Cosmetic Procedures
 
 

As time passes our skin shows the natural, inevitable signs of aging - wrinkles, sagging, sun damage. But you can counteract those effects with several non-surgical cosmetic procedures available at our practice, including BOTOX® and injectable fillers such as collagen to smooth lines and wrinkles and raise sunken areas; chemical peels to reduce blemishes and scarring and produce fresh, glowing skin; laser hair removal for unwanted hair; and sclerotherapy for the treatment of spider and varicose veins.

 


Laser Hair Removal

Whether for hygienic or cosmetic reasons, the patient who is tired of temporary, often painful methods of removing unwanted hair may welcome the Palomar laser hair removal system with relief.

Lasers produce highly focused, intense beams of light that are absorbed by dark pigments in the hair follicles beneath the skin's surface and vaporizes hair while the rapid cooling technology protects the skin. Treatments are effective on the face and body for both men and women. Treatments are fast, safe and virtually pain-free and do not require anesthesia. Most patients feel nothing more than a slight sting like the snap of a rubber band.

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Sclerotherapy

Sclerotherapy is the standard treatment for varicose and spider veins. A special sclerosing solution is injected into the diseased vein, which then collapses and is gradually absorbed by the body. By the end of the treatment program, the veins are less visible on the skin surface. Sclerotherapy usually also relieves symptoms associated with enlarged veins and prevents further complications.

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BOTOX®

BOTOX® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow's feet, frown and worry lines, and lines on the neck. Made from a purified protein, BOTOX® injections block nerve impulses, weakening muscles to relax wrinkles and give the face a rejuvenated look. BOTOX® may also be useful for excessive sweating, and eye and neck muscle spasms.

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Restylane®

Restylane® is designed to smooth wrinkles, sculpt lips and shape facial contours. It is a clear, synthetic gel made with hyaluronic acid, a natural substance that is found throughout your body. It carries little risk of allergic reaction. The most common areas for treatment are the glabellar lines and the nasolabial folds (from the root of the nose to the angle of your mouth). With its unique ability to bind with water, Restylane remains in your skin for many months.

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Perlane®

Perlane® is an injectable filler used to treat deep facial lines, augment the lips and contour the cheeks and chin. Made by Q-Med, the Swedish company that produces Restylane®, Perlane® contains purified hyaluronic acid, a sugar found naturally in the body that works with collagen to keep the skin smooth and supple. It is hypoallergenic and so does not require a pre-treatment skin test. With its unique ability to bind with water, Perlane® continues to perform up to 60% longer than collagen.

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Juvéderm™

Juvéderm™ is an injectable gel that gently reverses many signs of aging in the face, including fine lines and wrinkles, crow's feet, thinning lips and loosening skin. It can also "plump up" the lips, sculpt the cheeks, and restore a youthful oval shape to the face. It is made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to give volume and support to the skin. Because it is non-animal-based and highly biocompatible, no pre-treatment testing is needed. Juvéderm™ comes in three formulas optimized for the depth of the area being treated. Results last about 6-9 months and can be made to last even longer with a simple follow-up treatment a few weeks after the initial injection.

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Collagen Injections

Collagen is a naturally occurring protein found in the second layer of skin (the dermis) which "plumps up" the skin, joints, bones and ligaments. Injections counteract the effects of gravity, sun exposure and years of facial muscle movement by filling out sunken areas and smoothing lines for a rejuvenated look. Results may begin to fade in a few months, depending on the patient's age, genetic background, skin quality, lifestyle and body site. Skin tests are required to rule out allergy to collagen.

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Microdermabrasion

Microdermabrasion improves mild to moderate sun damage, scarring, wrinkles and other superficial skin problems. A gentle stream of tiny particles exfoliates the outer layer of skin and provides a fresh, glowing, younger appearance. The particles scrape away the surface layer of aging or damaged skin, which is then brushed off with the microdermabrasion vacuum tool with no need for anesthesia. Only a small amount of skin is removed, so sensitive areas such as the face, chest, neck, arms and hands can be treated. Results are comparable to a light chemical peel and should be immediately visible. Microdermabrasion is often performed in conjunction with other skin renewal procedures, such as laser treatment and chemical peels. Multiple treatments are recommended for full effect.

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Chemical Peels

Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes to produce healthy, glowing skin. There are three types of chemical peels, ranging from mild to strong - alphahydroxy acids (AHAs), tricholoroacetic acid (TCA) and phenol - and formula strengths are tailored to each patient. Peels may be covered by insurance if they are performed for medical rather than cosmetic reasons.

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Dr. Holly Christman MD, Dr. Monica Dahlem MD, Dr. Robert Herwick MD, Dr. Seth Matarasso MD, Dr. Megin Scully MD, and Dr. Michele Thompson MD,
serving San Francisco, Hayes Valley, Inner Richmond, Inner Sunset, The Marina, The Mission, Nob Hill, Noe Valley, North Beach, Outer Richmond, Outer Sunset and the surrounding area.

Dermatology Medical Group of San Francisco, Inc. 490 Post Street | Suite 700 | San Francisco, CA 94102 | Tel: 415-362-2238