Acne is a condition affecting more than 17 million people. 85% of 12-24 year-olds, 8% of 25-34-year-olds and 3% of 35-44-year-olds have acne . It consists of unsightly red pimples, white and blackheads and occasionally painful cysts of the face, back and chest. Besides discomfort, acne can cause decreased self-esteem and permanent scarring.

The appearance of aging skin consists of wrinkles, brown and red discoloration (photodamage), laxity and loss of muscle tone. Also associated with the appearance of the aging face is the lengthening of the upper lip, loss of volume in the mid-cheek, at the temple and in the chin, and a downturn of angle of the lips at the corner.

Cellulite consists of dimpling and unevenness of the skin surface especially on the thighs, buttocks and sometimes abdomen and arms. It is not a disease as it affects about 85% of all women. It is often referred to as “cottage cheese” due to the lumpy quality of the surface of the skin.

Atopic dermatitis is the classic form of eczema. This usually starts in early childhood and is believed to be caused by genetic factors that makes the skin dryer, more sensitive to things like wool, soap and sweat than normal and release inflammatory chemicals into the skin which cause itching. Other types of eczema may be caused by irritation from frequent washing, irritating chemicals, or excessive sweat or friction whereas allergic eczema may be caused by contact with metals, fragrances, rubber or preservatives. There are many other types of dermatitis. Dermatitis usually causes red, itchy and scaly patches. Treatment usually involved creams containing cortisone, avoidance of allergens or irritants and use of moisturizers and fragrance-free cleansers.

Melasma is a skin condition that occurs on the face in the form of brown patches. A change in hormonal status (higher levels of estrogen) is thought to trigger and be the cause of the condition (i.e. birth control pills, pregnancy), although many women without these risk factors also develop melasma.

Psoriasis is a chronic skin condition affecting about 6 million people in the United States. Small or large round or oval red patches with thick white scales characterize it. These are sometimes itchy, occasionally hurt or bleed, or can be asymptomatic, except for the annoyance of shedding flakes of skin. The most common locations are elbows, knees and scalp, but it can occur on any part of the body. 5% of people with psoriasis also have arthritis. The onset of psoriasis can occur at any age including childhood and old age, although it most commonly appears in the teens-twenties. Sunlight tends to make it better for reasons explained below, whereas alcohol ingestion, lack of sunlight and stress tend to exacerbate it.

Rosacea is a disorder of the skin affecting 13 million people in the United States. The symptoms associated with rosacea may include flushing, blushing, burning, hot or itchy sensation of the face and occasionally swelling. Eye symptoms can include a sensation of something in the eye, dryness, itching, blurred vision or sensitivity to light. Some people have no symptoms.

Skin cancer is a growing concern and widespread condition in the United States and elsewhere. In the US there are over 1 million people diagnosed with basal cell carcinoma and 50,000 people diagnosed with melanoma every year. With early detection and treatment the vast majority of skin cancers are curable with surgery alone. It is believed that practicing judicial sun avoidance and sun protection over one’s lifetime can prevent many skin cancers.

Millions of women and many men suffer from spider or varicose veins. Spider veins are small unsightly red or purple vessels on the surface of the thighs or calves. Varicose veins are large ropy blue vessels that often bulge off the surface of the skin and sometimes cause an aching or burning sensation. These can remain merely a cosmetic problem or can progress to cause leg discoloration, swelling and ulceration or predispose to blood clots (deep venous thrombosis).

BOTOX® Cosmetic injections have become an essential ingredient in facial wellness, erasing frown lines and relaxing worried brows. BOTOX® Cosmetic is safe and effective and has been approved for cosmetic use by the FDA. BOTOX® Cosmetic has become the most commonly performed cosmetic procedure, with over 1 million injections performed in 2005. BOTOX® Cosmetic should be injected at a physician’s office by a trained certified provider with an intimate knowledge and understanding of the muscular anatomy of the face as well as the aesthetic implications of proper placement.

A superficial chemical peel or microdermabrasion are quick, no downtime procedures that renew the skin by lifting dead cells off the surface of your skin and stimulating metabolism of the cells underneath. With a series of chemical peels you can quickly achieve substantial improvement in the appearance of superficial lines and uneven pigmentation, while making your skin look and feel softer, smoother, and more radiant. Acne scars and enlarged pores may become less noticeable, and acne breakouts may be reduced.

Cosmelan® Depigmentation Treatment, by mesoestetic®, contains kojic, azeleic, salicylic and ascorbic acids and is an in-office and at-home treatment program for the treatment of melasma, cholasma and post-inflammatory pigmentation. At your initial visit a mask is applied to the skin which will be removed at home after a pre-determined duration of time based on your Fitzpatrick Skin Type* and skin sensitivity. In addition an at-home treatment program will be followed for the Cosmelan® Depigmentation Treatment program.

Fraxel® SR1500 Laser Treatment is a non-ablative treatment that produces thousands of tiny but deep columns of water absorption in your skin, known as microthermal zones (MTZ). This "fractional" treatment allows the skin to heal much faster than if the entire area were treated at once, replacing imperfections with healthy skin.

The Isolaz™ Deep Pore Lazr Therapy (formerly known as the PPx Pore-Cleansing ACNE Treatment™) helps clear acne while helping to cleanse your pores. The treatment combines two technologies, a SonoPeel™ and the Isolaz™ Deep Pore Lazr Therapy. The SonoPeelTM uses ultrasonic energy and gentle cavitational forces to remove the dead, scaly outer layer of the skin, called the epidermis. This step prepares the skin for the following laser treatment. The Isolaz™ Deep Pore Lazr Therapy is a gentle vacuum with therapeutic broadband light to help rid your skin of acne causing impurities. The Isolaz™ System is FDA approved to treat many different kinds of acne including pustular and comedonal. This treatment may be done alone or in combination with other acne treatments.

Laser Hair Removal has come of age and is a fully developed procedure that can yield long-term permanent hair reduction of the face, back, bikini area, underarms, and legs. We are committed to the latest technological innovations in this field and now can offer treatment for any skin type and hair color. Laser Hair Removal is a light based treatment used to permanently reduce hair anywhere on the face or body.

Laser Leg Vein treatments enable removal of unwanted small and large spider veins in a few treatments. We use our knowledge of anatomy and plan treatments carefully to ensure the best cosmetic outcome. We utilize both the most effect laser technology for this purpose as well as the time honored practice of injection sclerotherapy. Laser Leg Vein treatments are laser treatments and sclerotherapy is an injectable therapy used to remove spider and reticular veins.

Laser and radiofrequency energy can be used to heat up the deeper layers of the skin while protecting the surface skin. This heating activates fibroblasts signaling collagen to remodel and form new collagen cells, resulting in reduction of the nasolabial folds, marionette lines, perioral wrinkles, crow's feet, forehead lines, and scars. The Matrix IR™ by Syneron™ combines fractionated 915nm diode laser and bipolar radiofrequency for a non-ablative treatment reducing facial wrinkles and scars. Because the energy is fractionated, more intense light energy can be delivered into microscopic zones leaving untreated skin around these zones that assist in healing and collagen remodeling allowing for more effective treatments

A series of treatments with the Pearl Erbium: YSGG, typically 1-3 treatments, will greatly reduce the appearance of uneven pigmentation and superficial texture of the face, neck, and chest. The epidermis on the face has an average thickness of 110 microns. Depending on the treatment settings, the Pearl Erbium: YSGG will ablate 10-30 microns of the epidermis and coagulate from 20-60 microns each treatment with residual heat going into the dermis. The Pearl can be used alone or to increase the results of traditional Photorejuvenation, Photodynamic Therapy, and Fraxel SR1200 Laser Treatments. This may be ideal for patients who do not have the time to commit to a series of Photorejuvenation treatments and can tolerate extended downtime, typically 3-7 days.

Photodynamic Therapy (PDT) is a treatment that combines light or laser with a photosensitizing solution to improve sun damage, pre-cancerous cells (actinic keratosis), acne, rosacea, and hidradenitis suppurativa in a non-invasive, cosmetically enhancing way. Advanced Dermatology is a pioneer and international leader in utilizing, researching, and improving this technology which is relatively new.

Photorejuvenation, alternatively known as FotoFacial™, involves a series of gentle treatments designed to rejuvenate aging and sun damaged skin utilizing light and radiofrequency energies. These non-invasive, no down-time procedures improve redness, sunspots, fine lines, uneven tone, and pore size to restore youthful skin to the face, neck, chest, and hands. Photorejuvenation is the most commonly performed aesthetic procedure worldwide. Photorejuvenation is a light based procedure that removes the signs of sun damage such as sun freckles, blood vessels, uneven pigmentation, and superficial wrinkles from the surface of the skin. Typically delivered as a series of five treatments over 15-20 weeks, this no down-time procedure leaves the skin with an even tone and texture, smoother pores, and newfound radiance.

Injectable fillers are substances designed to enhance volume, erase wrinkles, augment lips, and overall restore the youthful 3-dimensional contour of the face. There are many filler choices: hyaluronic acid, a naturally occurring human protein responsible for cushioning the skin (Restylane™, Perlane™, Juvederm™ 24HV, Juvederm™ Ultra, Juvederm™ Ultra Plus, and, Hylaform™), human collagen, the scaffolding of our skin structure (CosmoDerm™, CosmoPlast™), and newer fillers that are meant to fill larger volume loss like sunken cheeks, lost cheekbones, and very deep nasolabial folds and marionette lines, (calcium hydroxylapatite/Radiesse® and poly-L-lactic acid/Sculptra™).

The Pan G™ Lift is a comprehensive treatment program stimulating all layers of the skin including the muscles, leading to elevation of the jowls, cheeks, and neck, and a more youthful contour to the face without surgery or down-time. The gentle exfoliation of the SonoPeel™, the enhanced nutrients delivered into the inner layer of the skin by the SonoFacial™, and the muscle building and firming component of the MyoFacial™ combine to give the most natural-looking non-invasive facial rejuvenation possible.

Scientists recently discovered that light and radiofrequency energy can be used to heat deeper layers of the skin while protecting the surface of the skin. This heating activates fibroblasts signaling new collagen to form and existing collagen to tighten over time. We currently have four devices that use this technology to tighten tissue: the Polaris WR™ and ReFirme™ by Syneron, Coolglide Xeo Titan™ by Cutera, and Thermacool TC™ by Thermage®.

The VelaShape™ is the next generation of the VelaSmooth™ technology. VelaShape™ is the first FDA-cleared non-invasive treatment for circumferential reduction and cellulite reduction. VelaShape™ precisely targets problem areas including: posterior thigh, buttocks, outer thighs and hips, anterior thigh, inner thigh, and saddlebags. Featuring the revolutionary elos combination of Bi-Polar radiofrequency (RF), infrared light energies, plus negative pressure and tissue manipulation, the VelaShape™ increases the oxygen intracellular diffusion by heating the skin while vacuum and specially designed rollers manipulate and smooth out the skin to facilitate safe and efficient energy delivery. The net result increases the metabolism of stored energy (lipolysis), increases lymphatic drainage and reduces or shrinks the size of the actual fat chamber. The result: A reduction in the circumference of the treated area and a smoother appearance of the skin’s surface. The treatment protocol is an initial 4-6 sessions over a 4-6 week period. After the initial series, maintenance treatments will be needed.

The VelaSmooth™ was FDA approved for the temporary reduction in the appearance of cellulite. The scientific principle involves the increase of oxygen to the fat cells which result in an increase in metabolic activity. The treatment program consists of 2 biweekly treatments for 7-8 weeks. Maintenance treatments need to be performed monthly to retain the effect. Many devices have been marketed in the past for the reduction of cellulite yet most have not lasted due to the lack of reproducible results and maintainable results. The VelaSmooth™ represents a new generation of high tech medical spa equipment that has measurable, reproducible, and maintainable results and a wide appeal to many people of all ages.