Dermatology Procedures

Affiliated Dermatologists provides comprehensive, state-of-the-art treatment for issues relating to the skin, hair, and nails. With years of experience practicing, teaching, and researching the cutting edge of dermatology, Affiliated Dermatologists is experienced in determining the treatments and products that will truly optimize the appearance and health of skin at any age.

To provide you the most up-to-date dermatological care, we perform the latest procedures, including:

  Acne Scarring Surgery
 
  Botulinum Toxin (BOTOX, Dysport)
 
  Cutaneous Surgery
 
  Cryosurgery
 
  Dermabrasion
 
  Dermal Fillers (Juvederm, Radiesse, Restylane, etc.)
 
  Patch Testing
 
  Photodynamic Therapy (PDT)
 
  Skin Biopsy
 
  Spider Vein Therapy (Sclerotherapy)
 
  VBeam
 

 

ACNE SCAR TREATMENT

We understand the profound negative effect acne and acne scars can have on a person's well-being. The cause of acne scarring is complex. Acne scars are divided into one of these subgroups:

  • Rolling (softly indented scars)
  • Boxcar (depressed scars with a sharp border)
  • Ice pick (narrow, but deep small scars)
  • Hypertrophic or Keloid (inflamed and thickened scars)
  • Dark pigmentation (discoloration is not true scarring and usually slowly resolves without treatment)
  • Erythematous (pink or red areas but not true scarring, usually slowly resolves without treatment)

Affiliated Dermatologists offers comprehensive treatment for acne scarring including: subcision, excisions, punch grafting, fractional CO2 laser resurfacing, chemical peels, and fillers injected underneath scars. Each case must be carefully evaluated and treated by the most appropriate modality. The treatment plan will be tailored for your specific needs to significantly improve the appearance of your skin.

Treatments may work well individually or a combination of treatments may be recommended to provide the maximum amount of improvement in acne scarring. Fractional laser therapy may be combined with chemical peels, subcision, and/or fillers to provide you with the best improvement to your scarring as possible. A treatment plan is developed for each patient's specific need. This comprehensive acne scarring therapy will give the highest chance for improvement in acne scarring.

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BOTULINUM TOXIN (BOTOX, DYSPORT)

 

At Affiliated Dermatologists Botulinum Toxin injections are among the most popular facial rejuvenation treatments available. The treatments we do with Botulinum Toxin are completely safe and have been approved by the FDA for a variety of medical and cosmetic applications. The neurotoxin injections relax the facial muscles that are responsible for stubborn wrinkles around the mouth, eyes, forehead, and elsewhere on the face. When these muscles relax, the skin becomes smoother, and wrinkles fade or disappear entirely.

The neurotoxin treatment process is quick, convenient, safe, and essentially painless. A precise amount of the product is injected into the muscles that require treatment. The injection process takes only a few minutes, after which the patients can return to their normal activities immediately. As the injections take effect over the next week, facial muscles will relax, smoothing away wrinkles and fine lines to produce a more youthful appearance that will last for up to 3-6 months.

BOTOX®

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate to severe frown lines, forehead lines or those lines around the eyes called crow's-feet. It works by blocking nerve impulses to the injected muscles. This reduces muscles activity that causes persistent lines to form.

 

DYSPORT®

Prescription Dysport is an injection used to temporarily improve the look of your moderate to severe frown lines without changing the look of your whole face. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas.

While Dysport correction lasts an average of four months, repeated treatments can give you longer lasting results. For best results it can be combined with other rejuvenation treatments. Dysport has been used safely on millions of patient's worldwide over a decade with virtually no side effects.

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CUTANEOUS SURGERY

Many forms of cutaneous surgery are performed at Affiliated Dermatologists. Simple shave or punch removal of moles to complex removal of birthmarks and all forms of skin cancer. Occasionally electrodessication and curettage may be appropriate. These procedures are performed on the office under local anesthesia. Larger tumors may need staged (multiple) surgeries or specialized closures such as flaps or grafts. Laser surgery is usually used for treatment of scars, birthmarks and anti-aging.

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CRYOSURGERY

Cryosurgery (cryotherapy) is the application of extreme cold to destroy abnormal or diseased tissue. A common method of freezing lesions is to use liquid nitrogen as the cooling solution. This super-cooled liquid may be sprayed on the diseased tissue, circulated through a tube called a cryoprobe, or simply dabbed on with a cotton or foam swab. The tissue is destroyed by this application of intense cold. It is rapidly frozen with liquid nitrogen and then slowly thawed. A second freeze is often done to ensure adequate tissue destruction.

Upon treatment, patients experience minor-to-moderate localized pain and redness. Sometimes blisters may form, but these usually scab over and peel away within several days. The area heals with healthy skin. Minor discoloration or scarring is possible with these treatments.

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DERMABRASION

Dermabrasion is a form of controlled surgical scraping, using autoclaved sandpaper or a burr containing diamond particles. It is used to smooth out the texture of the skin and remove scarring or wrinkles that are present on the skin. It is a manual technique that has been used for many years.

The procedure can be done in the office using a local anesthetic. After the procedure is complete, the individual can expect discoloration and scabbing to occur, which will last for five to seven days. Discoloration and swelling can last for two to three months while the area is healing. Scarring after the skin has healed is rare.

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DERMAL FILLERS (BELOTERO, JUVÉDERM, RADIESSE, RESTYLANE, PERLANE)

Dermal fillers are flexible substances that can be injected into the skin to improve the appearance of fine lines and wrinkles, plump lips, fill hollow cheeks, repair various facial imperfections, improve scars, and elevate deep folds. The result is a smoother, more youthful appearance with minimal "downtime" and maximum safety.

 

BELOTERO®

Belotero is a unique dermal filler that seamlessly integrates with your skin and adapts to your facial contours, therefore plumping and adding volume to your face. Find out how Belotero softens and smoothes lines and wrinkles so discreetly like no other filler.

 

JUVÉDERM®

Juvederm is a smooth-consistency gel made of hyaluronic acid, which is a naturally occurring substance in your skin that helps to add volume and hydration. It instantly restores your skin's volume and smooths away facial wrinkles and folds. The effect can last up to a year.

 

RADIESSE®

Radiesse is a dermal filler that is injected for the correction of facial lines and wrinkles. It is made of calcium-based microspheres suspended in a water-based gel. It is injected into the skin through a simple and minimally invasive procedure giving you immediate visible improvement of folds and wrinkles. The effect can last a year or more. Radiesse stimulates the body to produce new collagen.

RESTYLANE®

Restylane is a natural, product made of hyaluronic acid. Restylane can be used to correct loss of volume in various areas of the face, including the hollow around the eyes, the aging nasolabial folds, as well as the lips.

Because Restylane is soft and easy to shape, it can fill the most delicate lines or folds. The contours it creates are not lumpy and bumpy; Restylane offers very gentle and soft correction. Usually Restylane lasts about 6 months in the skin after injection.

PERLANE™

Perlane is made of hyaluronic acid. It is therefore a natural product to replenish volume loss in the face, and to recreate the youthful contours we had few years before. Perlane is a much bigger molecule than other fillers so it can restore a lot more volume for areas that have been depleted or sunken more drastically. It can be the perfect choice for cheeks, deep nasolabial folds or the chin, as well as filling cheek depressions or softening scars. Perlane can last for between six and nine months.

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PATCH TESTING

Patch testing is a common diagnostic tool used to identify the specific agent that triggers contact dermatitis, an itchy rash that can breakout on your skin in response to a substance to which you are allergic. Common trigger substances include poison ivy, jewelry, hair care products, cleaning solution, detergent, cosmetics, perfumes, and latex rubber.

Most dermatologists use the TRUE Test, which is a very good screening tool but is limited to testing 28 chemicals. At Affiliated Dermatologists we offer an extensive patch testing. We have access to 100's of allergens which can be special ordered for you if necessary.

The patch testing procedure is simple and painless. In order to identify specific triggers, several patches will be taped onto the skin on the back containing various potential chemicals. These chemicals are then left on the skin for 48 hours, and must remain dry during this time. After 48 hours, the patch test is removed and an initial reading is taken to observe any reactions. An additional reading may be taken after another 24-48 hours. Before undergoing patch testing, patients should stop using oral and topical corticosteroids in the area to be tested, avoid oral antihistamines, and should not expose the test area to the sun for at least three weeks.

When reading the results, the doctor may classify each spot on a scale from negative (meaning no reaction) to extreme reaction (meaning positive results for substance). Strong results may cause blisters or ulcers on the skin, which can be treated once the test is complete.

Once positive results have been determined, patients can take steps to avoid their triggers and prevent contact dermatitis from occurring. We provide a comprehensive list of products a patient may use based on their individual test results and specific information on your individual triggers and how to prevent contact.

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PHOTODYNAMIC THERAPY (PDT)/"BLUE LIGHT"

Photodynamic therapy, or Blue Light, is a treatment that uses special drugs, called photosensitizing agents, along with light to kill targeted cells. The procedure can effectively treat early changes in the skin that may lead to skin cancer.

A natural chemical Aminolevulinic acid (Levulan® Kerastick) is a solution that is applied directly to the lesions or spots on the face or scalp to treat actinic keratosis lesions, and causes the lesions to become sensitive to the light. At a prescribed interval after the drug is applied, the nurse will expose the area being treated to a blue light for a period of minutes determined by the doctor. During the light therapy you will wear protective eyewear. You may feel stinging or burning once the area is exposed to the blue light, but it should go away within a day or so. The treated area may get red and scale and crust for up to2-4 weeks before healing.

To achieve maximum improvement of pre-cancerous sun damaged skin, a series of treatments 2 to 4 weeks apart is most effective. After a series of treatments have been completed, treatments can be done at periodic intervals in the future to maintain the rejuvenated appearance of the skin.

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SCLEROTHERAPY (SPIDER VEIN TREATMENT)

Spider veins are small, thin, red or purple colored tiny veins that most commonly appear on the thighs, calves and ankles. Many factors contribute to the development of spider veins, including, heredity, pregnancy and other events that cause hormonal shifts. They can be of cosmetic concern to both men and women if you are embarrassed by their appearance.

Sclerotherapy is safe and effective procedure for the treatment of spider veins, and has been used for many years. A purified solution is injected via a very thin needle (thin enough to fit inside the tiny vessel). The solution damages the inner lining of the spider veins, causing them to shrink and dissolve away. It takes a few weeks to see the full effect of the treatment of these veins, and in the meantime a temporary redness is expected at the injection site.

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SKIN BIOPSY

During a skin biopsy, we remove a small piece of skin, and send it for evaluation under the microscope. This procedure is performed in order to diagnose, and not to treat the condition. Using the information from the biopsy, the cells under the microscope, we can help treat the condition because we can understand it better.

As the patient, you will experience a small "Prick" from the needle, which delivers a small amount of local anesthetic into the lesion. After that point, you will not feel any pain. A small piece of skin is then removed for evaluation. The risks to this procedure include bleeding, scarring and possible infection. We are equipped to handle any complications or diagnosis arising from the biopsy.

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VBEAM

Vbeam laser delivers an intense but gentle burst of light into selectively targeted areas of the skin. The light is absorbed be specific blood vessels or melanin pigmented areas in the dermis depending in the condition being treated. Factors such as age, color, and type of lesion as well as location, all determine whether lesions can be removed.

Safe, effective, and comfortable, pulsed dye laser has been shown to be effective for the treatment of:

  • Facial and leg veins
  • Freckles, sun and age spots
  • Poikiloderm (mottled or reddish-brown discolorations)
  • Skin rejuvenation
  • Vascular lesions
  • Rosacea
  • Angiomas and hemanangiomas
  • Pigmented lesions

Treatment with the Vbeam may consist of multiple treatments. For facial veins, 1-2 treatments may be sufficient but additional treatments are not uncommon. These treatments occur on an average of every 6-12 weeks depending on the area and type of treatment.

Vbeam is the only pulsed dye laser that uses a dynamic cooling device (DCD) to protect and cool the skin during the procedure. This device maximizes client comfort, protecting the skin by delivering a shot of cryogen to the epidermis prior to each laser pulse. The feeling of the laser pulse has been described as being snapped by a rubber band or a slight stinging sensation. Most patients' tolerate this procedure without any need for an anesthetic, but for some patient's a topical numbing cream may be applied 30-45 minutes before treatment to reduce the sensation of the laser pulses. Following laser treatment, the area may continue to sting slightly or feel warm like sunburn. Appling ice packs post treatment can alleviate any discomfort experienced during the procedure.

Depending on the type and area of treatment, patients will have different post treatment results and regimes. Some patient's may experience bruising or redness that lasts for several days up to several weeks, while others may only have slight redness for several hours.

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