Botox injections are the most commonly performed cosmetic procedure. These minimally invasive injections reduce or eliminate the appearance of facial wrinkles. Lines between the eyes, crow’s feet, and forehead lines are commonly treated with very little downtime.
When injected into the skin, Botox blocks specific muscles from the repetitive actions that cause fine lines and wrinkles. This action leads to a younger and more refreshed appearance. After treatment, the appearance of wrinkles begins to improve within a few days. The full effect can take up to one week. Botox is safely absorbed and will last on average about 3-4 months.
Hyperhidrosis or excessive sweating is dependent on a chemical neurotransmitter called acetylcholine. Botox acts by blocking the release of acetylcholine. Hyperhidrosis is commonly seen in the underarms, hands and feet. Botox injections into these areas safely reduces sweating for six month or longer. Contrary to many oral medications and surgery, Botox injections for hyperhidrosis have minimal side effects. There are no effects on sweating elsewhere or on body temperature regulation. Botox is a great treatment for hyperhidrosis patients that are irritated or sensitive to antiperspirants.
Juvéderm is an FDA approved, new generation, dermal hyaluronic acid filler that restores volume and fullness to the skin. Juvéderm has a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing for this procedure and results often last eight months or longer.
Juvéderm lasts longer than other hyaluronic acid fillers beacause it has a very high concentration of hyaluronic acid made through a unique formulation process. This formulation of Juvéderm helps in minimizing bruising and discomfort associated with fillers. Juvéderm is frequently injected in the lips, nasolabial folds, and lines around the mouth. This filler is also frequently used in combination with other cosmetic procedures such as Botox.
Restylane injections replenish hyaluronic acid in the skin. Hyaluronic acid binds water and keeps the skin healthy, elastic and fresh. Restylane works by stimulating collagen production and improving skin elasticity. This in turn restores volume, improves facial wrinkles, and gives a more relaxed appearance.
Restylane has a long safety and efficacy record. No pretesting is required and allergic reactions are rare. Avoid using aspirin, non-steroidal anti-inflammatory medications, and high doses of vitamin E because these may increase the chance of bruising. Restylane injections are quick with minimal downtime and immediate results.
Our office uses tricholroacetic acid concentrations that are only available through medical offices. These chemicals exfoliate dead, sun damaged skin and improve underlying collagen production. This in turn improves skin tone, pigment, and fine lines.
Light chemical peels have minimal to moderate downtime. Chemical peels will keep your skin smooth, help with dark spots, and help tighten your pores. These peels can be done at 2-4 week intervals and can also help with fine wrinkling over time. Great for patients that have extremely busy schedules.
Medium depth chemical peels involve a stronger concentration of trichloroacetic acid. TCA peels give a sunburned, red appearance for approximately a week. After this time, older skin is replaced with healthier newer skin. These peels can have a more impressive effect on sun spots and fine wrinkles.
Sclerotherapy is the gold standard treatment for spider veins. A special concentration salt water solution is injected into the diseased vein, which then collapses and is gradually absorbed by the body. This treatment can take about 2-6 sessions to achieve desired results.
Acne is the term for the blocked pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules) that can appear typically on the face, neck, chest, back, shoulders and upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. While it affects mostly teenagers, and almost all teenagers have some form of acne, adults of any age can have it. Acne is not life-threatening, but it can cause physical disfigurement (scarring) and emotional distress.
Treatments for acne and acne scars vary depending on the type and severity of lesions, as well as the patient’s skin type, age and lifestyle. Options include:
- Personalized Topical Medications
- Accutane – for severe cases only
- Laser treatment for red scars
- Laser treatment for surface scars
- Chemical Peels
- Soft Tissue Fillers
Rosacea, frequently referred to as “adult acne”, is a chronic skin condition involving inflammation of the cheeks, nose, chin, forehead, and/or eyelids. It is characterized by redness, broken blood vessels, and flushing of the face. Patients may also experience pimples, swelling, and a burning or stinging sensation. Rosacea is often seen in patients with lighter skin color although we do see it in all skin types. Triggers for rosacea include aclohol, caffeine, spicy foods, sunlight, and extreme temperature changes among others. There is no cure for rosacea, but fortunately, there are many treatment options.
Topical creams and gels, oral antibiotics, and laser treatment for broken blood vessels are just a few of these options available to our patients.
Skin cancer is the most common form of cancer in the United States. The most common types are Basal Cell Carcinoma and Squamous Cell Carcinoma. The most common locations for these cancers are on the head, face, neck, hands and arms. Any growth that is not healing, bleeds, or is changing should be evaluated to rule out skin cancer. Most patients need yearly skin cancer screenings.
Melanoma is a less common but more dangerous form of skin cancer. Melanoma is usually characterized by asymmetry, irregular borders, uneven color, or large diameter. Melanoma can spread to lymph nodes and other internal organs. Early detection is important for a better prognosis.
Moles or “nevi” are composed of groups of pigment producing cells called melanocytes. They are important to monitor because of their potential risk for turning into malignant melanoma. Dypslastic moles, which are clinically and microspically atypical in appearance, are putative precursor lesions of melanoma. All patients should have a year mole exam to screen for melanoma and other skin cancers. People with numerous moles or a family history of melanoma should be carefully monitored with more frequent full skin examinations. It is important to watch for any change in color, size, or shape of exisiting moles and to let us know if these changes occur. Moles may be removed because they are clinically worrisome.
Warts are common growths that can appear anywhere on the body. They are caused by various strains of the Human Papilloma Virus or HPV. Warts can be extremely stubborn to treat but will ultimately resolve once your immune system mounts a response.
We offer a multitude of treatment options for warts. We find that what works best for one person may not work as well for another. We utilize a full arsenal of wart treatments including liquid nitrogen, podophllyn, and surgical treatment among others. We also recommend over-the-counter salicylic acid treatments between office visits. We may also recommend prescription creams to boost your immune response. Warts can be extremely frustrating, but with a little persistence, we can help you make them disappear.
About 15 million of people in the U.S. suffer from some form of eczema, including a large percentage of infants and children. Symptoms vary from person to person but often include dry, red, itchy patches on the skin. If untreated and chronically scratched, eczema can potentially become infected.
All eczema patients need to increase their use of moisturizing lotions and decrease the length and temperature of their shower or bath. Treatment options include corticosteroids creams and ointments, antihistamines, and non-corticosteroid creams and ointments such as protopic or elidel. Oral anbitiotics can be prescribed in cases of an infection. With a few lifestyle changes and treatment options, most cases of eczema can be well controlled.
Psoriasis is an inflammatory skin condition that appears as silvery white scaly plaques. Over seven million men and women in the U.S of all ages have some form of psoriasis. The most commonly affected areas are the scalp, elbows, knees, hands, feet and genitals.
Psoriasis cannot be cured but it can be managed successfully. Treatment depends on the type, severity and location of psoriasis; the patients age, medical history, and the effect the condition has on the patient’s quality of life. The most common treatments are topical medications, phototherapy, and oral or injectable medication (for severe cases).
is the first FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults over the age of 21. It can give you contour and a subtle lift for up to two years with optimal treatment. JUVÉDERM VOLUMA™ XC treatment is a cutting-edge filler treatment designed to lift and correct flattened cheeks, giving you natural-looking plumpness for up to two years.
Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow. Now also FDA-cleared to improve the appearance of lines and wrinkles on the décolletage, Ultherapy can help you achieve a fresher, more youthful look from your brow to your chest!
Ultherapy delivers focused ultrasound energy to the same fundamental layer typically addressed by surgeons during cosmetic surgery, without cutting or disrupting the surface of the skin to trigger natural production of collagen. This in turn lifts and tighten areas of the face, neck and décolletage.
Laser Genesis is a highly-effective skincare system that uses non-invasive laser technology to treat blemishes such as large pores, uneven texture and scars. Developed and perfected by a top brand in skincare solutions, it’s a high-impact system that incorporates the latest innovations in medical beauty. Laser Genesis skin rejuvenation employs laser light targeted to the dermis, the deeper layer of the skin, where collagen is made. The laser gently heats the dermis causing new collagen production that continues over time. The result is more even skin tone, tighter pores and a smoother skin texture. Laser Genesis also targets the tiny vessels beneath the skin surface, decreasing diffuse redness and ruddy complexions.
Laser Hair Removal systems can safely and effectively remove up to 80% of your hair permanently after five monthly treatments. This laser system passes a beam of light through the skin and is absorbed by the hair bulb. Through heat, the hair bulb is destroyed. The basic structure of the skin is left intact while the unwanted hair is removed. Laser Hair Removal is only effective on hairs that are in the growing stage of their cycle. By spacing treatments a month apart, different hairs are more susceptible to the laser. The average patient needs six treatments. Avoid plucking or waxing for 4-6 weeks before treatment. Patients may experience a little discomfort during treatment, therefore topical anesthesia may be applied 30-60 minutes prior to your appointment to improve any discomfort. The time of procedure varies by treatment area. Small areas (upper lip, chin) can take as little as five minutes whereas larger areas (back, full legs) may take twenty minutes or longer. Afterwards, the area may be pink and slightly swollen for hours to a few days.
The Limelight Laser is non-invasive approach to treating benign pigmented and vascular lesions. The procedure offers the advantage of improving skin tone and surface imperfections associated with aging and photodamage. Intense Pulsed Light systems are exceptionally effective at treating pigmented lesions, sun and age spots, uneven skin tone and diffused redness. The visible light delivered by the Limelight is selectively absorbed by the pigmented spots or redness in your skin. It can also treat widespread blotchiness, freckles, skin redness and individual fine veins.
Pearl Laser is the treatment that renews your skin’s surface with quick, visible results. Pearl treats fine lines on the face and neck, uneven skin texture and light and dark spots caused by sun damage. During a Pearl treatment, the top layer of the skin is treated with pulses of light. A portion of the epidermis (skin surface) is gently removed and a natural protective dressing is formed on the skin’s surface. Most patients feel a series of brief pinches during the treatments. After 3-4 days, the protective dressing peels off revealing new, healthy, vibrant skin underneath. New collagen growth continues for 4-6 weeks post-treatment. The combination of new skin and decreased wrinkles results in a healthier, more youthful appearance.
Christie Kidd, PA-C was most recently a guest on the syndicated show, “The Doctors,” where she gave advice on skin care and acne prevention. She has been featured on the Women’s Entertainment network to promote a better understanding of moles and skin cancer and has appeared on fox Network’s “Good day L.A.” many times where she discussed several matters including skin cancer, BOTOX® and the advancements in fillers. In addition, she has been mentioned in both Allure and Los Angeles magazines.
“Her knowledge and understanding are unequaled. I have never felt nor looked better. She works magic on my face and am forever grateful, but more importantly, confident that I am with the best there is.”
– Francine S.