promote repair of damaged or aging skin
- What personality trait is unique to you?
My curiosity about doing things better or that have not been done before
- General and Cosmetic Dermatology
- Skin Cancer Surgery
- Mohs Surgery
- Nonsurgical Injectable Facelift
- Removal of Moles & Skin Tags
- Aesthetic Injectables
- Botox®, Dysport®, Xeomin®
- Laser Hair Reduction
- Ascelera® Spider Vein/Leg Vein Treatment
- Visia® Complexion Analysis Customized Skin Care Regimens
- Exilis® Reduces Fat/Contours the Body/Tightens Skin
- Lumenis® UltraPulse Laser Skin Resurfacing
- Fraxel® re:store Laser Skin Resurfacing
- SmoothShapes® Cellulite Treatment
- Isolaz® Acne Therapy
- IPL Sun Damage/Rosacea Treatment
- Ellipse® Sun Damage/Rosacea Treatment
- PDT (Photodynamic Therapy)
- Vbeam® Rosacea/Birthmarks/Warts/Port Wine Stain
- Do fillers in the lips stimulate collagen production?What our experts say:
There is a lot of information that fillers in any part of the body stimulate collagen production. In some patients, not only does it stimulate collagen production but after a few injections, the products begin to last longer. Between these two mechanisms, the injections get really great results.
- What's the best way to treat sun damage?What our experts say:
The best way to treat sun damage is with a combination approach such as a topical medication / cosmeceutical (Retin A and vitamin C are two that come to mind) and a light source or laser. For light sources, I recommend Intense Pulsed light or Photodynamic therapy (using a dye with an activation light). For laser, I like the fractionated CO2 or fractionated non ablative laser (Fraxel is one good example of this).
- Where is Botox most commonly injected?What our experts say:
Botox is most commonly injected in the area it’s FDA approved for, frown lines. A close second, is a combination of injections into the forehead and outside the brow to give a brow lift.
- Are there risks involved with using Botox?What our experts say:
Any time we touch someone with a needle there can be injection site discomfort, and some local redness, but these are small risks. Botox has specific risks, such as occasional headaches; and sometimes you can get eyelid or eyebrow heaviness, but that’s most commonly seen in people who are straining their forehead, and using muscles or holding their eyelid or eyebrow up. It’s not really a side effect, but more of an unmasking of something the muscles were compensating for. If we relax their entire forehead and things tend to drop, they may need surgery instead to remove excess skin. A lot of the time, if the forehead is treated in an overly aggressive way, and every line is removed (especially the lower 1/3 of them), that is usually when that complication occurs.
- How long does Botox take after it’s injected to work? How long do the effect last?What our experts say:
There are studies that show that within 48 hours,patients notice an onset, but typically we see maximal onset in 5 to 7 days. Also studies using Dysport, Xeomin, show a very rapid onset, sometimes within 2 to 3 days. How long it lasts depends on the dose. If you go to discount place that waters it down, it might only last 4 to 6 weeks; but, in general, the duration is 3 to 4 months; and you get longer duration after several visits. Patients who have been treated for 8 to 10 years break their habit of wrinkling, so they don’t need to use it again for 6 months or more.