Q. I want to soften my wrinkles, but can’t look bad due to my job.

A. There are many options now available that can effectively treat wrinkles without down time. For the upper face, the use of Botox or fillers such as Restylane, Juvederm or Sculptra are very reliable and have a superb level of patient satisfaction. For the lower face, especially lines around the mouth, the use of Restylane or longer acting fillers such as Radiesse can be very useful. For those patients who can afford to heal for six to eight days, a CO2 laser procedure can treat lines of the entire face and also have the benefit of tightening the skin of the upper and lower eyelids.


Q: Can you help with freckles?

A: There are several methods available to treat freckles and brown spots. These include cryotherapy with liquid nitrogen, chemical peeling agents and intense pulse light and lasers. The risk of scarring is very low–less than 1%–with any of these procedures. Most patients need 1-3 treatments for the full effect.


Q: I am a teen with terrible acne. My friends and family all accuse me of not washing myself properly, but I have studied magazines and books about skincare, and I have learned what I think to be the proper procedure. Help!

A: Topical cleansers can work for some people, but they don’t always provide a complete solution for everyone. Acne is generally caused by one or a combination of several things: hormones, bacteria, and excessive oil production. The idea that acne is caused by simply not washing your face enough is a myth. Topical and oral antibiotics are relatively inexpensive and may help. If those don’t work, sometimes Accutane is recommended, which is an oral drug and you must get monthly blood tests while taking it.


Q: What are the treatments for hyperhidrosis?

A: The first line treatment consists of using a prescription antiperspirant called Drysol. If this is not effective enough, the use of Botox is now FDA approved for excessive sweating and can safely provide six to eight months of complete cessation of sweating.


Q: How can I get rid of red capillaries on my face?

A: It is rare for creams to work, but laser treatments or lite electrodessication always help, but it is a situation where the doctor would need to see you in person to decide what would be best. Intense Pulsed Light (IPL) and Pulse-Dye (VBeam) laser treatments may also help.


Q: Can you get rid of this mole with a laser? And how much does it cost?

A: We do indeed offer mole removal, but not with a laser. Generally it is not advisable to remove moles by laser if they are in fact true moles and not something else. That is because the laser is a burning tool, and that destroys the mole–then there is no way to do a biopsy (which should be done). If the moles are raised, usually a shave excision is performed on them and this costs about $190 to $230/mole. If moles require an excision because they are large, flat or irregular in appearance, this requires suturing and could run $250-$450/mole.


Q: What’s the best treatment for chicken pox scars?

A: Some are best treated by a process called punch excision where they are cut out and sutured. Some can be treated by subcision which involves releasing the underlying scar tissue from under the skin. And others are treated best with Fractionated CO2 Laser or Dermabrasion using a diamond fraise or with fillers such as Restylane.

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