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.

Back to Top

What is BOTOX® Cosmetic?

It's a simple, nonsurgical procedure that smoothes the lines between your brows. The natural, purified protein relaxes the muscles that cause wrinkles.

What is a BOTOX® Cosmetic procedure like?

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

Is the procedure painful?

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

Is the procedure safe?

BOTOX Cosmetic is a natural, purified protein that is administered at very low doses. The effects of BOTOX Cosmetic are usually confined to the injected region. It does 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 BOTOX Cosmetic 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 BOTOX Cosmetic was 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.  BOTOX Cosmetic 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, BOTOX Cosmetic is one of 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 BOTOX® Cosmetic?

You can visit the Web site at www.BotoxCosmetic.net and visit one of our locations.

Back to Top

What is Dysport?

Prescription Dysport is an FDA approved injection used to temporarily improve the look of severe upper face wrinkles and frown lines. Frown lines (wrinkles) happen because the muscles that control facial expression are used often (muscle tightening over and over). After Dysport is injected into the muscles that control facial expression, the medicine stops the tightening of these muscles for up to 4 month.

What can it do?

No downtime: With Dysport, there is little to no downtime after injection. Ask your doctor about any precautions you should take after your treatment. Call your doctor or get medical help right away if you have any problems swallowing, speaking, or breathing. If this happens, do not drive a car, operate machinery, or do other dangerous activities.

Repeatable results: In clinical trials, the efficacy of Dysport was demonstrated with up to 4 repeated treatments. You should wait at least 90 days between treatments. The safety of Dysport has been studied in up to 12 repeated treatments.

Worldwide experience: Dysport is used for aesthetic purposes in 36 countries. In U.S. clinical trials, Dysport safety was studied in more than 2400 aesthetic patients. A total of 376 patients were studied for efficacy of the product.

The Restylane family of products includes Restylane and Perlane. Both are cosmetic dermal fillers 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).

What is the difference between Restylane and Perlane?

The difference is in the gel particle size. Perlane gel particles are larger and designed for deeper injection than Restylane. The product used will depend on your desired goals and the locations you want treated.

How long do Restylane products 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.*

Are Restylane and Perlane FDA approved?

Yes. They are 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 and Perlane 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 and Perlane 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 and Perlane treatments be done at the same time as other treatments?
Yes. Restylane and Perlane can be used along with other products including Botox, Radiesse and other 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 and Perlane are 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 or Perlane 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 / Perlane:

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

Back to Top

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.

Back to Top

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.

Back to Top

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.

Back to Top

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.

Back to Top

What is RADIESSE dermal filler?

RADIESSE dermal filler is setting a new standard for facial contouring and augmentation. It immediately adds volume to safely contour, correct, and beautify facial features. And it continues to work over time. It has patented microsphere technology and stimulates the body to produce new collagen for a soft, natural look that lasts.

How does RADIESSE dermal filler work?

RADIESSE dermal filler is made of unique, patented, calcium hydroxylapatite (CaHA) microspheres suspended in a water-based gel carrier. When injected into the skin, these microspheres initially perform as a filler - they immediately provide facial volume for a soft, natural look. The transformation is noticeable right away. Over time, your body will gradually absorb the gel carrier, but the very tiny, smooth microspheres remain.

Once injected, RADIESSE dermal filler starts a process called neocollagenesis, or the creation of new collagen. It stimulates collagen production in your own body and encourages collagen growth around the injection site. In many cases, results may last up to a year or more.

Is RADIESSE dermal filler safe?

In years of rigorous clinical testing and use by physicians in hundreds of thousands of patients worldwide, RADIESSE dermal filler has been proven to be safe and effective. RADIESSE dermal filler is made of calcium hydroxylapatite (CaHA), a biocompatible substance that’s identical to what’s naturally found in the body. RADIESSE dermal filler does not contain any animal- or human-derived components and it has a minimal risk of allergic reaction.

After injection, RADIESSE dermal filler will not migrate to other parts of the body. Over time, it degrades naturally into calcium and phosphate ions that are safely metabolized by the body’s own processes.

Has RADIESSE dermal filler been reviewed by a Notified Body?

Yes. RADIESSE dermal filler has received CE mark certification. It has also received two US FDA approvals, and a number of US FDA clearances.

How is treatment with RADIESSE dermal filler performed?

RADIESSE dermal filler is injected into the skin through a simple, safe, quick, and minimally invasive outpatient procedure. Treatment typically takes place in a physician’s office with the use of a local anesthetic.

Will I need a skin test?

RADIESSE dermal filler is made of a synthetic, biocompatible substance that’s identical to what’s naturally found in the body. Because RADIESSE dermal filler does not contain any animal- or human-derived components, there’s virtually no risk of an allergic reaction. That means you do not need to undergo skin allergy testing prior to treatment. However, if you believe you are having an allergic reaction to RADIESSE dermal filler, seek medical attention immediately.

Does it hurt?

Physicians use a variety of pain management techniques during treatment to ensure patient comfort. Please talk to your physician about which techniques are right for you.

Are there any side effects?

There have been very few side effects reported in clinical trials and actual usage. However, you may experience some common injection-related reactions, such as mild irritation, edema, swelling, itching, discoloration, or tenderness at the injection site. These conditions typically resolve themselves within one to two days.

What if I’m taking medication?

Patients may need to refrain from taking some medications and supplements for a few days prior to treatment. If you’re taking medications or supplements, please tell your physician before receiving treatment.

How soon can I expect results?

You’ll see results immediately after treatment. RADIESSE dermal filler continues to deliver results over time as it stimulates your body to produce new collagen. Results may last up to a year or more in many patients, which may result in fewer office visits for retreatment.

How quickly can I return to my normal activities?

Most patients experience little to no downtime and return to normal activities almost immediately after treatment. Other patients may need more time for recovery. By 24 hours after treatment, most swelling and redness will have subsided.

How long will my results last?

Treatment results last up to a year or more for many patients. Individual results may vary, depending on age, skin type, lifestyle, and metabolic rate, so be sure to discuss your expectations with your doctor.

Will RADIESSE dermal filler become hard or noticeable to the touch?

No. RADIESSE dermal filler stays soft and will take on the characteristics of the surrounding tissue.

Is RADIESSE dermal filler permanent?

No. Treatment results last a long time, but they are not permanent. The tiny, calcium-based microspheres in RADIESSE dermal filler eventually break down into calcium and phosphate ions. These ions are safely and naturally absorbed into your body, leaving your own newly produced collagen in place.

How many treatments will I need?

Many patients will achieve their desired result after just one treatment. To ensure your satisfaction, your physician may schedule a follow-up visit, where a touchup treatment might be recommended.

How much does RADIESSE dermal filler cost?

Because treatment is customized for each patient, the cost varies. In general, the cost of RADIESSE dermal filler is comparable to that of similar fillers. The results may last up to a year or more for many patients. That means you may need fewer office visits for retreatment, which could save you money and time. Consult your physician for a recommendation as to how RADIESSE dermal filler can best meet your individual needs.

Where can I get treatment with RADIESSE dermal filler?

Thousands of physicians worldwide have been trained to provide treatment with RADIESSE dermal filler. To find out how treatment could benefit you, please contact a qualified physician in your area.

For more information go to the Radiesse web site by clicking here

Back to Top