Information Regarding Dermatology Treatments

Dermatology Frequently Asked Questions



ACNE

What Is Acne, And Why Is It So Hard To Control?

There are many types of acne. The most common type is called acne vulgaris. Almost everyone goes through a period of acne at one time or another.
Just beneath the surface of the skin lie hundreds of tiny glands called sebaceous glands. Their function is to collect and excrete the oily substance called sebum, to keep the skin healthy.

However, the tiny pathway for the sebum to escape often becomes clogged, and a bacterium called P. acnes grows inside. In a short time, the area swells up and forms a pimple on the skin. At certain times of life, this process becomes very active, troublesome and hard to control.

Approximately 90% of all adolescents and 25% of all adults experience acne at some point in their lives. It's one of the most extensive medical conditions in the world and is responsible for about 30% of all visits to the dermatologists.

Unfortunately, it's not easy to treat. Traditional therapies have a variety of side effects and sometimes require months to work, if they work at all. Topical creams and lotions can cause redness and irritation. Oral antibiotics can cause stomach upset, light sensitivity and yeast infections in women, and studies indicate about 40% of skin bacteria have become resistant to antibiotics, making them a doubtful ally in the fight against skin breakouts.

Is There A New Way To Control Moderate Acne?

There are many treatments for moderate acne - creams, washes, medications - mild ones and very strong ones. However, your doctor may decide that certain medications, such as antibiotics, aren't right for you. Your case of moderate acne may not be responding to medications or other conventional treatments. It may be hard for you to keep up with complicated routines of skin care. Maybe it's time to consider something new.

Yes. With proper home maintenance, Dr. Aszterbaum has found great success in treating various types of acne with two procedures in particular. The BLU-UÆ, which is an ultra violet light procedure, and the new Isolaz Photopneumaticsô therapy have both yielded his patients great success.

What Is Blue Light Treatment?

There is now a treatment available that doesn't depend on medication. It's called the BLU-U® Blue Light Photodynamic Therapy Illuminator Model 4170. The BLU-U is a unique blue light that can kill the P. acnes bacteria in your skin. Treatments are simple - you sit with your face close to the light for a short time at a schedule set up by your doctor, approximately a 16-minute session about once or twice per week. The treatments may go on for five weeks or so. It's safe, it's not hot, and it's not painful. After some weeks, the blue light can help control your acne. We also have a post-treatment skincare regimen.

Is The Blu-u® A Laser?

The BLU-U s not a laser. Lasers deliver light as coherent beams, while the BLU-U delivers incoherent light scattered over a larger area.

How Long Is A Blu-u® Light Therapy Session?

Dr. Aszterbaum will prescribe the most appropriate time frame for your acne, but typical sessions last roughly 16 minutes.

What Is The Isolaz Acne Treatment?

Photopneumatics™ - Acne Treatment that combines laser with vacuum technology.

What Types Of Acne Does The Isolaz Treat?

The Isolaz is the only system FDA cleared to treat pustular and comedonal acne, as well as mild to moderate and acne vulgaris.

Will I Still Need To Use Topicals Or Other Medication?

Depending on your own situation, you may be asked to continue to use topical medication while undergoing Isolaz treatments.

What If I Only Get A Breakout Every Once In A While – Could I Still Have An Isolaz Treatment?

Yes. Because the Isolaz uses vacuum, it can help keep your pores cleansed and purified for healthy, radiantlooking skin.

How Many Treatments Will I Need?

Four treatments are generally needed to get excellent results. However, the exact number of treatments varies from patient to patient.

Is The Isolaz Treatment Cleared By The FDA?

Yes. In fact, the Isolaz is the only system FDA cleared to treat pustular and comedonal acne, as well as mild to moderate and acne vulgaris. Isolaz is also FDA cleared to treat benign vascular and pigmented lesions and perform permanent hair reduction.

Is The Isolaz Treatment Painless?

Most patients feel the procedure is relatively pain free, though there have been some mentions of minor discomfort.

How Long Is An Isolaz Treatment?

It depends on what areas are being treated - treatments on the face may take 10 minutes; treatments on the back can take 20 minutes.

Will I Have Sensitivity To Light Following My Isolaz Treatment?

No. Unlike other treatments, the Isolaz system does not cause skin sensitivity to light. ISOLAZÆ Acne Treatment

What Skin Types Can Be Treated With Isolaz Therapy?

All skin types (I-VI) can be treated using Isolaz.

 

ACNE SCARRING   

What Is Acne Scarring?

Acne scarring results when the visible remnants of acne are permanently left on the skin after the acne itself subsides.

The best way of treating acne scars is to start early and continue for as long as is necessary. There are, however, a number of treatments available when suffering from scar formation. The fastest track to smoother skin would be to combine the latest in laser and light technology with topical biological acne scarring treatment. The goal is to diminish or eliminate the damaged tissues and scarring and replace them with new cells.

These treatments focus on the creation of healthy skin cells instead of aggravating the body's inflammatory immune system response. Damaged tissues and acne scars are diffused into their own amino acid components and released back into the body as the basis of new cellular growth. They also stimulate the formation of the extra cellular binding between cells, thus improving skin strength, cutting down on fragility and inhibit microbiological activity of dangerous, pathogenic skin bacteria, including acne.
Laser resurfacing can have a very dramatic cosmetic improvement on acne scared skin.

Our office uses only the "Gold Standard" in laser resurfacing with the ActiveFX and DeepFX – depending on the degree of scaring.

What Is Laser Resurfacing?

Laser resurfacing with a pulsed CO2 laser works best on fine, shallow wrinkles caused by aging or sun damage. Lasers emit a very brief pulse of high-intensity light that's fast enough to limit heat damage in the skin, yet strong enough to vaporize tissue cleanly. There are several types of Laser Resurfacing.

What Is ActiveFX And DeepFX?

The goal of laser skin resurfacing is simple: replace damaged skin with new, fresh skin. Techniques for skin resurfacing have made enormous advances, allowing nearly everyone to achieve close to flawless complexions. Many systems allow for light, moderate or deep laser resurfacing. The primary targets of laser skin resurfacing include:

• Fine lines and wrinkles of the face, especially around the upper lip, cheeks and forehead
• Loose eyelid skin
• Crow's feet around the eyes
• Pucker marks (smoker's lines) and frown lines
• Brown spots and splotchy, uneven skin tone
• Scars, especially acne scars
• Loose skin around the neck and jowls

ActiveFX ® and Deep FXÆ are fractional CO2 laser procedures performed in a single treatment with minimal patient downtime. During the procedure, a high-energy beam of laser light is used to smooth out lines, wrinkles and scars, remove brown spots and other irregularities. These fractional procedures also stimulate the formation of new underlying collagen to continue improvement over time. With fractional laser treatments, only a fraction of the skin’s surface is treated by the laser, leaving small ìbridgesî of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner.

How Does ActiveFX And DeepFX Work?

The "Gold Standard" of laser resurfacing systems, the delivers thousands of tiny laser pulses in a pattern over the skin. Each pulse heats a column of tissue eliminating pigment discolorations at the surface and creating a zone of heating deep in the tissue. Unique to the UltraPulse Encore, is its ability to shrink collagen immediately within these zones of heating. The CO2 laser also offers the benefits of heating deeper layers of skin tissue, thereby stimulating collagen remodeling the skin further. Patients can select from a range of treatments depending on the needs of your skin and lifestyle.

How Will I Know If It’s Right For Me?

ActiveFX or DeepFX are right for you if you:

• Have a busy lifestyle or cannot be away from work for a long time
• Want noticeable results with minimal downtime
• Want to treat dyschromia (uneven pigment), fine lines, wrinkles and skin laxity

What You Can Expect From An ActiveFX Or Deep FX Treatment?

ActiveFX and DeepFX are both performed in the office with a topical anesthetic cream that is applied 30-40 minutes before the procedure begins. There can be mild to moderate discomfort associated with the procedure – most patients say they feel warmth similar to sunburn. You can drive yourself home after either procedure. With a gentle washing and moisturizing regimen, your photo-damaged skin will begin to flake off within 3 days. After about 5-7 days, you will probably be permitted to wear make-up. Pinkness should be gone in about a week or so.

What Are The Benefits Of ActiveFX And DeepFX?

ActiveFX and DeepFX treatments both produce a dramatic effect on the skin:

• Reduces wrinkles and fine lines, and softens deeper frown lines
• Noticeably improves skin tone and texture
• Stimulates new collagen formation and plumps the skin

How Long With ActiveFX And DeepFX Last?

The results of ActiveFX and DeepFX laser resurfacing treatments have long-term results; and with proper sun protection, results can persist for many years. Most effects of treatment become visible right away, whereas others – such as new collagen formation – build up gradually and become more evident over time. Therefore, most people look even better 3-5 months after the procedure.

AGING SKIN  

What Causes Fine Lines And Wrinkles?

Fine lines and wrinkles are signs of intrinsic or chronological aging; there's no way to entirely avoid them. As we grow older, our skin becomes thinner and drier. Weakened collagen makes the skin less elastic. Static wrinkles begin to appear. The rate of intrinsic aging occurs at a variable, genetically determined rate; the process is often first noticeable between the ages of 30 and 35.

We do have control over extrinsic aging, a result of exposure to the environment. Extrinsic aging is the critical element in determining who looks older or younger than their biological age. Over-exposure to sunlight is responsible for the majority of problems associated with extrinsic aging. Sun-damaged skin is photoaged from a decrease in collagen and other dermal proteins. This gradual process results in the appearance of fine lines and wrinkles. Over time, these can progress into deep wrinkles and furrows. Photoaging also causes pigmentary changes; "age spots" (sun-induced freckles), uneven skin tone, spider veins and dilated capillaries.

The simplest way to see the contrast between intrinsic and extrinsic aging is to compare skin commonly exposed to the sun (face, hands, neck) and skin not exposed to the sun (usually on the breasts, inner arms or buttocks).

How Are Wrinkles And Fine Lines Treated?

There are a number of options for the treatment of fine lines and wrinkles, each with varied expense, recovery time and results. The following are the most common conventional treatments used today:

For virtually instant results, there are no substitutes for BOTOX Cosmetic and collagen replacement fillers in the correction of wrinkles and fine lines. Most all laser, light and topical prescriptions perform best over a period of time – or with more than one procedure.

It is noteworthy that Allergan Pharmaceutical has recruited Dr. Aszterbaum as a certified physician's instructor in the various possible techniques and administering of Botox and JuvÈderm (volume and collagen replacement fillers). Dr. Aszterbaum has performed over 7,000 BOTOX and filler procedures, and has trained numerous medical professionals in these techniques.

What Is BOTOX® Cosmetic?

BOTOX Cosmetic is a simple, non-surgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatmen of its type approved by the Food and Drug Administration (FDA). BOTOX Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

One 10-minute treatment—a few tiny injections—and within days there's a noticeable improvement in moderate to severe frown lines between the brows, crow's feet, and other treated areas.

In 2005, almost 3.3 million procedures were performed with FDA-approved BOTOX Cosmetic.

How Long Does The Procedure Take?

The treatment is usually done in about 10 minutes, and no recovery time is needed.

How Does BOTOX Cosmetic Work?

Those moderate to severe frown lines between your brows form over time as the result of muscle activity. BOTOX Cosmetic is injected directly into the muscles between your brows. It works by blocking the transmission of nerve impulses to the injected muscles; this reduces the activity of the muscles that cause those persistent lines to form.

When Will I See Results From A BOTOX Cosmetic Treatment?

Within days you may see a marked improvement in the moderate to severe frown lines between your brows. Lines continue to improve for up to a month, and results can last for up to 4 months. In clinical trials, nearly 90% of men and women rated the improvement in their appearance as moderate to better 1 month after treatment.  Results may vary.

How Long Does BOTOX Cosmetic Last?

Results from treatment with BOTOX Cosmetic can last for up to 4 months. If you discontinue treatment, the frown lines between your brows gradually will look like they did before treatment.

Is Treatment With BOTOX Cosmetic Painful?

Discomfort largely depends on the skill and experience of the medical professional administering the treatment. Any discomfort experienced with Dr. Aszterbaum is absolutely minimal and brief. The entire procedure takes approximately 10 minutes.

Will My Facial Expressions Continue To Look Natural?

Although the results are visible, a treatment with BOTOX Cosmetic will not radically change your facial appearance or make you look as if you "had work done." The muscle activity that causes frown lines between the brows is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

What Happens To The Frown Lines Between My Brows If I Choose Not To Continue BOTOX Treatments?

If you do not continue treatments, the moderate to severe frown lines between your brows will gradually look like they did before treatment. The same is true for other treated areas.

What Is FRAXEL®?

Fraxel treatment is a safe, non-invasive laser skin treatment that removes years from your appearance — without the risks, side effects or prolonged downtime of other procedures. Whether you have sun damage, wrinkles or other signs of age, Fraxel treatment delivers remarkable results with fast recovery. So you can quickly return to work or other activities with renewed skin — and renewed confidence.

What Does FRAXEL Treat?

Whether you have mild to moderate skin damage, the most severe skin damage, or you just want prevention and maintenance, there's a Fraxel treatment for you. The Fraxel family of treatments has FDA clearances for the following skin conditions:

• Wrinkles
• Fine lines around the eyes
• Age spots/sunspots
• Acne scars and surgical scars
• Melasma (mask of pregnancy)
• Discoloration and uneven pigmentation
• Stretch marks
• Sun-induced redness
• Irregular texture
• Actinic keratoses (precancerous lesions)

How Does FRAXEL Work?

Think of your skin as a digital photo that is delicately touched up one spot at a time. Fraxel treatment, likewise, affects a fraction of tissue at a time with thousands of microscopic laser columns — each just one-tenth the diameter of a hair follicle. Then your body takes care of the rest. The laser columns stimulate a natural healing
process that works from the inside out, replacing damaged tissue with younger, smoother, healthier skin.

Fraxel treatment involves three key components:

• The epidermis – the outer layer of our skin
• The dermis – sub-layers of skin that include collagen and elastin.
• Microscopic laser columns – rebuilding skin from the inside out

Under the epidermis is a network of collagen and elastin, which are proteins that keep your skin youthful and tight. But as you age and get more sun exposure, those proteins simply break down faster than your body can rebuild them. As a result, your skin may start to sag and show damage like wrinkles, lines or spots. This is where Fraxel laser treatment can help.
Microscopic laser columns penetrate deep into the dermis to create tiny wounds, which trigger your body’s natural response system to heal those wounds. This process expedites your body’s remodeling of collagen and elastin, which results in tighter, fresher, more youthful-looking skin. This is how Fraxel treatment creates new skin from the inside out.

What Are The Benefits Of The FRAXEL Treatment?

Fraxel treatment creates smoother, fresher, healthier and younger-looking skin - improved tone, texture and pore size - and the softening of wrinkles and lines, all with minimal discomfort or downtime.

How Many Treatments Does It Take?

The Fraxel treatments consist generally of 4-5 laser treatments, all delivering remarkable results with fast recovery. We also have a post-treatment skincare regimen.

What Are The Signs Of Aging Skin?

Brown spots and blotches are significant signs of aging. Also, as skin ages, it becomes thinner and more easily damaged. Intensifying this effect is the decreasing ability of skin to heal itself as a person ages. Any skin exposed to the sun’s damaging rays will eventually show the signs of aging –hands, face, neck and chest are the most common. Of course, the first, and most preferred, course of treatment would be prevention in the form of daily sunblock applications throughout the years. However, for those of us who have fallen short on the prevention side of skin protection, and have now earned an array of brown blotches, red spots and collagen-starved creases on our hands face, neck or chest, there is a way to turn back the clock with Intense Pulsed Light therapy (IPL)

How Does Intense Pulsed Light Therapy (IPL) Work?

Light penetrates the surface of the skin tissue and is absorbed by either the blood when treating vascular lesions or the melanin when treating pigmented lesions damaging them. The body's natural processes then remove the injured tissue giving the skin a more even and youthful appearance.

IPL Skin Treatments using photo rejuvenation often consist of full-face treatment or treatment of isolated body areas like the hands, neck, chest or arms. The treatment regimen typically consists of four to six treatments administered at two to three week intervals.

IPL Skin Treatments using photo rejuvenation produce few side effects and require little to no alteration in a patient's normal routine. IPL is the gold standard for photo rejuvenation. This FDA-cleared, patented technology provides dramatic results for a variety of benign conditions, including:

• age spots
• sun-induced brown spots, red spots
• symptoms of rosacea
• birthmarks
• unsightly veins
• acne scarring and other blemishes
• diminished collagen

Are Nonprescription And Prescription Topicals Helpful?

The simplest method of skin treatment is the topical application of wrinkle creams. Widely available everywhere from pharmacies to health food stores, these creams are beneficial for the skin, helping to moisturize and nourish it. However, their ability to reduce wrinkles below the skin's surface is, unfortunately, very limited. In addition, any visible improvement may disappear when use of the topical agent is discontinued. Topical application of prescription drugs, most notably synthetic derivatives of Vitamin A (retinoids), can provide better results in improving sun-damaged and aging skin. Clinical studies of topical retinoid formulations find them to be safe and effective in diminishing fine wrinkles. However, most retinoids are skin irritants and often produce skin reactions.

What About Dermabrasion And Microdermabrasion?

Dermabrasion is a traditional skin-clearing procedure that has been widely used in practice since the early 1980s. Sometimes called surgical skin planing, it commonly involves removal or sanding of the skin with a rotary abrasive instrument. The abrasive or planing action evens out the skin, and a new layer of fresh skin replaces the abraded skin. This procedure is usually reserved for extensive acne scarring and deep wrinkles. Due to its mechanical nature, healing and recovery are lengthy, with the treated area remaining red and flushed for an extended period of time.

Microdermabrasion, in contrast, is a more recently introduced treatment. It is particularly popular among individuals with mild skin damage seeking to preserve and maintain a youthful complexion. Essentially, microdermabrasion involves brushing the face with sterile micro-particles to abrade or rub off the very top skin layer, then vacuuming the particles and dermabraded skin away. Experts believe the procedure works best to polish and soften fine lines and dull skin texture. In most cases, a minimum of four to five initial treatments, seven to ten days apart, are necessary to achieve good results.

Are Chemical Peels Helpful?

Another major advance in warding off the ravages of age was the advent of the chemical peel. In this treatment, a chemical solution is applied to the skin, causing it to separate and peel off. The new, regenerated skin is usually smoother, tighter and displays a more even color than the old skin. Peels are beneficial for fine lines and minor skin imperfections, and are performed as a single procedure or in a series.

How Does Laser Skin Resurfacing Work?

The goal of laser skin resurfacing is simple: replace damaged skin with new, fresh skin. Techniques for skin resurfacing have made enormous advances, allowing nearly everyone to achieve close to flawless complexions. Many systems allow for light, moderate or deep laser resurfacing. The primary targets of laser skin resurfacing include:

• Fine lines and wrinkles of the face, especially around the upper lip, cheeks and forehead
• Loose eyelid skin
• Crow's feet around the eyes
• Pucker marks (smoker's lines) and frown lines
• Brown spots and splotchy, uneven skin tone
• Scars, especially acne scars
• Loose skin around the neck and jowls

The "Gold Standard" of laser resurfacing systems, the UltraPulse® CO2 Laser delivers thousands of tiny laser pulses in a pattern over the skin. Each pulse heats a column of tissue eliminating pigment discolorations at the surface and creating a zone of heating deep in the tissue. Unique to the UltraPulse Encore, is its ability to shrink collagen immediately within these zones of heating. The CO2 laser also offers the benefits of heating deeper layers of skin tissue, thereby stimulating collagen remodeling the skin further. Patients can select from a range of treatments depending on the needs of your skin and lifestyle.

What Is ActiveFX “Fractional” Laser Resurfacing?

ActiveFX is a fractional laser procedure performed in a single treatment with minimal patient downtime. During the procedure, a high-energy beam of laser light is used to smooth out lines, wrinkles and scars, remove brown spots and other irregularities. It also stimulates formation of new underlying collagen to continue improvement over time. With fractional laser treatment, only a fraction of the skin’s surface is treated by the laser, leaving small “bridges” of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner.

Is ActiveFX ideal for you?

Yes, if you fit in any of the following categories:

• Have a busy lifestyle or cannot be away from work for a long time
• Want noticeable results with minimal downtime
• Want to treat dyschromia, fine lines, wrinkles and skin laxity.
What You Can Expect From ActiveFX?

Most physicians perform the procedure in the office with a topical anesthetic cream that is applied 30-40 minutes before the ActiveFX procedure begins. There is little to no pain associated with the procedure – most patients say they feel warmth similar to sunburn. You can drive yourself home after the procedure. With a gentle washing and moisturizing regimen, your photodamaged skin will begin to flake off within 2 days. After about 3-5 days, your doctor will probably let you wear make-up. Pinkness should be gone in about a week.

What Are The Benefits Of ActiveFX?

ActiveFX treatment produces a dramatic effect on the skin:

• Reduces wrinkles and fine lines, and softens deeper frown lines
• Noticeably improves skin tone and texture
• Stimulates new collagen formation and plumps the skin

The results of ActiveFX laser treatment are long-term and, with proper sun protection, can persist for many years. Most effects of treatment become visible right away, whereas others – such as new collagen formation – build up gradually and become more evident over time. Therefore, most people look even better 3-5 months after the procedure.

Does Thermage Treatments Help Skin Laxity And Sagging?

Thermage treatments are only performed in a doctor's office by Thermage-certified personnel. Dr. Aszterbaum requires an in-person consultation to determine if Thermage is right for you. Women 35-60 normally have the best and most predictable results. If your skin is too lax, the results will not be as dramatic. Normally, the complete procedure can be performed in just one session lasting from 20 minutes to two hours, depending on the treatment area. General anesthesia is not required, but to make sure you are comfortable the doctor may offer light pain medications prior to treatment.

During the treatment, you'll feel a brief, heat sensation each time Thermage delivers radiofrequency energy to the underlayer of your skin. This indicates that your collagen is being stimulated and tightened.

After treatment, your skin may be slightly red for a day or two. But most people resume regular activities immediately after treatment, with no downtime or special follow-up care.

Immediate Results: You should feel and see your skin being smoother, firmer and tighter immediately after your Thermage treatment. You may also notice some contouring effects which will begin enhancing the shape of your face.

Continued improvement over time: After the procedure, you should continue to see improvements to your skin as a result of the production of new and increased collagen, as well as some additional contouring effects due to continued tightening over time. These effects will continue for up to six months. You should see lasting results.

How Does Thermage Affect The Skin?

The facial skin is made up of three distinct layers: a visible outer layer on the surface called the epidermis; a collagen-rich underlayer beneath the surface called the dermis; and an inner layer beneath the dermis called the subcutaneous layer, also known as the fat layer that has a web of collagen fibers running through it.
When the collagen in these three layers breaks down due to sun exposure, family heredity, or the normal aging process, your face begins to sag and wrinkle. Naturally, treatments that work on just the surface can't do anything to restore the collagen in the under layer or the inner layer of your skin.

Thermage is the only non-invasive procedure available that tightens and renews your skin's collagen in all three layers. How? Thermage's unique Capacitive Radiofrequency (CRF) technology safely heats your skin's underlayer and the web of collagen in the inner layer, causing an immediate tightening, as well as improved tone and texture. The improvements will continue and become even more noticeable for four to six months following treatment due to new collagen growth.

Thermage is safer than invasive cosmetic procedures. And unlike lasers, it works on all skin types and colors; and there is no downtime, so you can quickly resume your daily routine.

CELLULITE

What Is Cellulite?

Cellulite is a popular term to describe uneven fatty deposits under the skin. It is characterized by a dimpled or orange-peel appearance due to structural changes underneath the skin's top layer. Cellulite is a normal occurrence mostly below the waistline, and in the upper arm area. In women, fat is arranged in large chambers underneath a fairly thin layer of skin. These chambers are separated by columns of fibers. When too much fat is deposited into these chambers, the effect is a pitting and bulging of the skin. As women age, the fibers shrink and thicken, pulling the skin downward. This results in a quilt-like appearance on the skin surface, especially in areas such as the buttocks, thighs or hips. Most women develop cellulite as they age, regardless of their race. Cellulite is a perfectly normal and harmless condition; however, it is a cosmetic concern of many people.

Female hormones (estrogen, and to a lesser extent, progesterone) play important roles in the formation of cellulite. Estrogen stimulates the storage of fat and, progesterone may also contribute to the cellulite problem by weakening veins and causing water retention and weight gain.

Cellulite is mostly a female problem. Due to different body physiques, men tend to have lower percentages of body fat, while women have higher percentages. In addition, men tend to accumulate fat in the abdominal area while women have fat deposits mostly in the buttocks and thighs. Men have thicker skin and the chambers are smaller and more tightly-held together. Therefore, cellulite is not often found in men.

Today, there are procedures to address cellulite and dimpling. A non-invasive cosmetic laser treatment can now greatly improve the appearance of afflicted skin with a series of treatments. Plus, with regular maintenance treatments, it will continue to look firmer, smoother and healthier than it has in years.

Dr. Aszterbaum uses the Cynosure Lasers which are safe and effective on all skin types.

EXCESS SWEATING

Is Excess Sweating Treatable?

If underarm sweating, or excess palm sweating is significantly interfering with your daily activities and topical agents haven't worked, you may be a candidate for BOTOX® treatment.
Only a medical professional, preferably a dermatologist, can diagnose excessive underarm or palm sweating (primary axillary hyperhidrosis) that is not being effectively managed with topical agents. Before seeing the doctor, an understanding of your medical history, family history, and when you first noticed your excessive underarm or palm sweating will be helpful in diagnosing and treating you. You may be asked to answer a selfassessment question regarding the extent to which excessive underarm sweating affects your daily activities. This is known as the Hyperhidrosis Disease Severity Scale (HDSS).

Will BOTOX Work On The Under Arms?

BOTOX is FDA-approved for excessive underarm sweating that is not adequately managed with topical agents. BOTOX neurotoxin treatment helps control this condition by temporarily blocking the chemical signals from the nerves that stimulate the sweat glands. When the sweat glands don't receive chemical signals, the excessive sweating stops.

You should notice a significant reduction in underarm sweating within 4 weeks of your first treatment. If you are still sweating, there is a possibility that some sweat glands may have been missed, and you may continue to experience some sweating from the untreated areas. If you do not see a significant reduction in sweating, you should contact Dr. Aszterbaum and request a follow-up consultation.

What About The Palms Of The Hands?

In off-label use, the same treatment has been found to successfully treat excessive sweating of the hands, as well.

HAIR REDUCTION

What Is The Best Treatment For Unwanted Hair?

For under arms, bikini, legs, face, back – we treat all areas with the "Gold Standard" in laser hair removal with the LightSheer® Diode Laser Hair Removal. Innovative, light-based devices have revolutionized the treatment of unwanted hair, offering gentle, effective and convenient solutions for both men and women. Both the LightSheer Diode Laser System and Intense Pulsed Light System (IPL) use targeted flashes of light to block the re-growth potential of the hair follicle. These treatments do not damage surrounding tissue, and each device targets numerous hair follicles simultaneously, allowing for the treatment of large areas quickly and effectively.

How Long Does A Lightsheer Hair Removal Treatment Take?

The length of an individual treatment may last anywhere from a few minutes to an hour or more, depending on the size of the area being treated. The number of treatments required depends on several factors related to specific kinds of hair and skin. It is important to understand that hairs in an active growth phase (anagen) are most affected by treatments. Since all hairs are not in this phase at the same time, several treatments are necessary to achieve the best results. Dr. Aszterbaum can design customized treatment programs, and give patients an estimate of how many sessions may be needed in order to meet expectations.

Does Lightsheer Laser Hair Removal Hurt?

The treatment may cause some minor discomfort — patients often describe it as a slight tingling or compare it to a pinch or the sting of a snapped rubber band. Most patients tolerate the procedure well; topical anesthesia is suggested, especially when treating more sensitive areas.

The appearance of the treated area immediately following a session will vary from patient to patient, though side effects are rare. Any swelling or redness at the treatment site typically goes away within a couple hours, and most people are able to return to normal activity immediately. The best news is that many of the unwanted hairs are gone at the end of the treatment.

How Does The Lightsheer Diode Laser System Work?

The system emits near-infrared laser light that is absorbed by the pigment located in the hair follicle. The laser is pulsed, or turned on, for only a fraction of a second. The duration of each pulse is just long enough to damage the follicle, while the system's unique, patented contact-cooling handpiece, the ChillTip, helps protect the skin by conductive cooling during the laser energy delivery.

What Advantages Does The Lightsheer Have Over Other Lasers?

• Lumenis, makers of the LightSheer diode laser system, has been in the business of making medical and cosmetic lasers for more than 30 years. Light sheer is the Gold Standard for Hair Removal.
• In response to the ever-increasing demand to remove unwanted hair on virtually any body area, the ability to offer superior results to the widest variety of patients is critical. The LightSheer Diode Laser System offers high powers and both short and very long (400 ms) pulses to safely and effectively treat all skin types, including tanned skin and the broadest range of hair colors, diameters and depths.
• LightSheer, for hair removal, has an unsurpassed library of clinically-documented success
• Treats all skin types including tanned skin, most hair colors, depths and diameters
• Patented ChillTip provides continuous contact cooling of the epidermis for maximal patient safety and comfort
• Fast area coverage rate
• Pseudofolliculitis Barbae (PFB) - PFB, or razor bumps, is a common condition in which the regrowing hair, after shaving, curves back towards and pierces the skin resulting in a pustule or papule. PFB is very prevalent in populations with curly hair, affecting nearly 85% of men of African descent and a growing number of women. The LightSheer's excellent safety profile for all skin types, including the darkest skin, makes it a safe, effective and revolutionary alternative for the treatment of pseudofolliculitis barbae

Why Lightsheer Laser Hair Removal Rather Than Other Methods?

The LightSheer Diode Laser System's design provides for enhanced comfort during treatment, minimal risk of infection, speed and accuracy. Since the system uses a unique cooling handpiece, it minimizes skin irritation that other methods may create. Since it is non-invasive (no needles to penetrate the skin), the risk of introducing bacteria into the skin is reduced. Because the system is fast, it allows for larger areas to be treated, considerably increasing the efficiency of the hair removal process, which allows more patients to be treated during a typical day. Finally, the LightSheer Diode Laser is a precise instrument that can be adjusted to damage only the hair follicle while minimally affecting the surrounding skin.

Does The Lightsheer Work On Tanned Or Different Skin Colors?

The LightSheer diode laser system safely and effectively treats all skin types (Fitzpatrick Skin Types I-VI), as well as tanned skin. For darker skin types and people with tans, appropriate fluences are generally lower; and appropriate pulse widths are generally longer to prevent damage to the epidermis. Using the appropriate treatment parameters, however, people with all skin types can benefit from laser hair removal with the LightSheer.

Are The Results Permanent?

The LightSheer laser has been cleared by the FDA for hair removal and permanent hair reduction on all skin types and tanned skin. To achieve a satisfactory level of clearance, the average is 3-5 treatments.

HANDS

Why Do Your Hands Age?

As skin ages, it becomes thinner and more easily damaged. Intensifying this effect is the decreasing ability of skin to heal itself as a person ages. Skin aging is caused by the fall in elasticity. Aging skin also receives less blood flow and lower gland activity.

Any skin exposed to the sun’s damaging rays will eventually show the signs of aging – hands, face, neck and chest are the most common. Of course, the first, and most preferred, course of treatment would be prevention in the form of daily sunblock applications throughout the years. However, for those of us who have fallen short on the prevention side of skin protection, and have now earned an array of brown blotches, red spots and collagen starved creases on our hands face, neck or chest, there is a way to turn back the clock with Intense Pulsed Light therapy (IPL).

What Treatment Is Available For Aging Hands?

Intense Pulsed Light (IPL) Therapy is used to reverse the signs of aging.

How Does IPL Work?

Light penetrates the surface of the skin tissue and is absorbed by either the blood when treating vascular lesions or the melanin when treating pigmented lesions damaging them. The body's natural processes then remove the injured tissue giving the skin a more even and youthful appearance.

IPL Skin Treatments using photo rejuvenation often consist of full-face treatment or treatment of isolated body areas like the hands, neck, chest or arms. The treatment regimen typically consists of four to six treatments administered at two to three week intervals.

IPL Skin Treatments using Photo rejuvenation produce few side effects and require little to no alteration in a patient's normal routine.  IPL is the "Gold Standard" for photo rejuvenation. This FDA-cleared, patented technology provides dramatic results for a variety of benign conditions, including:

• age spots
• sun-induced brown spots, red spots
• symptoms of rosacea
• birthmarks
• unsightly veins
• acne scarring and other blemishes
• diminished collagen

MOLES & BIRTHMARKS

Moles And Birthmarks, Is It Just Another Sign Of Aging, Or An Underlying Medical Condition?

Some moles and birthmarks have been with us all our lives and others may develop as we age. It is important to know that moles can change – even the ones we’ve had since birth, and become cancerous over time.

The American Academy of Dermatology warns that some signs of aging that appear on the skin indicate more than advancing years; they can be tell-tale signs of an underlying medical condition. Changes that occur as we age also make us more susceptible to skin conditions, such as shingles and skin cancer.

As a rule, you should have your skin checked annually, if not twice a year, depending on the degree of sun exposure and your age. If you spot any of the following changes, make an appointment to have it checked right away by Dr. Aszterbaum, or another dermatologist.

With early detection, many of these conditions are easily treated. If allowed to progress, some conditions can be difficult to control. Melanoma, is a type of skin cancer that can be deadly without early treatment. In the United States alone, one person dies from melanoma about every 68 minutes.

What Signs And Symptoms Are Potential Areas Of Concern On The Skin?

You should be concerned with lesions on the skin that appear as:

• Scaly, red spot or cluster of slow-growing, shiny or scaly lesions that are red or pink.
• Mole that changes color, shape, or size
• New skin growth
• Mole or smoother skin lesion that bleeds or itches
• Age spot that becomes large, flat, dark and has irregular borders
• Bruise that does not heal or seems to heal and then re-appear
• Brown or black streak underneath a nail
• Translucent, pearl-shaped growth

ROSACEA

What Is Rosacea?

Rosacea is a skin disease typically appearing in persons during their 30s and 40s. It is marked by redness (erthema) of the face, flushing of the skin and the presence of hard pimples (papules) or pus-filled pimples (pustules), as well as small, visible spider-like veins called telangiectasias. In later stages of the disease, the face may swell and the nose may take on a bulbous appearance, a condition called rhinophyma.

Where Areas Can Rosacea Affect?

Areas of the face, including the nose, cheeks, forehead, and chin, are the primary sites; but some persons experience symptoms on their necks, backs, scalp, arms, and legs. It is a common disease that afflicts one out of every 20 Americans.

What Are The Causes & Symptoms?

There is no known specific cause of rosacea. A history of redness and flushing precedes the disease in most patients. The consensus among many experts is that multiple factors may lead to an overreaction of the facial blood vessels, which triggers flushing. Over time, persistent episodes of redness and flushing leave the face continually inflamed. Pimples and blood-vessel changes follow.

Unidentified genetic factors may also come into play because 40% of rosacea sufferers have a family member who has rosacea. The disease is more common in women and in persons with light skin and fair hair. It may be more common in persons with a , Celtic English, Scandinavian, Swedish, Welsh, Polish, Lithuanian, or Balkan background. Because certain antibiotics are useful in the treatment of rosacea, some researchers suspect a bacterium or other infectious agent may be the cause. One of the newest suspects is a bacterium called Helicobacter pylori, which has been implicated in causing stomach ulcers. The evidence supporting this suspicion is mixed.

Other investigators have observed that a particular parasite, the microscopic mite Demodex folliculorum, can be found on areas of the skin affected by rosacea. However, this mite can also be detected in the skin of persons who do not have the disease. It is likely that this mite does not cause rosacea, but merely aggravates it.

Rosacea may be caused by factors such as a deficiency of B-Complex vitamins or hydrochloric acid (HCI) in the stomach. Some researchers suspect that yeast may cause rosacea.
In early stages of rosacea, patients typically experience repeated episodes of flushing. Later, areas of the face are persistently red and telangiectasia, as well as inflamed papules and pustules, appear on the nose and cheeks. Over time, the skin may take on a roughened, orange-peel texture. Very late in the disorder, a small group of patients with rosacea will develop rhinophyma, which can give the nose a reddened, bulbous appearance. The late actor W.C. Fields was affected with this condition. Men are three times more likely than women to develop rhinophyma.

Up to one-half of patients with rosacea may experience symptoms related to their eyes. Ocular rosacea, as it is called, frequently precedes the other manifestations on the skin. Telangiectasia may appear around the borders of the eyelid, the eyelids may be chronically inflamed, and small lumps called chalazions may develop. The cornea of the eye (the transparent covering over the lens) can also be affected; and in some cases, vision will be affected. Most of these eye symptoms do not threaten sight, however.

How Is Rosacea Diagnosed?

Diagnosis of rosacea is made by the presence of clinical symptoms. There is no specific test for the disease. Episodes of persistent flushing, redness (erythema) of the nose, cheeks, chin, and forehead, accompanied by pustules and papules are hallmarks of the disease. A dermatologist (skin disease specialist) will attempt to rule out a number of other diseases that have similar symptoms. Acne vulgaris is perhaps the disorder most commonly mistaken for rosacea, but acne patients do not have redness and spider-like veins. Blackheads and cysts are seen in acne patients, but not in those with rosacea.

How Is Rosacea Treated?

There is no cure for rosacea, but alternative and complementary treatments can be helpful in reducing the skin irritation and number of outbreaks associated with the disease. Green-tinted makeup can mask the redness associated with rosacea. Because rosacea may cause psychological distress, or support groups can be an
important component of treatment.

Patients should avoid using skin care products that contain alcohol, witch hazel, peppermint, menthol, oil, or clove oil. Skin care products should be fragrance-free and have a smooth, non-grainy consistency. Men can shave with an electric razor to lessen skin irritation on the face.

Persons who are treated for rosacea with antibiotics over a long period are more prone to yeast . Long-term antibiotic use can decrease normal bacteria populations and increase the number of yeast. Eating a yeast-free diet (eliminating breads and other yeast products and sugars) can help to restore normal bacteria to the body.

Can Food Trigger An Outbreak of Rosacea?

Certain foods are known to trigger an outbreak of rosacea. Although individual triggers vary, the following foods may aggravate rosacea: hot spices (pepper, paprika, and ), marinated meat, , vanilla, vinegar, red plums, peas, lima and navy beans, sharp cheeses, cider, dishes, canned fish products, processed beef and pork, chocolate, tomatoes, citrus fruit, alcohol and hot beverages. Nitrates, sulfites, and certain drugs can also trigger outbreaks. Food can also cause rosacea. The three foods that most often cause food allergies are wheat products, sugar, and dairy products.

Rosacea patients should keep a food diary to identify the specific foods that trigger rosacea outbreaks. Outbreaks can occur hours—or as long as a day—after the offending food has been eaten. The patient should stop eating a suspect food for a few months to observe the severity of the rosacea symptoms. If the rosacea improves, the patient can then eat a small amount of the offending food to confirm whether it triggers an outbreak. Once a rosacea trigger food is identified, it can be eliminated from the patient's diet.

Can An Allopathic Treatment Be Successful?

The mainstay of treatment for rosacea is oral antibiotics. These appear to work by reducing inflammation in the small blood vessels and structure of the skin, not by destroying bacteria that are present. One of the more widely used oral antibiotics is tetracycline. In many patients, antibiotics are effective against the papules and pustules that can appear on the face.
But antibiotics appear to be less effective against the background redness, and they have no effect on telangiectasia. For redness, flushing and telangiectasias, Intense Pulsed Light therapy, (IPL), is ideal and can be highly effective for reducing redness and correcting the small ‘spider’ surface veins.

Vitamin A derivatives called retinoids also appear useful in the treatment of rosacea. An oral retinoid called isotretinoin, which is used in severe cases of acne, reduces the pustules and papules in severe cases of rosacea that do not respond to antibiotics. Isotretinoin must be taken with care, particularly in women of childbearing age, because the drug is known to cause birth defects.

Topical vitamin A compounds may have a role in the treatment of rosacea. Accumulating evidence suggests that topical isotretinoin and topical azelaic acid can reduce the redness and pimples.

For later stages of the disorder, a laser surgical procedure may be needed to correct damage to the skin.

What Results Can I Expect?

The prognosis is good for controlling symptoms of rosacea and improving the appearance of the face. Many people require lifelong treatment and achieve good results. There is no known cure for the disorder at this time.

Is Rosacea Preventable?

Rosacea cannot be prevented; but once it is correctly diagnosed, outbreaks can be treated and repeated episodes can be limited, in addition to IPL treatments.
Use mild soaps and cleansers. Avoiding anything that irritates the skin is a good preventive measure for persons with rosacea. Astringents and alcohol should be avoided. Learn what triggers flushing. Reducing factors in the diet and environment that cause flushing of the face is another good preventive strategy. The specific things that provoke flushing vary considerably from person to person, and it usually takes some trial and error to figure these out.

SKIN CANCER

How Many People Are Affected By Skin Cancer?

If you read nothing else here regarding skin cancer, please read this – Go for a complete skin check at least once a year and right away if you suspect any unusual marks, spots or textures on your skin. Wear sunblock protection every day.

Skin cancer is the most common of all cancers. It accounts for nearly half of all cancers in the United States. More than 1 million cases of non-melanoma skin cancer diagnosed yearly in the United States were considered to be sun-related. Melanoma, the most serious type of skin cancer, accounted for about 59,940 cases of skin cancer in 2007 and most (about 8,110) of the 10,850 deaths were due to skin cancer each year.

Is Skin Cancer Curable?

For basal cell or squamous cell cancers, a cure is highly likely if detected and treated early. Melanoma,(the most dangerous form of skin cancer), even though it can spread to other body parts quickly, is also highly curable if detected early and treated properly.

What Are The Risk Factors For Skin Cancer?

Risk factors for non melanoma and melanoma skin cancers include:

• unprotected and/or excessive exposure to ultraviolet (UV) radiation
• fair complexion
• occupational exposures to coal tar, pitch, creosote, arsenic compounds or radium
• family history
• multiple or atypical moles
• severe sunburns as a child

What Are The Signs And Symptoms Of Skin Cancer?

Skin cancer can be found early, and both doctors and patients play important roles in finding skin cancer. If you have any of the following symptoms, tell Dr. Aszterbaum, and make an appointment at least once a year for a complete skin check.

• any change on the skin, especially in the size or color of a mole or other darkly pigmented growth or spot,or a new growth
• scaliness, oozing, bleeding, or change in the appearance of a bump or nodule
• the spread of pigmentation beyond its border such as dark coloring that spreads past the edge of a mole or mark
• a change in sensation, itchiness, tenderness, or pain

Can Skin Cancer Be Prevented?

The best ways to lower the risk of non-melanoma skin cancer are to avoid intense sunlight for long periods of time and to practice sun safety. You can continue to exercise and enjoy the outdoors while practicing sun safety at the same time. Here are some ways you can do this:

• Avoid the sun between 10 a.m. and 4 p.m.
• Seek shade: Look for shade, especially in the middle of the day when the sun's rays are strongest. Practice the shadow rule and teach it to children. If your shadow is shorter than you, the sun’s rays are at their strongest.
• Slip on a shirt: Cover up with protective clothing to guard as much skin as possible when you are out in the sun. Choose comfortable clothes made of tightly woven fabrics that you cannot see through when held up to a light.
• Slop on sunscreen: Use sunscreen and lip balm with a sun protection factor (SPF) of 15 or higher. Apply a generous amount of sunscreen (about a palm full) and reapply after swimming, toweling dry, or perspiring. Use sunscreen even on hazy or overcast days.
• Slap on a hat: Cover your head with a wide-brimmed hat, shading your face, ears, and neck. If you choose a baseball cap, remember to protect your ears and neck with sunscreen.
• Wrap on sunglasses: Wear sunglasses with 99% to 100% UV absorption to provide optimal protection for the eyes and the surrounding skin.
• Follow these practices to protect your skin even on cloudy or overcast days. UV rays travel through clouds.
• Avoid other sources of UV light. Tanning beds and sun lamps are dangerous because they can damage your skin.

What Is Nonmelanoma (Basal or Squamus Cell) Skin Cancer?

Most skin cancers are classified as nonmelanoma, usually occurring in either basal cells or squamous cells. These cells are located at the base of the outer layer of the skin or cover the internal and external surfaces of the body. Most nonmelanoma skin cancers develop on sun-exposed areas of the body, like the face, ear, neck, lips, and the backs of the hands. Depending on the type, they can be fast or slow growing, but they rarely spread to other parts of the body.

STRETCH MARKS

What Are Stretch Marks?

Stretch marks closely resemble scars. In fact, stretch marks are the most common types of skin lesions. About 90% of pregnant women get stretch marks. They also affect 70% of adolescent females and about 40% of young males.

In medical terminology, stretch marks are called striae. Mature stretch marks are devoid of color, and newer stretch marks are often red or purplish in color. Stretch marks develop when the skin is excessively stretched, damaging the collagen fibers and proteins in the underlying skin layer called the dermis.

Scientists believe that shattering of collagen leads to dilation of small blood vessels (called capillaries) that result in red- or purple-colored early stretch marks. Inflammation and collagen remodeling may lead to the loss of pigment-producing, melanocyte cells or obscuring of melanin pigment. Over time, this lack of pigment results in the white or hypopigmented scars that most people associate with mature stretch marks. Stretch marks are a form of leukoderma.

Growth spurts and sudden or excessive weight gain cause stretch marks to form in young people. Young women commonly get them on their breasts, thighs, hips and buttocks. Young men often develop stretch marks from participating in certain body-altering sports such as weightlifting or from the use of dangerous bodybuilding steroid drugs. Women commonly develop stretch marks on their lower abdomen in the last months of pregnancy.

There is nothing that can prevent the formation of stretch marks — especially during pregnancy or during a growth spurt. Creams and lotions may ease the itchy sensation associated with stretch marks, but they won't keep them from forming.

There are two basic varieties of stretch marks: white and red. Older, mature stretch marks are commonly white or silver-colored; newer stretch marks tend to be reddish or purple in color. Light-based technologies, like PDL, Fraxel and IPL, are now available to treat both types of stretch marks non-invasively.

Topical formulations containing retinoids (vitamin A-derivatives) can be effective in treating early, red, inflammatory stretch marks; but they have proven to be ineffective in improving the appearance of mature stretch marks.

Applications of glycolic acid and creams with L-ascorbic acid on a daily basis may slightly improve the appearance of mature, white stretch marks. Overall, however, results have been disappointing.

Are Red Stretch Marks Treatable With Intense Pulsed Light™ (IPL)?

Dr. Aszterbaum has found that IPL (Intense Pulsed Light) and the PDL (Pulsed Dye Laser) yield a successful result for reducing the appearance of hyperpigmented (dark red) scars, including new stretch marks. This non-invasive, gentle approach uses targeted flashes of light to treat dilated and broken blood vessels without injuring the surrounding healthy skin.
Dr. Aszterbaum determines an IPL treatment plan for each patient, taking into account the number and severity of skin conditions being addressed. On average, a series of four to six treatments is recommended, scheduled at threeweek intervals. Each session usually lasts about 20 minutes, with patients returning to normal activity immediately. By dividing the full program into several sessions, IPL treatments provide gradual, natural improvement with excellent long term results.

VARICOSE VEINS / SPIDER VEINS

What Are Spider Veins?

Doctors often refer to unsightly veins as benign vascular lesions. These lesions appear on the surface of the skin as splotches, dots, bulges and spider shapes. They can show up in a variety of colors ranging from red to purple to brown. Sometimes they are caused by weakness in the walls or valves of veins, causing blood to stagnate rather than be circulated. Some vascular lesions are so tiny that they are not visible under normal conditions, and others are quite prominent. It is nearly impossible to get through life without unsightly veins, surface blood vessels and other benign vascular lesions. It's estimated that over 60% of the population suffers from varicose veins and spider veins. Varicose veins are enlarged blood vessels that have widened due to a weakness in the vein wall or a problem with the valves that control the flow of blood. Spider veins are the small, superficial purple or red veins stretching like a web under the skin. Overexposure to the sun is believed to contribute to the dilation of spider veins, especially those found on the face.

What Are Broken Veins and Capillaries?

The face has an extensive network of veins and small blood vessels called capillaries. Aging, trauma, sun exposure and other factors can cause these vessels to become more prominent or to break. The breaks, also called telangiectasias, commonly appear as spider veins or as red streaks or blotches. Sometimes broken capillaries can cause a diffused redness in the skin, called erythema, a source of social embarrassment for many people. Rosacea is a common skin condition that is characterized by diffused erythema.

Is Sclerotherapy Helpful?

Until recently, this was the primary treatment for varicose leg veins. The procedure involves using a syringe and needle to inject an irritating solution into the vein, which causes it to scar and collapse. Sclerotherapy has been somewhat effective for smaller veins, but the treatment can be painful and often requires multiple injections and repeat treatments. Side effects include bruising, burning, swelling and inflammation; patients need to wear bandages or compression stockings for two weeks after treatment.

What About Laser Treatments for Veins?

Breakthrough technology provides non-invasive, gentle treatments for varicose and spider veins, as well as facial blood vessels. Multi-application IPL™ System technology includes a pulsed laser light combined with a broad band of Intense Pulsed Light (IPL) to offer the most effective and long-lasting results for the widest range of benign vascular lesions.
With proprietary Multiple Synchronized Pulsing™ capabilities, IPL systems selectively heat and destroy different sized blood vessels at depths below the skin's surface with excellent results.

Physicians are now able to treat complex and interwoven networks of large vessels and webs of small capillaries with pinpoint accuracy, eliminating the unwanted veins and sparing the adjacent healthy ones. By delivering the laser light in highly-focused pulses, the IPL computer-controlled system allows the skin and healthy surrounding tissues to cool down, avoiding thermal damage. Pain during treatment and side effects afterward are greatly reduced. Most people can immediately return to their normal routines.

Michelle Aszterbaum, M.D.

Office Location

Newport Dermatology & Laser Associates

APPOINTMENT HOURS:

Monday-Friday:
8:15am - 5:00pm

Contact Us

We are the leading dermatology center serving residents of Newport Beach, CA and Orange County including, West Newport, Balboa, Newport Heights, Newport Bay, East Bluff, Corona Del Mar, San Joaquin Hills, Newport Coast and Crystal Cove with skin care services including BOTOX® Cosmetic injections, dermal fillers, laser hair removal, liposculpture, laser therapies & vein treatments.