Advanced Dermatology & Cosmetic Care

Dermatologist

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PHILOSOPHY

The group dermatology practice of Dr. Bernard I. Raskin emphasizes personal care and attention to detail. “Whether performing Mohs Surgery, fractional CO2 laser resurfacing or a routine chemical peel, we strive for the ultimate patient care, comfort and satisfaction with results that are achieved with natural aesthetics as our guiding principle,” Dr. Raskin says.

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Youre born a work of art we want to keep you that way.
Dr. Bernard Raskin
Dermatologist
Valencia, California

Services Offered

  • General Dermatology
  • Laser Resurfacing
  • Skin Rejuvenation
  • Skin Cancer Surgery
  • Thermage®
  • Photodynamic Therapy
  • Aesthetic Injectables
  • Laser Surgery
  • Sclerotherapy (Vein Treatment)
  • Fat Transfer
  • Fractionated CO2 Laser
  • Facial Rejuvenation
  • Liposuction
  • Acne Treatments
  • Botox®
  • Dysport®
  • Restylane®
  • Perlane®
  • Juvéderm®
  • Radiesse®
  • Sculptra® Aesthetic
  • Mohs Surgery
  • Scar Revision
  • Laser Hair Removal
  • Facials
  • Chemical Peels
  • Microdermabrasion
  • Botox
  • Dysport
  • Juvederm
  • Kybella
  • Perlane
  • Radiesse
  • Restylane
Contact doctor for financing details

A Minute With

1.
WHAT I LOVE MOST ABOUT MY PROFESSION
Continuing education— there is always something new to learn
2.
MY HAPPIEST PROFESSIONAL MOMENT
The overall success and growth of my practice during the past 30 years
3.
THE BIGGEST MISCONCEPTION ABOUT MY FIELD
That Botox® will paralyze your face
4.
WHAT SETS MY PRACTICE APART
We offer treatment plans that include recommendations for skin health and beautification
5.
THE FUTURE OF MY FIELD
Less-invasive treatment options in both medical and aesthetic dermatology
6.
MY MOTTO
Sunscreen, sunscreen, sunscreen
7.
MY DREAM INNOVATION
A sunscreen that only has to be applied once daily and will protect against all UV rays
8.
CELEB PHOTO MY PATIENTS MOST OFTEN BRING IN
Angelina Jolie
9.
CAREER-DEFINING PROCEDURE
Mohs micrographic surgery
10.
MY OPERATING ROOM PLAYLIST
Mostly classical music, unless my patient requests otherwise
11.
THREE WORDS THAT BEST DESCRIBE ME
Active, enthusiastic, happy

Send Dr. Bernard Raskin an email

Philosophy

The group dermatology practice of Dr. Bernard I. Raskin emphasizes personal care and attention to detail. “Whether performing Mohs Surgery, fractional CO2 laser resurfacing or a routine chemical peel, we strive for the ultimate patient care, comfort and satisfaction with results that are achieved with natural aesthetics as our guiding principle,” Dr. Raskin says.

About My Practice:

What skin-care products do you offer?

I'm really big on antioxidants and retinol creams for patients, and I feel strongly that they provide enhanced benefits to skin. In addition to our own line, Creating Beauty, we carry a range of product lines from inexpensive ones to the more sophisticated lines such as SkinMedica.

How does your staff enhance the care you offer?

My staff is professional and friendly. They are an extension of me and we function as a team.

What is unique about your treatment style?

I spend a lot of time with each patient in consultation and consider myself available 24/7.

How do you ensure patient safety?

We have a joint commission (JCAHO)- and Medicare-accredited surgery center. This is the same certification that hospitals have. It’s right next to the office and we’ve incorporated the necessary structural aspects and protocols so we can maintain the highest possible safety standards for our patients.

What is unique about your training?

I am a fellow of the American Society for Mohs Surgery and skilled in micrographic surgery, which is unique in its accuracy and skin cancer cure rates, so I am able to care for patients beyond just their cosmetic woes. 

How do you best educate patients?

I speak with them directly. I use analogies. People have told me I have the gift of making the complex simple. My cosmetic counselor attends all my consultations so there is strength in two of us communicating on different levels.

What is new at your practice?

We recently moved to a new custom-designed office that gives our patients additional space for better privacy and comfort with three separate waiting rooms, larger exam rooms and a skin-care education area with various products for them to learn about.

About Me:

What is unique about your training?

My degree in physics, attending UC Irvine medical school, becoming an internist and later completing my dermatology training at UCLA combine to give me a broad background to draw upon when treating patients. In fact, I am skilled in MOHS micrographic surgery, which is unique in its accuracy and skin cancer cure rates, so I am able to care for patients beyond just their cosmetic woes.

What projects are you working on?

I've been writing a lot recently. I have textbook chapters on erbium laser resurfacing and CO2 laser resurfacing coming out in 2012.

Why do you teach?

I teach derm residents at UCLA and derm surgery frequently because education is a two-way street. When I teach, I learn.

What are some important lessons you've learned from your patients?

Botox and fractionated co2 laser procedures are my favorite cosmetic procedures. There have been so many improvements in devices and techniques. My MOHS micrographic knowledge makes me a better cosmetic provider because I understand the subtleties and complexities of the skin.

What have you written lately?

I have written textbook chapters on CO2 laser resurfacing and liposuction using microcannulas.

How is your new office patient-centered?

It was designed with patients in mind. It’s modern, upscale and comfortable. It gives our patients additional space for better privacy and comfort with three separate waiting rooms, larger exam rooms and a skin-care education area with various products for them to learn about. The additional space has also helped us reduce waiting time because we have more rooms in which to offer our laser treatments. 

Why do you write?

It’s fascinating. Even if someone has written about a topic before, new information demands that we reexamine what we know from a current perspective.

Testimonials

Share your testimonial

Please take a few minutes to give us your feedback about your experience with Dr. Bernard Raskin

About Me

Rejuvenating Resurfacing

Looking for a way to minimize fine lines and improve the texture and tone of her skin, this 47-year-old patient underwent fractionated CO2 laser resurfacing with Dr. Raskin. “We were able to minimize discoloration and give her smoother skin,” he says. 

Subtle Rejuvenator

This 54-year-old patient was concerned with discoloration, fine lines and volume loss. “With one TCA chemical peel, we gave her brighter skin. Dysport smoothed forehead and frown lines, and Radiesse gave her more youthful facial volume,” Dr. Raskin says.

Rejuvenating Resurfacing

Looking for a way to minimize fine lines and improve the texture and tone of her skin, this 47-year-old patient underwent fractionated CO2 laser resurfacing with Dr. Raskin. “We were able to minimize discoloration and give her smoother skin,” he says. 

Facial Contouring with Fillers

More than just volumizers, fillers can be used off-label to add shape to the face where bones have receded due to natural aging. “We recreate facial contours by injecting fillers along the bone to act as a scaffold for soft tissue to drape over,” Dr. Raskin says. “We combine the use of a filler as both a volumizer and a scaffold with the treatment of wrinkles via neurotoxins to create a ‘liquid facelift.’” Also exciting are some of Dr. Raskin’s off-label uses of fillers to address multiple concerns of his patients. “Some of the more unique areas where we are using fillers, such as the eyelids, temples and earlobes, are providing incredible results.”

Botox Sans Boundaries

Dr. Raskin is a frequent lecturer and advocate of embracing Botox for a variety of anti-aging fixes on all areas of the face. Brows, lids, lips, chin, nose and jaw all benefit from Botox, used off-label, beyond its intended use of softening furrows between the brows. In particular, I use it at the edge of brows and just underneath the lower eyelashes, creating brow elevation and a wide-eyed, bright and youthful look. Likewise, Botox placed underneath the mid lower lip can simulate a pout. Used adjacent to the chin, it also relaxes the muscles that pull down the corners of the mouth so corners rise a bit, creating a more pleasant rested expression. Nasal flare, bunny lines' and a sagging nose tip can all be resolved simply with Botox, as well. Finally, when we inject along the jawline and slightly into the neck, I feel that the jowls smooth out and the jaw appears lifted and more defined."

Gentler Skin Resurfacing

Dr. Raskin says one of the most popular treatments he offers is fractional CO2 laser resurfacing. “It’s a sophisticated and elegant way to treat wrinkles, scars and surface deformities on the skin,” he says. And it’s a much gentler option than the old laser treatments. “The old lasers were kind of like a paintbrush where you did lasing over the entire surface of the skin and to treat the wrinkle was to vaporize the top layers of skin. It gave a nice result, but it was very painful,” Dr. Raskin says. This results in open skin that needs more time to heal and increased risk of infection. With the fractionated laser, the beams of light are spaced out so treated skin is next to healthy, untreated skin, which speeds up recovery and minimizes pain associated with the treatment. “The only drawback is that we need multiple sessions to get the same result,” Dr. Raskin says. “However, most patients choose this gentler method.” 

Achieve Strong, Healthy Skin With Mybody Skincare

“Developed by pioneers in molecular biochemistry, Mybody Skincare utilizes revolutionary scientific technologies and DNA gene testing to mimic an optimal wound-healing response without damaging the epidermis. This cutting-edge approach is now considered a critical component in achieving healthy, youthful and more resilient skin,” says Dr. Raskin. “Mybody Skincare products are formulated with patented bioactive complexes, including plant-based peptides that are proven to influence a stronger skin structure. Mybody Skincare is an innovator of products that deliver maximum stimulation with minimal inflammation and without technologies and ingredients that have been linked to weakening the skin barrier, thinning the skin or increasing sensitivity.”

Education & Credentials

EDUCATION:

Degree:

  • California Irvine Medical School University of California , Irvine, California

Residency:

  • Dermatology Residency - University of California Los Angeles, Los Angeles, California

BOARD-CERTIFICATION:

  • American Board of Dermatology

AFFILIATIONS:

  • American Academy of Dermatology
  • American Academy of Cosmetic Surgery
  • American Society of Laser Medicine and Surgery
  • Fellow, American Academy of Dermatology

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FAQ's

Q. How can I look more youthful?

What our experts say:

Today we have dozens of treatments to choose from that improve not just the surface of the skin, but influence the structure beneath. We offer a combination of fillers to actually recreate the facial framework that dissolves with age, Botox for pesky lines, and lasers to eradicate wrinkles and polish the skin.

Q. Are spider veins on the leg best treated with a laser or sclerotherapy injections?

What our experts say:

Most dermatologists feel that sclerotherapy (injections) is the best method for treating spider veins. Typically, lasers are utilized for residual or difficult to treat veins. In my experience, injections overall tend to work better, require fewer sessions, and are far less extensive than laser. Also with laser, there is a higher risk of having irregular pigmentation, which may persist for a prolonged time.

Q. When do veins get so bad that they can’t be treated with sclerotherapy and need to be treated surgically?

What our experts say:

If your veins are bulging, surgical therapy is the best modality.

Q. What areas of the face give away age the most when they lose volume? How can you treat them?

What our experts say:

In my opinion, the area of the face that shows age the most is the area under the eyes where the cheekbones are. As we all age, the cheekbone begins to dissolve.  The skin no longer drapes over the bones in a youthful way and tends to hang more vertically. Thus, the area that I feel is most important to treat with volume is the area over the cheekbone. I also like to treat the area over the side of the face over the cheekbone as that recreates the V-shape configuration with a wider upper face and a more narrow lower face that is associated with youth. In terms of treatment, I enthusiastically utilize the hyaluronic acids such as Restylane and Juvederm along with more long-acting Radiesse.  For volume loss in the cheeks, I like Sculptra.

Q. Which laser treatments are best for sun damage?

What our experts say:

The best laser is based on how much sun damage your skin has had. For very mild sun damage such as irregular pigmentation, the photofacial may be highly effective.  This modality has little risk, virtually no downtime, and is generally inexpensive.  For individuals with some discoloration, and early superficial wrinkles, options would include the photodynamic therapy approach, the erbium laser, or superficial fractionated lasers. Within that group of choices, we try to pick the method that best accommodates your needs, your budget, and how you feel about downtime. For more severe sun damage, the fractionated CO2 laser is our overwhelming choice.  This laser can actually be used for any type of sun damage from mild to severe, and is the gold standard for treatment of moderate sun damaged skin. I prefer the fractionated CO2 laser for those individuals having more sun damage and deeper wrinkles. The fractionated CO2 laser does have a few days of downtime, which must be considered when you are choosing a laser treatment. Also for more severe sun-damaged skin, the laser is used at higher settings, and there are always potential problems associated with any laser used at higher settings.  Keep in mind that laser treatments are safe, but not risk free.

For those with the worst sun damage including loose skin, the fully ablative CO2 lasers that first were used 10 years ago are still the gold standard for the most severely sun damaged. No one approach works for every skin type on every individual. People with ethnically darker skin may not be the best candidates for stronger CO2 Fractionated lasers. A consultation with a specialist is the best way to decide on an approach for you.

Q. Which laser treatments are best for rejuvenating tired skin?

What our experts say:

In my experience, patients with tired skin are showing an overall lack of vitality in their skin. They have more than just discoloration of the skin. The skin is often darker, dull and thin appearing, and early jowl formation is present. For these patients, I prefer the fractionated CO2 laser. This laser sends out thousands of tiny beams of laser light. There are small spaces between the beams. The laser creates tiny holes in the skin, but leaves untreated areas around the hole, which allow the skin to heal quicker and dramatically reduce risk. This laser can effectively tighten skin and is the best method in my opinion of restoring tired skin.

Q. Which treatments are best for acne?

What our experts say:

Some cases of acne respond nicely to over-the-counter remedies. However, most acne patients require some prescription medications, which may involve oral antibiotics, topical antibiotics and some form of Retin-A. In addition, I prefer actively treating acne with extracting the clogged pores, performing mild chemical peels and microdermabrasions. For more severe acne, the photodynamic therapy method of lasering is highly effective and may avoid the use of Accutane. For those patients who have the worst acne that is resistant to care, or have required ongoing care for years and years, Accutane may be considered, but this is a drug with many side effects and should only be decided upon in consultation with the specialist.

Q. What are the pros and cons of Fractional laser resurfacing?

What our experts say:

Fractional laser resurfacing is a new technology where thousands of tiny beams of laser light are directed towards the skin. There are small spaces between the laser beams. This allows the laser to treat only a fraction of the area (thus the name fractional) leaving little areas of normal skin around each impact site. Having normal skin allows for quick rapid healing with minimal downtime. The major benefit of fractional resurfacing is the improvement people achieve with the reduction in risks such as laser burns or scars, and also a lower risk of infection.  Healing is also very rapid and this is another significant benefit of fractional laser resurfacing. The major problem with fractional laser resurfacing is that patients require multiple treatments.

Q. After sclerotherapy do I have to stay out of the sun?

What our experts say:

If you have sclerotherapy with saline, there is not really a need to avoid the sunlight. You should, however, keep your legs wrapped for up to three weeks with some type of compression hose because wearing compression hose gives you a better final result.

Q. What does microdermabrasion do?

What our experts say:

Microdermabrasion is a wonderful method of toning the surface of the skin.  It also enhances new collagen formation under the skin, although how that happens is something of a mystery, but there is no question that multiple microdermabrasions are highly beneficial for the skin’s surface, help with wrinkles, irregular pigmentation and acne scars.

Q. When is a chemical peel the right treatment?

What our experts say:

Chemical peels are a fabulous treatment modality that has been superseded in the rush to laser technology. But in many cases, a chemical peel can provide you with almost all of the benefits of a laser at a fraction of cost. There are very light chemical peels that we use for acne. These kinds of peels can be used at home, in a safe weekly regimen. There are slightly stronger peels that we apply in the office to help with acne, and also for irregular pigmentation.  In my opinion, melasma (diffuse brown irregular pigmentation) is best treated with chemical peels as laser often causes darkening or rapid recurrence. For wrinkles and tired looking skin, stronger chemical peels can be very helpful. The main difference between chemical peels and laser treatments is that the laser is much more precise. With chemical peels, there is always some variation in penetration of the chemical peel in different parts of the face and thus, the overall consistency may not be quite the same as with the laser. But in selected individuals especially when price is an issue, I am very enthusiastic about chemical peels.

Q. Which laser treatment can get rid of broken blood vessels on my face? There are some tiny vessels near my eyes and some bigger ones on my cheeks. Are these removable with the same laser or do I need multiple appointments?

What our experts say:

 

The Vbeam Perfecta, is the most accurate and most reliable laser for blood vessels with best chance of treating completely at one visit. It is also the LEAST likley to leave any residual mark or scar, compared to other lasers.  The Vbeam is also safer for use around the eye compared to other lasers but caution is still advised in that area.  The Vbeam is the most painless laser as no anesthesia is needed.  The wide range of energy settings on this laser allow it to treat everything from very tiny to quite large vessels. 

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About Dr. Bernard Raskin
About Me

What is unique about your training?

My degree in physics, attending UC Irvine medical school, becoming an internist and later completing my dermatology training at UCLA combine to give me a broad background to draw upon when treating patients. In fact, I am skilled in MOHS micrographic surgery, which is unique in its accuracy and skin cancer cure rates, so I am able to care for patients beyond just their cosmetic woes.

What projects are you working on?

I've been writing a lot recently. I have textbook chapters on erbium laser resurfacing and CO2 laser resurfacing coming out in 2012.

Why do you teach?

I teach derm residents at UCLA and derm surgery frequently because education is a two-way street. When I teach, I learn.

What are some important lessons you've learned from your patients?

Botox and fractionated co2 laser procedures are my favorite cosmetic procedures. There have been so many improvements in devices and techniques. My MOHS micrographic knowledge makes me a better cosmetic provider because I understand the subtleties and complexities of the skin.

What have you written lately?

I have written textbook chapters on CO2 laser resurfacing and liposuction using microcannulas.

How is your new office patient-centered?

It was designed with patients in mind. It’s modern, upscale and comfortable. It gives our patients additional space for better privacy and comfort with three separate waiting rooms, larger exam rooms and a skin-care education area with various products for them to learn about. The additional space has also helped us reduce waiting time because we have more rooms in which to offer our laser treatments. 

Why do you write?

It’s fascinating. Even if someone has written about a topic before, new information demands that we reexamine what we know from a current perspective.

About My Practice

What skin-care products do you offer?

I'm really big on antioxidants and retinol creams for patients, and I feel strongly that they provide enhanced benefits to skin. In addition to our own line, Creating Beauty, we carry a range of product lines from inexpensive ones to the more sophisticated lines such as SkinMedica.

How does your staff enhance the care you offer?

My staff is professional and friendly. They are an extension of me and we function as a team.

What is unique about your treatment style?

I spend a lot of time with each patient in consultation and consider myself available 24/7.

How do you ensure patient safety?

We have a joint commission (JCAHO)- and Medicare-accredited surgery center. This is the same certification that hospitals have. It’s right next to the office and we’ve incorporated the necessary structural aspects and protocols so we can maintain the highest possible safety standards for our patients.

What is unique about your training?

I am a fellow of the American Society for Mohs Surgery and skilled in micrographic surgery, which is unique in its accuracy and skin cancer cure rates, so I am able to care for patients beyond just their cosmetic woes. 

How do you best educate patients?

I speak with them directly. I use analogies. People have told me I have the gift of making the complex simple. My cosmetic counselor attends all my consultations so there is strength in two of us communicating on different levels.

What is new at your practice?

We recently moved to a new custom-designed office that gives our patients additional space for better privacy and comfort with three separate waiting rooms, larger exam rooms and a skin-care education area with various products for them to learn about.

Education & Credentials

EDUCATION:

Degree:

  • California Irvine Medical School University of California , Irvine, California

Residency:

  • Dermatology Residency - University of California Los Angeles, Los Angeles, California

BOARD-CERTIFICATION:

  • American Board of Dermatology

AFFILIATIONS:

  • American Academy of Dermatology
  • American Academy of Cosmetic Surgery
  • American Society of Laser Medicine and Surgery
  • Fellow, American Academy of Dermatology
A Minute With

WHAT I LOVE MOST ABOUT MY PROFESSION

Continuing education— there is always something new to learn

MY HAPPIEST PROFESSIONAL MOMENT

The overall success and growth of my practice during the past 30 years

THE BIGGEST MISCONCEPTION ABOUT MY FIELD

That Botox® will paralyze your face

WHAT SETS MY PRACTICE APART

We offer treatment plans that include recommendations for skin health and beautification

THE FUTURE OF MY FIELD

Less-invasive treatment options in both medical and aesthetic dermatology

MY MOTTO

Sunscreen, sunscreen, sunscreen

MY DREAM INNOVATION

A sunscreen that only has to be applied once daily and will protect against all UV rays

CELEB PHOTO MY PATIENTS MOST OFTEN BRING IN

Angelina Jolie

CAREER-DEFINING PROCEDURE

Mohs micrographic surgery

MY OPERATING ROOM PLAYLIST

Mostly classical music, unless my patient requests otherwise

THREE WORDS THAT BEST DESCRIBE ME

Active, enthusiastic, happy

Insights

Rejuvenating Resurfacing

Looking for a way to minimize fine lines and improve the texture and tone of her skin, this 47-year-old patient underwent fractionated CO2 laser resurfacing with Dr. Raskin. “We were able to minimize discoloration and give her smoother skin,” he says. 

Subtle Rejuvenator

This 54-year-old patient was concerned with discoloration, fine lines and volume loss. “With one TCA chemical peel, we gave her brighter skin. Dysport smoothed forehead and frown lines, and Radiesse gave her more youthful facial volume,” Dr. Raskin says.

Rejuvenating Resurfacing

Looking for a way to minimize fine lines and improve the texture and tone of her skin, this 47-year-old patient underwent fractionated CO2 laser resurfacing with Dr. Raskin. “We were able to minimize discoloration and give her smoother skin,” he says. 

Facial Contouring with Fillers

More than just volumizers, fillers can be used off-label to add shape to the face where bones have receded due to natural aging. “We recreate facial contours by injecting fillers along the bone to act as a scaffold for soft tissue to drape over,” Dr. Raskin says. “We combine the use of a filler as both a volumizer and a scaffold with the treatment of wrinkles via neurotoxins to create a ‘liquid facelift.’” Also exciting are some of Dr. Raskin’s off-label uses of fillers to address multiple concerns of his patients. “Some of the more unique areas where we are using fillers, such as the eyelids, temples and earlobes, are providing incredible results.”

Botox Sans Boundaries

Dr. Raskin is a frequent lecturer and advocate of embracing Botox for a variety of anti-aging fixes on all areas of the face. Brows, lids, lips, chin, nose and jaw all benefit from Botox, used off-label, beyond its intended use of softening furrows between the brows. In particular, I use it at the edge of brows and just underneath the lower eyelashes, creating brow elevation and a wide-eyed, bright and youthful look. Likewise, Botox placed underneath the mid lower lip can simulate a pout. Used adjacent to the chin, it also relaxes the muscles that pull down the corners of the mouth so corners rise a bit, creating a more pleasant rested expression. Nasal flare, bunny lines' and a sagging nose tip can all be resolved simply with Botox, as well. Finally, when we inject along the jawline and slightly into the neck, I feel that the jowls smooth out and the jaw appears lifted and more defined."

Gentler Skin Resurfacing

Dr. Raskin says one of the most popular treatments he offers is fractional CO2 laser resurfacing. “It’s a sophisticated and elegant way to treat wrinkles, scars and surface deformities on the skin,” he says. And it’s a much gentler option than the old laser treatments. “The old lasers were kind of like a paintbrush where you did lasing over the entire surface of the skin and to treat the wrinkle was to vaporize the top layers of skin. It gave a nice result, but it was very painful,” Dr. Raskin says. This results in open skin that needs more time to heal and increased risk of infection. With the fractionated laser, the beams of light are spaced out so treated skin is next to healthy, untreated skin, which speeds up recovery and minimizes pain associated with the treatment. “The only drawback is that we need multiple sessions to get the same result,” Dr. Raskin says. “However, most patients choose this gentler method.” 

Achieve Strong, Healthy Skin With Mybody Skincare

“Developed by pioneers in molecular biochemistry, Mybody Skincare utilizes revolutionary scientific technologies and DNA gene testing to mimic an optimal wound-healing response without damaging the epidermis. This cutting-edge approach is now considered a critical component in achieving healthy, youthful and more resilient skin,” says Dr. Raskin. “Mybody Skincare products are formulated with patented bioactive complexes, including plant-based peptides that are proven to influence a stronger skin structure. Mybody Skincare is an innovator of products that deliver maximum stimulation with minimal inflammation and without technologies and ingredients that have been linked to weakening the skin barrier, thinning the skin or increasing sensitivity.”

FAQ

Q. How can I look more youthful?

What our experts say:

Today we have dozens of treatments to choose from that improve not just the surface of the skin, but influence the structure beneath. We offer a combination of fillers to actually recreate the facial framework that dissolves with age, Botox for pesky lines, and lasers to eradicate wrinkles and polish the skin.

Q. Are spider veins on the leg best treated with a laser or sclerotherapy injections?

What our experts say:

Most dermatologists feel that sclerotherapy (injections) is the best method for treating spider veins. Typically, lasers are utilized for residual or difficult to treat veins. In my experience, injections overall tend to work better, require fewer sessions, and are far less extensive than laser. Also with laser, there is a higher risk of having irregular pigmentation, which may persist for a prolonged time.

Q. When do veins get so bad that they can’t be treated with sclerotherapy and need to be treated surgically?

What our experts say:

If your veins are bulging, surgical therapy is the best modality.

Q. What areas of the face give away age the most when they lose volume? How can you treat them?

What our experts say:

In my opinion, the area of the face that shows age the most is the area under the eyes where the cheekbones are. As we all age, the cheekbone begins to dissolve.  The skin no longer drapes over the bones in a youthful way and tends to hang more vertically. Thus, the area that I feel is most important to treat with volume is the area over the cheekbone. I also like to treat the area over the side of the face over the cheekbone as that recreates the V-shape configuration with a wider upper face and a more narrow lower face that is associated with youth. In terms of treatment, I enthusiastically utilize the hyaluronic acids such as Restylane and Juvederm along with more long-acting Radiesse.  For volume loss in the cheeks, I like Sculptra.

Q. Which laser treatments are best for sun damage?

What our experts say:

The best laser is based on how much sun damage your skin has had. For very mild sun damage such as irregular pigmentation, the photofacial may be highly effective.  This modality has little risk, virtually no downtime, and is generally inexpensive.  For individuals with some discoloration, and early superficial wrinkles, options would include the photodynamic therapy approach, the erbium laser, or superficial fractionated lasers. Within that group of choices, we try to pick the method that best accommodates your needs, your budget, and how you feel about downtime. For more severe sun damage, the fractionated CO2 laser is our overwhelming choice.  This laser can actually be used for any type of sun damage from mild to severe, and is the gold standard for treatment of moderate sun damaged skin. I prefer the fractionated CO2 laser for those individuals having more sun damage and deeper wrinkles. The fractionated CO2 laser does have a few days of downtime, which must be considered when you are choosing a laser treatment. Also for more severe sun-damaged skin, the laser is used at higher settings, and there are always potential problems associated with any laser used at higher settings.  Keep in mind that laser treatments are safe, but not risk free.

For those with the worst sun damage including loose skin, the fully ablative CO2 lasers that first were used 10 years ago are still the gold standard for the most severely sun damaged. No one approach works for every skin type on every individual. People with ethnically darker skin may not be the best candidates for stronger CO2 Fractionated lasers. A consultation with a specialist is the best way to decide on an approach for you.

Q. Which laser treatments are best for rejuvenating tired skin?

What our experts say:

In my experience, patients with tired skin are showing an overall lack of vitality in their skin. They have more than just discoloration of the skin. The skin is often darker, dull and thin appearing, and early jowl formation is present. For these patients, I prefer the fractionated CO2 laser. This laser sends out thousands of tiny beams of laser light. There are small spaces between the beams. The laser creates tiny holes in the skin, but leaves untreated areas around the hole, which allow the skin to heal quicker and dramatically reduce risk. This laser can effectively tighten skin and is the best method in my opinion of restoring tired skin.

Q. Which treatments are best for acne?

What our experts say:

Some cases of acne respond nicely to over-the-counter remedies. However, most acne patients require some prescription medications, which may involve oral antibiotics, topical antibiotics and some form of Retin-A. In addition, I prefer actively treating acne with extracting the clogged pores, performing mild chemical peels and microdermabrasions. For more severe acne, the photodynamic therapy method of lasering is highly effective and may avoid the use of Accutane. For those patients who have the worst acne that is resistant to care, or have required ongoing care for years and years, Accutane may be considered, but this is a drug with many side effects and should only be decided upon in consultation with the specialist.

Q. What are the pros and cons of Fractional laser resurfacing?

What our experts say:

Fractional laser resurfacing is a new technology where thousands of tiny beams of laser light are directed towards the skin. There are small spaces between the laser beams. This allows the laser to treat only a fraction of the area (thus the name fractional) leaving little areas of normal skin around each impact site. Having normal skin allows for quick rapid healing with minimal downtime. The major benefit of fractional resurfacing is the improvement people achieve with the reduction in risks such as laser burns or scars, and also a lower risk of infection.  Healing is also very rapid and this is another significant benefit of fractional laser resurfacing. The major problem with fractional laser resurfacing is that patients require multiple treatments.

Q. After sclerotherapy do I have to stay out of the sun?

What our experts say:

If you have sclerotherapy with saline, there is not really a need to avoid the sunlight. You should, however, keep your legs wrapped for up to three weeks with some type of compression hose because wearing compression hose gives you a better final result.

Q. What does microdermabrasion do?

What our experts say:

Microdermabrasion is a wonderful method of toning the surface of the skin.  It also enhances new collagen formation under the skin, although how that happens is something of a mystery, but there is no question that multiple microdermabrasions are highly beneficial for the skin’s surface, help with wrinkles, irregular pigmentation and acne scars.

Q. When is a chemical peel the right treatment?

What our experts say:

Chemical peels are a fabulous treatment modality that has been superseded in the rush to laser technology. But in many cases, a chemical peel can provide you with almost all of the benefits of a laser at a fraction of cost. There are very light chemical peels that we use for acne. These kinds of peels can be used at home, in a safe weekly regimen. There are slightly stronger peels that we apply in the office to help with acne, and also for irregular pigmentation.  In my opinion, melasma (diffuse brown irregular pigmentation) is best treated with chemical peels as laser often causes darkening or rapid recurrence. For wrinkles and tired looking skin, stronger chemical peels can be very helpful. The main difference between chemical peels and laser treatments is that the laser is much more precise. With chemical peels, there is always some variation in penetration of the chemical peel in different parts of the face and thus, the overall consistency may not be quite the same as with the laser. But in selected individuals especially when price is an issue, I am very enthusiastic about chemical peels.

Q. Which laser treatment can get rid of broken blood vessels on my face? There are some tiny vessels near my eyes and some bigger ones on my cheeks. Are these removable with the same laser or do I need multiple appointments?

What our experts say:

 

The Vbeam Perfecta, is the most accurate and most reliable laser for blood vessels with best chance of treating completely at one visit. It is also the LEAST likley to leave any residual mark or scar, compared to other lasers.  The Vbeam is also safer for use around the eye compared to other lasers but caution is still advised in that area.  The Vbeam is the most painless laser as no anesthesia is needed.  The wide range of energy settings on this laser allow it to treat everything from very tiny to quite large vessels. 

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Services
  • General Dermatology
  • Laser Resurfacing
  • Skin Rejuvenation
  • Skin Cancer Surgery
  • Thermage®
  • Photodynamic Therapy
  • Aesthetic Injectables
  • Laser Surgery
  • Sclerotherapy (Vein Treatment)
  • Fat Transfer
  • Fractionated CO2 Laser
  • Facial Rejuvenation
  • Liposuction
  • Acne Treatments
  • Botox®
  • Dysport®
  • Restylane®
  • Perlane®
  • Juvéderm®
  • Radiesse®
  • Sculptra® Aesthetic
  • Mohs Surgery
  • Scar Revision
  • Laser Hair Removal
  • Facials
  • Chemical Peels
  • Microdermabrasion
  • Botox
  • Dysport
  • Juvederm
  • Kybella
  • Perlane
  • Radiesse
  • Restylane
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