Dr. Janice Lima Maribona
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About My Practice
How important is patients' happiness to you?
It’s everything. We provide customized care with high regard for client safety, satisfaction and comfort. By being attentive to the hopes, needs and apprehensions of each of my patients, I gain their trust, so that together we can determine the procedure best suited for their desired results.
What's most important to you when treating patients?
Customized results. Whether I’m wielding a laser, staving off the aging process by restoring lost volume or turning back the clock via a skin-tightening procedure, one thing is for certain—I do so with the goal of maintaining individuality.
What does it take to get beautiful skin?
I am a firm believer that the foundation for achieving natural-looking beauty should involve a daily routine, consisting of carefully selected products that optimize skin health, in preparation for the professional services I provide.
What Is Your Advice For Looking Young?
I really think that the secret to looking younger is to look fresh, not overdone, to dress appropriate to our decade, and to be a little silly sometimes!
How Is Your Practice Distinct?
I think what sets my practice apart is the fact that we practice medicine every single day. That's our first job. I have a great team. Every patient is looked at from head to toe before we wave our youth wand on them!
What lifestyle tips do you offer?
The advice I always leave a patient with before I exit the room is to wear sunscreen, and if it is woman, I remind her that makeup is our friend!
What are your proudest career moments?
The proudest moments in my career have been every graduation I’ve experienced together with the culmination of opening my own practice. I think my father would have been ecstatic with joy!
What Are Your Proudest Career Moments?
The proudest moments in my career have been every graduation I’ve experienced together with the culmination of opening my own practice. I think my father would have been ecstatic with joy!
What Is Your Favorite Skin-Care Gadget?
CLARO. It's FDA-cleared to treat pimples, and it's the only at-home, acne-clearing device to use Intense Pulsed Light technology. Plus, it works, which is the most important factor.
American Osteopathic Board of Dermatology
Affiliation:American Academy of Dermatology, American Osteopathic College of Dermatology, American Society of Laser Medicine and Surgery, Florida Society of Dermatology
A Minute With
My ultimate skin-care adviceUse retinoids at night and antioxidants with glycolic acid in the morning
My happiest professional momentPerhaps the day that I graduated from medical school
Most outrageous medical myths i’ve heardTo put toothpaste on pimples or radishes on warts
The biggest misconception about my fieldThat we can do everything, whatever that may be, in no time
What i love most about my professionTo talk to people and know that I made a difference in their lives
Three words that best describe meHonest, loyal, bubbly
What sets my practice apartVery personalized service and care
Career-defining procedureThe wise use and combination of fillers and collagen-stimulating products to make everyone look natural yet beautiful!
How i make the best first impressionTaking time to sit down and discuss each patient’s concerns, as well as what we see versus what they see needing attention
My greatest achievementI am a woman of courage— I have been able to become what I consider an exemplary mother, an honest business woman, a fair boss and a reasonable wife...that’s as good as it gets!
What one nonsurgical advancement are you most excited about right now?Kybella!
What are you best known for?My honesty, my natural approach to results and my down-to-earth attitude. No stuffiness is allowed in my office
What are you doing differently today for facial rejuvenation?I take on a full approach for color, tone, texture, shadows and contour. We mix at-home solutions with in-office procedures to address concerns
Why is skin care so important?Skin care equates to skin health. Everyone has the right to skin health. It can be achieved with inexpensive over-the-counter products, as well as premium in-office cosmeceuticals. We can get there always, whether by row boat or speedboat, the idea is to just get there
- General Dermatology Services
- Botox® Cosmetic
- Dysport® / Xeomin®
- Dermal Fillers
- Accent® XL Treatments
- Laser Surgery
- Laser Surgery / Laser 360™
- Laser Hair Removal
- Laser Acne Treatments
- Pixel® Laser Resurfacing
- Paramedical Aesthetician Treatments
- Cellulite Treatments
- Treatments for Hair Loss
- Juvéderm® Voluma / Volbella
- Restylane® Lyft / Silk
- Restylane® Defyne / Refyne
- Sculptra® / Ultherapy®
- Lips by Lima
- EndyMed™ Radio Frequency
- “VoLima Lift”
- Clear + Brilliant®
What are the most effective anti-aging ingredients?What our experts say:
Glycolic acid, retinoids, growth factors and antioxidants are the cornerstones of modern skin care. How do they work? Glycolic acid helps skin glow, retinoids fight acne and give skin more elasticity, and growth factors stimulate cell growth as well as elastin and collagen production. Antioxidants reverse the effects of sun damage and protect against future environmental damage. “I like to use active ingredients that are supported by medical studies. This way we are sure that our patients get the full cosmetic benefit with medical approval.
How can I improve the health of my hair?What our experts say:
Hair loss affects millions of people, and many of those people are women. stemming from a number of different causes ranging from genetics and hormonal changes to stress and crash diets, hair loss can affect women visibly as well as emotionally. “A woman’s hair is part of her identity and represents her femininity,” says Dr. Maribona. “Losing it hurts her self-esteem.” However, women can combat hair loss with Top Secret Hair, skin and nails nutrition supplements. Made with collagen, hesperidin and biotin, the formula promotes skin cell growth and thick, healthy hair.
How can I address fine lines, discoloration, loose skin and tiny broken blood vessels all at once?What our experts say:
There’s a procedure known as Laser 360 that offers complete skin rejuvenation, enhancing color, tone, texture, wrinkles and tightening of the forehead, cheeks, mouth area, under-eyes, upper lip and neck, within 60 days. The procedure promotes collagen synthesis, as well as reduced pore size and acne scarring, without downtime. Patients can undergo a Laser 360 procedure and get back to work or school immediately.
What is the difference between Restylane and Perlane? Juvéderm? Radiesse? Belotero? Where is each of them used?What our experts say:
Restylane is great for first-time users. I use it in lines with superficial to moderate depth (like marionette lines and nasolabial folds). I also use it a lot on lips, because the look is very natural. Restylane is now FDA approved for use in the lips. I personally do not use Juvederm on lips, but on folds.
What are chemical peels used for?What our experts say:
There are glycolic acid peels (from 30 to 70 percent), which are attracted to water; and salicylic peels (20 and 30 percent), which are attracted to oil. The Obagi peel is a mix of salicylic and lactic acid and is good for people with acne and melasma. When the skin has a condition, we have to treat it with different things all the time, so the skin doesn’t get used to one thing. We really never know who will respond to what type of peel and what it will do for them; but there are peels for everyone. There is one for spots, one for rosacea, and one for melasma. There is a peel for every single condition of the skin. They are fairly inexpensive, so if someone does not have the budget for a laser, it’s a great way to treat the skin. It’s also great to use before and after laser treatments, it complement them fantastically.
What is the best non-invasive treatment for cellulite?What our experts say:
In my opinion, the best non-invasive treatment is radiofrequency. There are different devices, but I believe the most complete and most versatile one is the Accent XL because it can be used anywhere on the body. The Accent XL has two handpieces that complement each other. One decreases the appearance of cellulite and the other one tightens the skin. These treatments are not permanent; you have to have six treatments, done every two to three weeks; and then you have to come in for maintenance two to three times a year. There are other treatments as well, but for cellulite this is the gold standard. There is Cryolipolysis like Zeltiq, but you can’t do it all over the body. Accent can be used on the neck, arms, muffin tops, thighs, and in the face. We can even tighten up the eyes. It’s a very versatile machine, and very user-friendly. There is a second generation available in Europe that uses both cold and hot ultrasound waves, which is going to be interesting, so we’ll see what it can do.
Are Accent XL treatments painful?What our experts say:
It feels like a warm massage. You have to warm up the skin to 40 to 42 degrees Celsius (body temperature is 37 degrees Celsius), and that takes a certain amount of energy. Some patient’s maintain heat and it only takes 30 minutes to get to that temperature, but some patients take an hour, because they are sensitive to the heat. It’s uncomfortable heat, but it’s not painful. We put mineral oil on the skin to promote the easy gliding of the handpiece. It’s like a rotating ball on the tip that delivers the heat. The other handpiece is a little bigger with balls that rotate.
Is the Accent radiofrequency treatment used for anything other than cellulite treatments?What our experts say:
It’s also used for skin tightening. We treat a lot of necks and arms, and also the stomach (if they have just a little extra skin). It’s an inexpensive and non-invasive way to see if it could get better. We work together with the patient where we put them on a good nutrition program with exercise. It’s a popular treatment to do after liposuction to minimize the scarring and adhesions and hardening of tissue you get after liposuction treatments.
How is Blue Light used to treat acne? Are there other treatments for acne?What our experts say:
Blue light is 420 nanometers in the light spectrum which is an antibacterial light. Bacteria have a chemical that the blue light absorbs into. They go through a conversion that disintegrates, or kills, the bacteria. When you decrease bacteria, you decrease the inflammation that contributes to getting pimples. We use it adjunct with other treatments. It’s a weekly treatment, for four to six weeks in a row; and then they come back every once in a while. It calms the bacteria down. There is also a laser treatment, Isolaz, which is a combination of mechanical suction and light. It has a handpiece with a lamp at the end and a suction face, and you can vary the strength of the suction. You place it on the skin and it sucks the skin into the device; so pores are forced to be squeezed. At the same time, it shines blue, red and infrared light and that combination is great. The blue light decreases bacteria, the red light decreases inflammation, and the infrared light is used for heating purposes which contributes to the detriment of the bacteria. It’s a very special machine that a lot of patients like a lot because they get a mechanical facial. You can also use microdermabrasion to treat acne, which should be powder free. The DiamondTome machine has a handpiece encrusted with different sizes, or grids, of raw diamonds. We vary the suction according to what you want accomplish. Dermasweep, is another microdermabrasion device that has brushes you can attach to the handpiece from soft to metal brushes. You can also attach an IV bag of an active ingredient (like salicylic or glycolic acid, or vitamin C) to splash on the skin at the same time. Not only does the patient get a microdermabrasion treatment, but they are also getting an ingredient into their skin according to what their skin needs.
What is microdermabrasion?What our experts say:
Microdermabrasion takes off the top layer of skin, (you take 10-15 percent off); which stimulates collagen production in the skin.
Besides forehead lines, what is Botox used to treat?What our experts say:
Off-label, we use it for crow’s feet, the neck, bunny lines on the nose (the vertical lines on the sides of the nose when you sniff), chins that are over-reactive (they move a lot when they talk), and the lateral angels of the mouth (the very active muscles that depress the corners of the mouth). You can also treat flared nostrils, the very fine cigarette smokers lines (the tiny lines seen when they purse their lips), and hyperhidrosis (excess sweating).
How are Botox and Dysport different?What our experts say:
In all honesty, in a clinical setting we really don’t know what the difference is. They work about the same, and last the same amount of time. I do find in my practice, that when you inject Dysport, it spreads a bit more, so the radial distance of the spread all around is greater. Therefore, I tend to use it more in the neck because it is a large area, and the patient gets more results. Both have to mixed, and everybody mixes them differently. The conversion is for every one unit of Botox, you should inject three units of Dysport. The price per unit of Dysport comes out lower, but you have to inject three units, so it comes out the same. Xeomin is a new botulinum toxin that just came out. The conversion is one-to-one with Botox. It’s a little different molecule, but works great as well. They basically all do the same thing. Different people may perceive them differently. Some doctors may have a certain relationship with a certain company, and they like to deal with that company over another. Everyone finds a niche for all these products. You find what works better in certain areas. Some have better rebates. It’s all becoming very generic.
Are there risks with using botulinum toxins?What our experts say:
I have been using Botox for a long time and have never experienced anything bad with my own patients. Some get headaches, some people feel tightness, or a heavier sensation, but it’s all very transient. The main problem is that it is so popular to inject nowadays; so there are doctors who are not trained or who are poorly trained injecting it, and they are causing complications. They can drop a patient’s eyelid or eyebrow. I truly feel that Botox is one of the biggest breakthroughs we have in medicine, but you have to know the facial skin and musculature. Plastic surgeons and dermatologists should be the only ones injecting it. Its very operator-controlled based on the experience the injector has.
How do you get rid of brown spots?What our experts say:
It’s very common in Hispanic patients, so here in Miami, we treat a lot of it. We treat brown spots with as many things as we can. At home, patients can use exfoliants (like glycolic acid), retinoids and bleaching agents. In-office, we can do laser treatments, peels, microdermabrasion, light treatments, etc. It depends on the skin of patient and on the patient’s budget. Some can afford more than others, so they are at a huge advantage. Some can only afford what they can do at home.
Does IPL/FotoFacial treatments hurt? How many treatments do you need? Is there downtime?What our experts say:
It’s used to treat people with liver spots, freckles, and any type of redness or little blood vessels, like rosacea. It’s used to treat red and brown pigmentation, but we have to be careful if the brown is melasma. Melasma is tricky. It can be used on patients with melasma if they are fair-complected, but not at a very high energy. It’s not used to treat melasma in darker-complected patients. IPL can be used on the face, chest, arms and hands. It’s very popular and very inexpensive. Patients are usually treated once a month, for 3 to 4 months in a row; and than once or twice a year for touch-up. There is very little recovery. The brown gets browner and red gets redder at first and then fades away. Patients may need to wear a little more makeup than usual after treatment. If they have a special event to go to, they should do it do a week to two weeks beforehand.
What is the difference between Juvederm Ultra and Ultra Plus? Where is each used?What our experts say:
The difference is the thickness of the product from the cross-linking that they do when producing the product. Ultra Plus is a highly cross-linked, thicker product. I only use Ultra Plus. I think it is a wonderful product. It’s very fluid and natural looking in the marionette lines and nasolabial folds. It’s best for superficial to moderate depth. For virgin users, it’s a wonderful product to start with, and it looks very natural.
Where is Sculptra used?What our experts say:
It’s wonderful; however, you have to educate the patient about the product, and they must understand that it’s a process. It’s a life-changer in all patients that need filler, but it’s a gradual change they are going to go through. We inject it once a month for three months in a row. The change is very subtle and very gradual, and the change will continue. I always tell patients who do injectables they may want to undergo Sculptra treatments as well, because it’s going to extend what you have done. It gives a foundation to the face. Sculptra gives the structure (it’s a volumizer), while filler is the spackle. It gives fullness and character to the face.
How often do you need to use fillers?What our experts say:
Most are approved for a year; but in some patients they may last 6 months, 9 months, a year, or even 18 months. It depends on the patient. I’d say 6 to 9 months is a reasonable expectation from a patient and doctor standpoint, with a full correction. Sculptra is approved for two years.
Do injectable treatments hurt? Is there swelling and bruising?What our experts say:
There could be swelling, bruising, or hematoma formation if not guided in correctly. We give arnica to patients a week before they come in, so they don’t get bruising. Most injectables come mixed with lidocane, so the patient starts feeling numbness after the first couple of injections; and we do use numbing creams and ointments. The mouth is the most painful area. It hurts, period. The central face is a deep injection, so you don’t really feel it there. It’s all very patient-dependant.
What are Laser 360 treatments? How many do you need to rejuvenate the face? Do they hurt?What our experts say:
Laser 360 treatments are a combination of different modalities, where you address problems in the skin; such color (brown spots and redness); texture; wrinkles; and laxity, or skin tightening. There are 360 degrees of problems that people have with their skin. We can treat them all at once, but some do one thing today and then come back for the other. There are different handpieces that can be combined within the same setting. It’s done every 4 weeks, for 3 months. We usually do six in a year. The Pixel is uncomfortable, it’s a fractionated erbium laser, but it all depends on the energy done and the level of patient tolerance. It feels like a sunburn and a rubberband snap. We can start low and increase as we go. We try to be conservative with the first treatment and take it up from there. The higher we go, the better the result they get. Patients can take Xanax or something to relax them, and we also use numbing creams. Usually I tell patients it takes a week to 10 days to heal. The first day you will be red and wet, like you spent 24-hours in the sun without sunscreen. The next day, the skin will be tight and red; and then it will get tighter and pink; and then the tightness turns into peeling. If you have it done on a Thursday, you can be back to work on Monday.
What is the best way to get rid of unwanted hair? Who is a good candidate?What our experts say:
The best and most precise way is with a laser; the Alexandrite 755 nanometer laser or an 820 nanometer Diode laser. If you have darker skin (black or tan skin), you need the Diode laser. The larger the number the wavelength, the deeper the penetration; and it penetrates all the way down to the follicle. Hair removal is not excruciatingly painful because people come back, but it’s definitely uncomfortable. The level of discomfort is related to the color of the hair (the darker hair the more it hurts); and the density of the hair (the arm pit or back hurts more because there are more hairs per centimeter squared). I usually tell patients to do 3 treatments at a time because 10 percent of hair is destroyed with each treatment (if everything is normal). Three treatments get rid of 20 to 30 percent of hair. The remaining hair is thinner and lighter and the hair will grow slower. It’s really permanent hair “reduction,” rather than permanent hair “removal.” No laser is approved for permanent hair removal.
Are there any new peels we should know about?What our experts say:
There is a new generation of peels coming into the United States: Glytone, by Enerpeel. They are peels that are individually packaged in ampoules. You break them open and they have a brush that is applied on the skin. It has its own prepping solution and its own buffering solution. They have a Mandelic Acid peel (from almonds), which is the lightest one and good for redness or sensitive skin; a Pyruvic Acid peel (from apples), that works really well for people who have oily skin; and a low-pain TCA peel, that works on people that have brown spots, fine lines, moderate wrinkles and small scars. They are just launching a very low-grade 3.75 percent TCA peel mixed with 15 percent lactic acid to use under and on top of the eyes and around the mouth. It comes in a pen-like device and you twirl it like a concealer. It’s the first peel that can be used on the eyes. They also have specific peels for the chest and hands.
Is there a nonsurgical way to shrink my midsection?What our experts say:
Yes! FDA-approved Liposonix® uses ultrasound technology to reduce abdominal fat just beneath the skin without surgery. It’s ideal for small pockets of unwanted fat on the tummy and love handles. Liposonix permanently destroys fat cells and final results become visible in eight to 12 weeks. Clinical trials showed that after one treatment, patients experienced an average waistline reduction of about an inch*. It’s finally here! It takes one treatment and one hour to make you up to one size smaller without needles or liposuction.
Is there anything that can be done to prevent hair thinning?What our experts say:
As we age there is not much we can do to prevent the natural hair thinning process, but there are a few things that can help: Taking hair, skin and nail vitamins, using good products, and getting a weekly massage and oil treatment to stimulate scalp circulation.
I recently read a study about black tea and how it can be beneficial for hair loss. Is this true? If so, how does it work?What our experts say:
In ancient Hindu culture it is well known that the boiling water used in tea in copper pots is helpful to hair loss because copper is a trace mineral that is essential to hair vitality, strength and growth. This same culture was even known to boil water directly onto the hair. However, I am unaware of the benefits of black tea specifically.
Please help my mom - Are there any true solutions for hair loss that do not include surgery?What our experts say:
It sounds like she has generic hair loss, but ultimately it depends on the type of hair loss she has. A good comprehensive laboratory evaluation will help rule out certain endocrinological conditions, which are treatable. One option includes cortisone injections into the scalp which may help to decrease any level of inflammation. Until she has been evaluated, we will not be able to determine specific solutions.
Does it hurt to havea broken blood vessel? Removed how can I have it done? How long will it take?What our experts say:
Blood vessels are best removed with vascular lasers, however an electric needle may be used as well depending on the type of blood vessel dilation.
If lasers can darken melasma, what can be used to treat redness from rocesia while treating melasma as well?What our experts say:
There are many different types of lasers to treat pigment concerns and rosacea, however not all are helpful for melasma in darker complected patients as it (the brown spots) may get darker. Peels and peel follow-up home treatments can be helpful in decreasing brown spot pigments, as well as improving rosacea. I suggest a consultation with a dermatologist that specializes in peels and laser treatments to customize a full treatment option that may consist of a mix of peels, lasers and products for use at home
How does belotero compare to others face fillersWhat our experts say:
Belotero is a very soft hyaluronic acid filler that is best used to treat superficial fine lines, and not those that are deeper in the skin.
I had my naso-labial folds injected with Dermalive quite some time ago. As you most likely know, it has the nasty reputation of creating hard lumps where it was injected. Is there way to either dissolve or remove these lumps?What our experts say:
The lumps may need to be injected monthly with a stronger corticosteroid. I would also recommend getting a second opinion from a plastic surgeon because if the lumps are well circumscribed they may be easily removed; however, this is not usually the case.