Most aesthetic services are available in all of our four office locations.

Our offices offer a wide variety of facials and facial peels designed to improve your skin’s health and return your youthful glow.

These services do not require a physician referral and are available to anyone.

You do not need to be a patient of Allergy and Dermatology Specialist, Inc. to receive aesthetic treatments.

All of the aesthetic procedures offered here are considered cosmetic and need to be paid for in full at the time of service. Contact any of our four offices to schedule a consultation and skin care analysis today.

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What are Dysport® & Botox®?

They are medications that relax the muscles in the areas of your face that cause wrinkles of your forehead, brow and around your eyes.

What are Dysport® & Botox® procedures like?

It's a simple, 10-minute treatment that consists of a few tiny injections. The doctor decides exactly where to administer the medication for the best results.

Are the procedures painful?

Most patients compare the sensation to a bug bite. Overall, the discomfort is minimal and temporary.

Is the procedure safe?

Dysport® & Botox® are natural, purified proteins that are administered at very low doses. The effects of Dysport® & Botox® are usually confined to the injected region. They do not travel throughout the body.

Will I need anesthesia?

No. But your doctor may choose to numb the injected area with a cold pack or anesthetic cream before the actual treatment.

Do I need to take time off from work to recuperate?

Most patients go right back to work or continue their activities immediately.

When will I start to see results?

You should start to see a significant improvement within a few days.

How long will the effects last?

The effects of Dysport® & Botox® can last up to 4 months.

Will I experience any side effects?

It's unlikely that you'll develop any significant side effects, but you may notice slight bruising where Dysport® or Botox® are injected. This is only temporary and can be covered by makeup. The most common side effects are headache, respiratory infection, flu syndrome, temporary eyelid droop, and nausea. Dysport® or Botox® should not be used if there is an infection at the injection site.

Will my facial expression look unnatural?

Although the results are dramatic, it will not radically change your facial appearance. The muscles are simply relaxed, so you can still frown, smile, or look surprised without the wrinkles or creases.

Is BOTOX® Cosmetic expensive?

Actually, it's quite affordable. In fact, Dysport® & Botox® are the least expensive facial aesthetic procedures, ranking 7th in the 9 most widely used procedures in the country.

How can I find out more about Dysport® & Botox®?

You can visit their Web sites at www.dysportusa.com or www.botoxcosmetic.com or visit one of our locations

 

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What are Restylane®?
 
 
 

Restylane is a cosmetic dermal filler that replace lost volume and restore youthful contours to the skin to smooth away moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).

How long does last?

Restylane products are proven to deliver long-lasting results. Restylane lasts about four to six months. Perlane lasts at least six months in a majority of patients. The products’ patented stabilization technology helps maintain the cosmetic effect for those time periods.*

Is Restylane FDA approved?

Yes. It’s approved by the FDA for the treatment of moderate to severe facial wrinkles and folds, like the ones from your nose to the corners of your mouth. Ask your physician whether treatment is right for you.

What are Restylane products made of?

Restylane was the first cosmetic dermal filler made from hyaluronic acid that has been modified slightly to last longer than the body’s hyaluronic acid. In the human body natural hyaluronic acid provides volume and fullness to the skin.

How do Restylane products differ from Botox® Cosmetic?

Botox Cosmetic and Restylane are used to correct wrinkles in different ways. Restylane products are natural, cosmetic fillers injected into the skin, adding volume to smooth wrinkles such as the lines from your nose to the corners of your mouth (nasolabial folds). In contrast, Botox relaxes the muscles that cause frown lines between your eyebrows.
Can Restylane treatment be done at the same time as other treatments?
Yes. Restylane can be used along with other products including Botox, and treatments including chemical peels and laser. Some patients may actually benefit from having several products used in order to achieve the best outcome possible.

What should patients do prior to treatment?

How do Restylane require no pretesting, but you should take a few precautions before being treated. Avoid using aspirin, non-steroidal anti-inflammatory medications, St. John's Wort, or high doses of Vitamin E supplements prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, you may need to be given prescription medication to minimize the risk for a recurrence.

How are Restylane products administered?

Restylane is administered by injection to the treatment site. The treatments usually take about 20-30 minutes to complete depending on the number of areas being treated. Patients usually require 1-3 syringes of the product to achieve their desired results. 

Is any of the material left in the skin after it has dissolved?

No. Over time, Restylane and Perlane products are broken down and eliminated by the body.

Do the injections hurt?

Restylane products are injected directly into the skin in small amounts by an ultrafine needle. As with all injections, some patients may experience discomfort. To increase your comfort, injectable or topical anesthetics may be used for pain management.

What should I expect after the treatment?

Most patients will have swelling and some redness around the treated areas that can last for up to a week. Occasionally there may be some bruising. This too will usually go away after a week. The swelling can be minimized by applying ice packs and using extra pillows to prop up the head during sleep. A topical medication is also available for purchase in our office to reduce any bruising that may be present. Makeup can be applied to the face the day following the procedure. Sunscreens (SPF 30-45) are also recommended. Acetaminophen (Tylenol) can be taken for any post-procedure pain. Ibuprofen (Motrin, Aleve) and other non-steroidal anti-inflammatory medications such as aspirin should be avoided as these can increase the risk for bruising.

How much do treatments cost?

A Restylane procedure is customized to your specific needs, so the cost will vary. In general, the cost is comparable to the cost of similar procedures. Ask for a cost estimate based on your particular needs.

How often should I schedule an appointment?

Typically, patients will need touch-ups or re-treatments about every 4-6 months to maintain the results they desire. We encourage our patients to schedule a follow-up appointment in about six months.

Post Care Instructions for Restylane:

Cold compresses (an ice pack or a cloth dipped in cold water, wrung out and applied to the injected area) may be used immediately after treatment to reduce swelling.

Avoid touching the treated area within six hours following treatment so you do not accidentally injure your skin while the area is numb. After that, the area can be gently washed with soap and water.

Until there is no redness or swelling, avoid exposure of the treated area to intense heat (sun lamp or sun bathing).

If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another occurrence. Take antiviral medications or ask for a prescription if you feel that you may be getting an out-break of your cold sores.

Avoid taking aspirin, non-steroidal antiinflammatory medications (Motrin, ibuprofen, Aleve, naproxen, indomethacin), St. John’s Wort and high dose vitamin E supplements for one week after treatment. These agents may increase the risk for bruising and bleeding at the injection sites.

If you have any problems, please do not hesitate to call our office.

For more information go to the Restylane web site Restylane® USA

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What is Sclerotherapy?

Sclerotherapy is a popular method of eliminating varicose veins and superficial telangiectasias ("spider veins") in which a solution, known as a sclerosing agent, is injected into the veins to damage and scar the inside lining of the vein. This causes the vein to close.

How well does the treatment work?

Sclerotherapy costs less than surgery, requires no hospital stay, and allows a quicker return to normal everyday activities.  Over 85% of people who have sclerotherapy performed will either be clear of their varicosities, or at least see a marked improvement.  Unfortunately, there is no way to guarantee that sclerotherapy will be effective in every case. Approximately 10% of patients who undergo sclerotherapy will achieve only poor to fair results. (Poor means that the veins have not totally disappeared after 6 treatments.) In rare instances, the patient’s condition may become worse after sclerotherapy treatment.

How long does it take?

During this procedure, the affected leg is elevated to drain blood, and the sclerosant is injected into the varicose vein.  The procedure will usually take 5 to 30 minutes, depending on how many varicose veins are treated and how big they are.  The number of treatments needed to clear or improve the condition differs from patient to patient depending on the extent of the varicose and spider veins present. One to six treatments may be needed, but the average is three to four. Individual veins usually require one to three treatments.

What about recovery?

Sclerotherapy generally does not require any recovery period.  You will usually be able to walk immediately after the procedure, but may need to avoid strenuous exercise for a few days after.  Your doctor may advise you to wear a compression stocking or elastic bandages over the treated area for a given time to prevent blood from re-entering the repaired veins.

How can I find out more about Sclerotherapy?

We welcome you to schedule an appointment at one of our locations for a consultation.

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What is Mohs Micrographic Surgery?

Mohs micrographic surgery is a specialized, highly effective technique for the removal of skin cancer. The procedure was developed in the 1930's by Dr. Frederic Mohs at the University of Wisconsin and is now practiced throughout the world. Mohs surgery differs from other skin cancer treatments in that it permits the immediate and complete microscopic examination of the removed cancerous tissue, so that all "roots" and extensions of the cancer can be eliminated. Due to the methodical manner in which tissue is removed and examined, Mohs surgery has been recognized as the skin cancer treatment with the highest reported cure rate: 99% (up to 95% for recurrent skin cancers).

What are the advantages of the Mohs Procedure?

Some skin cancers can be deceptively large - far more extensive under the skin than they appear to be from the surface. These cancers may have "roots" in the skin, or along blood vessels, nerves, or cartilage. Skin cancers that have recurred following previous treatment may send out extensions deep under the scar tissue that have formed at the site. Mohs surgery is specifically designed to remove these cancers by tracking and removing these cancerous "roots." For this reason, prior to Mohs surgery it is impossible to predict precisely how much skin will have to be removed. The final surgical defect could only be slightly larger than the initial skin cancer, but occasionally the removal of the deep "roots" of a skin cancer results in a sizeable defect. The patient should bear in mind, however, that Mohs surgery removes only the cancerous tissue, while the normal tissue is spared.

When should Mohs surgery be considered?

It is important to note that Moh's surgery is not appropriate for the treatment of all skin cancers. Mohs micrographic surgery is typically reserved for those skin cancers that have recurred following previous treatment of cancers that are aggressive, poorly defined, or are at high risk for recurrence. Mohs surgery also is prescribed for cancers located in areas such as the nose, ears, eyelids, lips, hairline, hands, feet, and genitals, in which maximal preservation of healthy tissue is critical for cosmetic or functional purposes.

How long does the procedure take?

Typically, Mohs surgery is performed as an outpatient procedure in the physician's office. Most Mohs cases can be completed in three or fewer stages, requiring less than four hours.  However, it is not possible to predict how extensive a cancer will be, as the extent of a skin cancer's "roots" cannot be estimated in advance. Therefore, it is advisable to reserve the entire day for this surgical procedure, in case the removal of additional layers is required.

Is the procedure painful?

Although the patient is awake during the entire procedure, discomfort is usually minimal and no greater than it would be for more routine skin cancer surgeries. Most patients do not complain of significant pain. If there is some discomfort, normally only Tylenol is required for relief. However, stronger pain medications are available and will be prescribed when needed. You may experience some bruising and swelling around the wound, especially if surgery is performed near the eye area.

What are my reconstruction options after the surgery?

After the skin has been removed, your surgeon will discuss the following options with you:

Allowing the wound to heal naturally, without the necessity of additional surgery (which may produce the best cosmetic result).
Simple or complex wound repair performed by your surgeon with the use of other cosmetic procedures.

How can I find out more about Mohs Surgery?

You can visit the American Society for Mohs Surgery website at www.mohssurgery.org When you are ready, we welcome you to make an appointment to discuss the options further with you and to better assess your needs.

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Whether you are interested in simply restoring your skin’s natural glow or you want to explore more aggressive chemical treatments, we offer a wide variety of peels to suit every individual’s needs.

Chemical peeling is a technique used to improve the appearance of the skin and is typically performed on the face, neck, or hands. In this treatment, a chemical solution is applied to the skin and allowed to soak in. Over the next few days, the top damaged layers of skin exfoliate, peeling off to expose a new regenerated skin that is usually healthier, smoother, and less wrinkled than the old skin.

There are two basic types of peels:

Superficial peels are the mildest type of chemical peels and can be used on the face or other parts of the body. A superficial peel is used to rejuvenate the top layers of your skin, improving the appearance of pigment changes in the skin, mild sun damage, acne scars, or fine wrinkles.

Deep chemical peels are applied only on the face and are allowed to penetrate several layers of skin targeting deeper layers of the dermis. A deep peel of this nature would be prescribed to help reverse long-term sun damage, pronounced pigment changes, precancerous lesions and other growths, or to combat severe wrinkles. Because this type of procedure may bleach the skin, deep resurfacing may not be recommended for people with certain skin types.

Here are just a couple of examples. Besides reversing skin discolorations, many of the treatments we use have also displayed incredible results diminishing fine lines under the eyes, around the mouth, and softening forehead wrinkles and frown lines.

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What can the Candela pulsed dye laser treat?

Rosacea
Facial veins
Leg veins
Scars
Psoriasis
Periorbital wrinkles
Red birthmarks such as hemangiomas and port wine stains
Angiomas
Poikiloderma of Civatte (uneven coloring of the neck)
Venous lakes
Stretch marks
Warts

What is a pulse dye laser?

The pulse dye laser was designed to rid patients of benign vascular lesions.

How does a pulse dye laser work?

The laser delivers an intense but gentle burst of yellow light to the skin. The light is specifically absorbed by the blood vessels in the dermis. These blood vessels are coagulated and then reabsorbed by the body during the natural healing process.

Is the treatment safe?

Yes. In fact, pulse dye laser treatment is so safe that it has been used successfully for the treatment of port wine stains in infants and young children. The epidermis is protected during the treatment by Candelas's unique dynamic cooling method, DCD™, which sprays a cooling mist onto the skin before each laser pulse, increasing the patient's comfort.

Side effects may include purpura (a laser bruise), redness, and swelling in the treated area. These are transient and usually do not last more than a few days. Permanent side effects such as scarring are rare.

What will the treatment consist of?

The laser treatment will include the following:

Wearing safety eyewear to protect your eyes from the laser light.
A small handpiece will be applied to the treatment area by the physician to deliver the laser energy.
A spray of cooling mist will be felt prior to each laser pulse.

Is the treatment painful?

Some patients may feel a slight discomfort associated with the laser pulse. This feeling has been described by patients as the snapping of a rubber band on the skin. The discomfort is minimized by Candela's Dynamic Cooling Device™. In addition, for some patients, a topical anesthetic may be used prior to treatment. Be sure to discuss this with your physician.

What precautions should be taken before and after the laser treatment?

It is recommended to avoid sun exposure before and throughout the course of the treatment. A sunblock (SPF 30 or above) should be used. The post-treatment care needed depends on what lesion was treated. Be sure to discuss this with your physician before treatment.

Are the procedures covered by insurance?

Most insurance companies do not offer reimbursement for cosmetic procedures. Some carriers will, however, cover treatment of disfiguring birthmarks such as hemangiomas or port wine stains.  In addition, the treatment of psoriasis and rosacea may be covered by some insurance companies. Please consult your insurance carrier for more details.

How can I learn more about Candela Laser Treatments?

You can schedule an appointment and/or visit the Web site at www.CandelaLaser.com.

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