DERMATOLOGY FAQs

BOTOX® Cosmetic targets one of the underlying causes of frown lines, forehead lines, and crow’s feet—the repeated muscle contractions from frowning and squinting over the years.  Our board certified dermatologists and providers will inject these muscles with BOTOX® Cosmetic to temporarily reduce muscle activity. You will begin to notice a visible smoothing of your crow’s feet lines and frown lines between your brows.

BOTOX® Cosmetic is a technique-sensitive treatment. You should not lose the ability to show expression when someone who is board certified and trained treats you, and who is a medical expert in facial anatomy.  It is important to talk to your doctor about the results you want from treatment.  At Integrated Dermatology, only board certified dermatologists and physician assistants use BOTOX® Cosmetics.

Most of our patients here at Integrated Dermatology state that it feels like a “pinch.”  If you are concerned about discomfort, your doctor may recommend applying a topical numbing cream before administering your treatment.

Three percent of patients experienced eyelid drooping in the frown lines studies and 1% of patients experienced eyelid swelling in the crow's feet studies. Other possible side effects include: dry mouth, discomfort or pain at the injection site, tiredness, headache, neck pain, eye problems, double vision, blurred vision, decreased eyesight and dry eyes and allergic reactions. These are the possible serious side effects of BOTOX® Cosmetic.

BOTOX® Cosmetic is a technique-sensitive treatment.  Someone who is board certified, trained, and a medical expert in facial anatomy should treat you.  All of our BOTOX® Cosmetic providers here at Integrated Dermatology are board certified physicians and physician assistants and are experts in BOTOX® Cosmetic.

Our board certified dermatologists and providers will discuss your treatment goals to determine the appropriate treatments for you. The actual injection process takes about 10-15 minutes.

Treatment requires minimal downtime or recovery; it’s often called a “lunchtime” procedure. You’ll be able to go about your normal routine immediately after you leave your doctor’s office. 

Our cost not only includes the price of the product, but more importantly, the skill and expertise of the physician and physician assistant who is administering your treatment.  BOTOX® Cosmetic is a technique-sensitive treatment — look for someone who is board certified and trained and has experience treating patients with BOTOX® Cosmetic. Be wary of discount products or “cheap” BOTOX® Cosmetic—if it sounds too good to be true, it probably is. 

It is more important to find an experienced doctor who will take the time to understand your treatment goals and develop a treatment plan that is right for you. The cost ranges from $15 - $19 per unit depending on which provider administers your treatment.  Please contact our office to find out more information.   

Enroll in ALLE® Rewards Program to save on BOTOX® Cosmetic treatments.  You earn points on each BOTOX® Cosmetic treatment that you can redeem for savings on future treatments. You can also earn and redeem points on other selected treatments and products (such as Juvederm®, Kybella®, Voluma®, Volbella®, Skin Medica®) that your healthcare provider may determine are right for you.

In addition, you can also earn points when you shop online at your favorite retailers participating in the ALLE® Mall. As a member you will receive treatment reminders and information about your points balance.

You may begin to notice results within 4-5 days for moderate to severe frown lines with maximum results at 10-14 days with results lasting up to 3-4 months.

If this is your first time receiving BOTOX® Cosmetic treatment here at Integrated Dermatology, it is recommended that you follow up with your health care provider around two weeks to make sure you have the desired effect.  

Yes. BOTOX® Cosmetic has also been clinically evaluated in male patients. In clinical studies for moderate to severe frown lines, 17.5% of patients treated with BOTOX® Cosmetic were men. In the clinical studies for moderate to severe crow's feet, male patients comprised approximately 10% of patients treated with BOTOX® Cosmetic.

According to the American Society for Aesthetic Plastic Surgery, 10% of all cosmetic procedures performed in the United States in 2014 were on men—that is more than 1 million cosmetic procedures. The number of cosmetic procedures for men increased by 273% from 1997 to 2014.

During a cosmetic consultation, our board cerfied dermatologists and providers will discuss your treatment goals and perform a facial assessment to determine the appropriate treatments for you.  Cosmetic consultation is recommended if you have never received Botox treatment.

You and your dermatology provider will discuss your treatment goals and discuss with you the timing of your treatment.  For the most part, BOTOX® Cosmetic can be done at the same day as the visit if desired but sometimes it is case-by-case.

Please let your doctor know if you have any significant neurological diseases including Myasthenia Gravis, Multiple Sclerosis, Lambert-Eaton Syndrome, Amyotrophic Lateral Sclerosis (ALS), or Parkinson’s as you are not recommended to receive BOTOX® Cosmetic injections. 

While there is virtually no downtime with the treatment, it is recommended that you avoid straining, heavy lifting or vigorous exercise 2-3 hours following treatment.  Makeup such as powder can be applied before leaving the office if desired.  Avoid manual manipulation of the injected area for 2-3 hours following treatment. Cleanse the treated area(s) gently the night of the treatment. Resume your normal skin care regimen the following day.  

Dysport® treats moderate to severe frown lines between the eyebrows by reducing specific muscle activity. Wrinkles are caused by repeated movements and muscle contractions, which means they can even develop in younger adults. One injection into each of 5 points between and above the eyebrows temporarily prevents muscle contractions that cause frown lines, leaving the rest of your face to move naturally. In other words, no frozen look, just natural-looking results.

You can control your look instead of your look controlling you. You’ve got better things to do than think about what your frown lines look like. In just one 10- to 20-minute treatment, Dysport may help improve the look of your frown lines between the eyebrows for up to 4 months. The majority of users see improvement in just 2–3 days after treatment. Results of repeat treatments may be comparable to your first use. Another plus? There is minimal downtime after your treatment, which means you can get back to your day faster.

Dysport® Cosmetic is a technique-sensitive treatment. You should not lose the ability to show expression when someone who is licensed, trained, treats you and who is a medical expert in facial anatomy.  It is important to talk to your doctor about the results you want from treatment.  At Integrated Dermatology, only board certified dermatologists and physician assistants use Dysport® Cosmetics.

Most of our patients here at Integrated Dermatology do not require any numbing cream.  Patients state that it feels like a “pinch.”  If you are concerned about discomfort, your doctor may recommend applying a topical numbing cream before administering your treatment.

Do not take Dysport if you: Are allergic to Dysport or any of the ingredients in Dysport. Are allergic to cow's milk protein. Had an allergic reaction to any other botulinum toxin product, such as Myobloc® (rimabotulinumtoxinB), Botox® (onabotulinumtoxinA) or Xeomin® (incobotulinumtoxinA) or have a skin infection at the planned injection site

Dysport may not be right for you if you have had surgical changes to your face, if you have very weak muscles in the treatment area, if your face looks very different from side to side, if the injection site is inflamed, if you have droopy eyelids or sagging eyelid folds, if you have deep facial scars, if you have thick, oily skin and your wrinkles can't be smoothed by spreading them apart. 

The only way to know for sure if Dysport is right for you is to speak with your healthcare provider.

Dysport® Cosmetic is a technique-sensitive treatment.  Someone who is licensed, trained, and a medical expert in facial anatomy should treat you.  All of our Dysport® Cosmetic providers here at Integrated Dermatology are board certified physicians and physician assistants and are experts in Dysport® Cosmetic

Our dermatology providers will discuss your treatment goals and perform a facial analysis to determine the appropriate treatments for you. The actual injection process takes about 10-15 minutes.

Treatment requires minimal downtime or recovery; it’s often called a “lunchtime” procedure. You’ll be able to go about your normal routine immediately after you leave your doctor’s office. 

Our cost not only includes the price of the product, but more importantly, the skill and expertise of the physician and physician assistant who is administering your treatment.  Dysport® Cosmetic is a technique-sensitive treatment — look for someone who is licensed and trained and has experience treating patients with Dysport® Cosmetic. Be wary of discount products or “cheap” Dysport® Cosmetic—if it sounds too good to be true, it probably is. 

It is more important to find an experienced doctor who will take the time to understand your treatment goals and develop a treatment plan that is right for you. Our Dysport costs are $15 per unit with our certified Physician Assistants, $17 per unit with our Associate Physicians and $19 per unit with our Medical Director, Dr. Agnes Ju Chang. 

Enroll in Aspire® Rewards Program to save on Dysport® Cosmetic treatments.  You earn points on each Dysport® Cosmetic treatment that you can redeem for savings on future treatments. You can also earn and redeem points on other selected treatments and products (such as Restylane and Sculptra®) that your healthcare provider may determine are right for you.

You may begin to notice results within 4-5 days for moderate to severe frown lines with maximum results at 10-14days with results lasting up to 3-4 months.

If this is your first time receiving Dysport® Cosmetic treatment here at Integrated Dermatology, it is recommended that you follow up with your health care provider around two weeks to make sure you have the desired effect.  

Since Dysport® Cosmetic treatment last 3-4 months, it is recommended that you make your subsequent treatment appointments every 3-4 months.   

Yes. Dysport® Cosmetic has also been clinically evaluated in male patients. According to the American Society for Aesthetic Plastic Surgery, 10% of all cosmetic procedures performed in the United States in 2014 were on men—that is more than 1 million cosmetic procedures. The number of cosmetic procedures for men increased by 273% from 1997 to 2014.

During a cosmetic consultation, our dermatology providers will discuss your treatment goals and perform a thorough evaluation to determine the appropriate treatments for you.  It is recommended but not required to receive the treatment.

You and your dermatology provider will discuss your treatment goals and discuss with you the timing of your treatment.  For the most part, Dysport® Cosmetic can be done at the same day as the visit if desired but sometimes it is case-by-case.

It is not recommended to receive Dysport® Cosmetic treatment if you are pregnant or nursing.

Please let your doctor know if you have any significant neurological diseases including Myasthenia Gravis, Multiple Sclerosis, Lambert-Eaton Syndrome, Amyotrophic Lateral Sclerosis (ALS), or Parkinson’s as you are not recommended to receive BOTOX® Cosmetic injections.

While there is virtually no downtime with the treatment, it is recommended that you avoid straining, heavy lifting or vigorous exercise 2-3 hours following treatment.  Makeup such as powder can be applied before leaving the office if desired.  Avoid manual manipulation of the injected area for 2-3 hours following treatment (including the use of a Clarisonic or exfoliative brush). Cleanse the treated area(s) gently the night of the treatment. Resume your normal skin care regimen the following day.

JUVEDERM and RESTYLANE are within the family of smooth fillers that our office uses to instantly smooth away unwanted wrinkles and restore natural contours. With just one treatment, you’ll get smooth and natural-looking results that last.

JUVEDERMand RESTYLANE is a technique-sensitive treatment. You should not lose the ability to show expression when someone who is licensed, trained, treats you and who is a medical expert in facial anatomy.  It is important to talk to your doctor about the results you want from treatment.  At Integrated Dermatology, only board certified dermatologists and physician assistants use JUVEDERM and RESTYLANE.

Most of our patients here at Integrated Dermatology elect for numbing cream.  Injections may cause some discomfort during and after the injection. If you are concerned about discomfort, your doctor may recommend applying a topical numbing cream before administering your treatment.

Our dermatology providers will discuss your treatment goals and perform an evalutation to determine the appropriate treatments for you. The treatment involves numbing for 30 minutes and the actual injection process takes about 30-45 minutes.

Your physician will tell you what to expect following treatment with JUVEDERM and RESTYLANE injectable gels. Within the first 24 hours, you should avoid strenuous exercise, extensive sun or heat exposure, and alcoholic beverages. Exposure to any of the above may cause temporary redness, swelling, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the swollen area. You should ask your physician when makeup may be applied after your treatment.

You may begin to notice results immediately after treatment with maximum results 2 weeks with results lasting up to 9-12months.

If this is your first time receiving JUVEDERM and RESTYLANE cosmetic treatment here at Integrated Dermatology, it is recommended that you follow up with your health care provider around two weeks to make sure you have the desired effect.  

Most patients need one to two treatments to achieve optimal results, and the results last about 9 months to 1 year. It is recommended that you make your subsequent JUVEDERM and RESTYLANE cosmetic treatment appointments every 9-12 months.  

Yes. JUVEDERM and RESTYLANE have also been clinically evaluated in male patients.

According to the American Society for Aesthetic Plastic Surgery, 10% of all cosmetic procedures performed in the United States in 2014 were on men—that is more than 1 million cosmetic procedures. The number of cosmetic procedures for men increased by 273% from 1997 to 2014.

During a cosmetic consultation, our dermatologists will discuss your treatment goals and perform an evaluation to determine the appropriate treatments for you.  Cosmetic consultation is recommended and required to receive the treatment.

You and your dermatology provider will discuss your treatment goals and discuss with you the timing of your treatment.  For the most part,  JUVEDERM and RESTYLANE treatment will not be done at the same day as the visit but sometimes it is case-by-case.

It is not recommended to receive filler treatment if you are pregnant or nursing.

Your physician will ask about your medical history to determine if you are an appropriate candidate for treatment. JUVEDERM and RESTYLANE injectable gel should not be used in patients who have severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies, or a history of allergies to Gram-positive bacterial proteins.

The most common side effects include tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. With JUVEDERM and RESTYLANE injectable gels, most side effects are mild or moderate and last 14 days or less. 

BEFORE THE PROCEDURE

Avoid alcoholic beverages at least 24 hours prior to treatment (alcohol thins the blood, increasing the risk of bruising)

• Avoid anti-inflammatory/blood thinning medication ideally for a period of two weeks before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, St. John’s Wort, ibuprofen, Motrin, Advil, Aleve, and other NSAIDs are all blood thinning and can increase risk of bruising/swelling after injections.
• Schedule JUVEDERM® and RESTYLANE appointment at least 2 weeks prior to a special event which may be occurring, i.e., wedding, vacation, family portrait, etc. It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided.
• Please arrive 30 minutes prior to your appointment for topical anesthesia of the treatment area.

POST-PROCEDURE

• You may apply cool/ice pack to the area for 24 hours after treatment to reduce swelling and bruising.
• You may apply Arnica gel to the area or take oral Arnica if you would like.
• Avoid Aspirin, Motrin, Gingko Biloba, excessive garlic, Flax oil, Cod Liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days to 1 week before and after filler treatment.
• Avoid alcohol, caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24 hours before and after treatment.
• Avoid vigorous exercise and sun and heat exposure for 24 hours after treatment.
• No makeup or lipstick until the next day. Earlier use can cause small pustules.
• Do NOT touch, press, rub or manipulate the treated areas for 6 hours after treatment. You can cause irritation, sores, and/or problems, and possible scarring if you do.
• One side may heal faster than the other side.
• You must wait 2 weeks before retreating or correction.

Our Juvederm and Restylane fillers are priced per syringe and the number of syringes needed is dependent upon the patient and desired results. Patients typically range from 1-4 syringes per treatment. Price per syringe ranges from $800-$950. 

Enroll in Alle Rewards Program to save on JUVEDERM Cosmetic treatments.  Please enroll in Aspire Rewards Program to save on RESTYLANE treatments.  You earn points that you can redeem for savings on future treatments. You can also be able to earn and redeem points on other selected treatments and products.

In addition, you can also earn points when you shop online for SkinMedica skin care products at your favorite retailers participating in the Brilliant Distinctions® Mall. As a member you will receive treatment reminders and information about your points balance.

Here at Integrated Dermatology, only board certified dermatologists and physician assistant perform the Sculptra® Aesthetic treatment.  When it comes to aesthetic treatments, the skill and expertise of the physician and provider who is administering your treatment is paramount. 

Sculptra® is injected below the surface of the skin, within the deep dermis, where strands of collagen support your skin’s structure to correct shallow to deep facial wrinkles and folds.

Sculptra® Aesthetic provides a gradual increase in skin thickness by stimulating regrowth of you own soft tissue or collagen. Visible results appear gradually within several treatment sessions. Sculptra® Aesthetic will not correct the underlying cause of the facial fat loss, but will help improve the appearance by increasing skin thickness in the treated area.

Sculptra® Aesthetic works subtly and gradually over time for a more youthful-looking appearance. Unlike hyaluronic acid (HA) fillers, Sculptra® Aesthetic helps stimulate your skin’s own natural collagen production to help restore its inner structure and increase facial volume that has been lost to aging.

Collagen is a key structural component of smooth, healthy-looking skin. As you age, your body’s collagen production decreases. In fact, you lose about 1% of collagen per year after the age of 18. This is when you may start to notice the formation of wrinkles.  Sculptra® Aesthetic can help, even if decades of collagen loss have already occurred.

Over time, Sculptra® Aesthetic helps the body reproduce lost collagen. On average, three to six injection sessions are needed over a period of a several months.  Once the series of treatment are completed, results are maintained with one treatment session annually.  The number of injection appointments and the number of injections per appointment vary from person to person, based on age, and depending on how much collagen has been lost.

Contact us schedule a cosmetic consultation for Sculptra® Aesthetic.

• Hollow cheeks
• Softening boney cheekbones
• Nasolabial and melolabial folds (Nose to mouth/mouth to chin)
• Hollow chin area
• Defining the jawline
• Hollow temples
• Some body sites

Not all treatments or injectables are created the same. Some target different areas of the face, and, more importantly, produce different effects.

Collagen stimulators like Sculptra® Aesthetic are used to diminish facial wrinkles by helping to restore the deep, underlying structure of the skin. Results appear gradually over the treatment regime and can be maintained with once a year treatment session.

As a poly-L-lactic acid (PLLA) collagen stimulator, Sculptra® Aesthetic is different. It works with your body within the deep dermis, rather than topically, to help revitalize collagen production and help restore your skin’s inner structure and volume. As the Sculptra® Aesthetic PLLA microparticles are absorbed, they help stimulate collagen production. Rebuilt collagen strands begin gradually helping to restore facial volume and the look of fullness to wrinkles and folds. As the Sculptra® Aesthetic PLLA microparticles are absorbed, they help stimulate collagen production.

If you are concerned with facial volume loss, collagen loss, and deep and shallow wrinkles; Sculptra may be appropirate for you.  

Schedule a cosmetic consultation with our board certified dermatology providers to see if Sculptra is right for you.

Yes, Sculptra is FDA approved.  In 2009 Sculptra® got its full FDA approval for cosmetic use in the United States. It received additional FDA approval for cosmetic use in 2021.  It has been used extensively in Europe and is approved in Canada, Europe, and over 20 other countries.

There is little discomfort with the injections because Sculptra® is mixed with lidocaine, which is a local anesthetic. Most offices, including ours, also apply a topical numbing cream before the treatment.

At Integrated Dermatology, our board-certified dermatologists will discuss your treatment goals and perform a facial assessment before administering Sculptra injection.  The treatment involves numbing for 30 minutes and the actual injection process takes about 15-20 minutes.

Directly after the treatment, there is almost undetectable fullness (from the water in the product) for about two days after a treatment. A little bruising is normal, but it’s usually minimal. You may have mild swelling at the injection sites which could last up to a week.

To avoid bruising don’t take aspirin, ibuprofen or Aleve (naproxyn) or any other drug which increases bleeding for 1 week prior to your treatment unless required by your doctor.

Your physician will tell you what to expect following treatment with Sculptra® Aesthetic. Within the first 24 hours, you should avoid strenuous exercise, extensive sun or heat exposure, and alcoholic beverages. Exposure to any of the above may cause temporary redness, swelling, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the swollen area. You may apply powder makeup after your treatment as directed by your provider. 

No, results are gradual because it takes time for your skin to generate collagen.  You will see results after your second session and the maximum results will be evident about 8 weeks after your last session.  

Sculptra® lasts approximately 1-2 years once the series of treatments is completed. Generally, it is recommended to receive one treatment session once a year to maintain your youthful results.

Yes, a cosmetic consultation is recommended and required to receive treatment. During your consultation, our Board Certified Dermatologists and providers will discuss your treatment goals and perform a facial assessment to determine if Sculptra is right for you.

You and your provider will discuss your treatment goals and discuss with you the timing of your treatment. For the most part, Sculptra® Aesthetic will not be done at the same day as the visit but sometimes it is case-by-case.

It is not recommended to receive Sculptra® Aesthetic treatment if you are pregnant or nursing.

The most common side effects include tenderness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. These side effects resolve naturally within 1 to 14 days after the treatment.

A few days after treatment, you may look as you did before the treatment. This is normal and temporary. Sculptra® Aesthetic works to gradually replace lost collagen. Visible results appear within the first few treatment sessions.

Rarely, small visible bumps may develop which can take months or even a year or two to go away. These are usually related to the massage not being done correctly.

If you’ve previously had facial herpes simplex at the injection site, the injection might provoke an outbreak. Talk to your doctor about this before the treatment

Avoid alcoholic beverages at least 24 hours prior to treatment (alcohol may thin the blood, increasing the risk of bruising).

Avoid anti-inflammatory/blood thinning medication ideally for a period of one week before treatment. Medications and supplements such as aspirin, vitamin E, ginkgo biloba, St. John’s Wort, ibuprofen, Motrin, Advil, Aleve, and other NSAIDs are all blood thinning and can increase risk of bruising/swelling after injections.

Schedule Sculptra® Aesthetic appointment at least 2 weeks prior to a special event which may be occurring, i.e., wedding, vacation, family portrait, etc. It is not desirable to have a very special event occurring and be bruised from an injection which could have been avoided.

Please arrive 30 minutes prior to your appointment for topical anesthesia of the treatment area.

Use the "5 x 5 x 5" Rule. Massage the treated area for 5 minutes, 5 times per day for 5 days after your treatment. It is imperative to massage the area as directed to avoid small lumps in the treatment area. Speak to your provider regarding additional details. 

Within the first 24 hours after your treatment, apply an icepack to the area to reduce swelling and bruising (avoid putting ice directly on your skin).

You may apply Arnica gel to the area or take oral Arnica if you would like.

AVOID Aspirin, Motrin, Gingko Biloba, excessive garlic, Flax oil, Cod Liver oil, Vitamin A, Vitamin E, or any other essential fatty acids at least 3 days to 1 week before and after filler treatment.

AVOID alcohol, caffeine, niacin supplement, high-sodium foods, high sugar foods, refined carbohydrates (you may eat fruit), spicy foods, and cigarettes 24-48 hours before and after treatment.

Avoid vigorous exercise for 24 hours after treatment.

Avoid sun and heat exposure until swelling and redness have disappeared.

No makeup or lipstick until the next day. Earlier use can cause small pustules.

One side may heal faster than the other side.

Report any worsening or longer-lasting signs or symptoms to your physician right away.

Our board certified physicians and physician assistants are specially trained to provide PRP hair treatments. It is important to find an experienced provider who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

Here at Integrated Dermatology, we value your trust in us and will work together with you to achieve the best results possible. We will provide the exceptional care you need to be the best version of yourself.

The  platelet rich plasma (PRP) hair restoration involves the collection and concentration of your body’s own platelets.  PRP then is injected into your scalp by our expert board certified physicians and physician assistants. 

Platelets contain healing growth factors. The growth factors are like signals that give instructions to your tissue to regenerate, heal and multiply. This has lead different fields of medicine to utilize platelet rich plasma (PRP) for wound healing to speed up recovery time and regrow healthier, stronger tissue.

Now doctors have discovered new benefits for hair thickening and regrowth. With PRP for hair, your growth factors and stem cells work together to reverse the miniaturization of the hair follicle and jumpstarting dormant hair back into the growth stage.

Talk to your provider for a proper diagnosis and to create a treatment plan.

Schedule your PRP Hair Restoration consultation today.

Treatment will vary based on your need. Initially, your provider may recommend several treatments spaced 1 month apart. After the initial treatment, many physician suggest by maintenance treatments 2-4 times per year. 

No, collecting the PRP usually only takes 20 minutes. And the PRP treatment often takes as little as 10-15 minutes.

There may be some sensitivity. However, we utilize  cold ambient air to minimize any potential discomfort.

There is no downtime or a long recovery process. You may take a warm shower the evening of the treatment. In addition, it is advised to avoid using any harsh dyes or chemicals on your hair for 48 hours.

PRP is not a cure for baldness (Androgenic Alopecia). The genetic medical problem will always remain. However, there is evidence that regular treatments can significantly slow down the effects of Androgenic Alopecia and works to increase hair density.

Patients have the option of either purchasing a single treatment for $600 or a package of 4 treatments for $2,200. 

At Integrated Dermatology, our board-certified physicians and physician assistants perform the PRP microneedling treatment.  Our cost not only includes the price of the product, but more importantly, the skill and expertise of the provider who is administering your treatment. 

PRP Microneedling is a technique-sensitive treatment .  You need someone who is trained and has experience treating patients with PRP microneedling. It is more important to find an experienced provider who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

Automated micro-needling devices move in a vertical direction for better precision when treating the skin. Unlike Automated Micro-needling, the roller does not create a precise vertical action. The lack of precision can contribute to greater discomfort and inconsistent effects to the skin.

In addition, here at Integrated Dermatology, microneedling is ONLY administered with platlet-rich-plasma (PRP).  PRP contains millions of growth factors which are signaling molecules that help with collagen production.  PRP microneedling is an effective medical treatment to help stimulate your natural collagen. 

Lasers involve precise treatment with a narrow beam of light and may involve heat and intense resurfacing. In PRP microneedling due to the nature of the procedure and the use of PRP, there is less downtime! Most microneedling patients are red for 24 hours or less. That advantage means you can get the procedure performed on a Friday and be back to normal for work on Monday.

• Skin Revitalization
• Improvement of skin texture and reduce skin dullness
• Reduction in The Appearance of Fine Lines and Wrinkles
• Reduction in the Appearance of Acne Scaring

PRP Microneedling can be used on all parts of the body, including the face, neck, décolleté, arms, hands, legs, abdomen, and back.

The feeling associated with the PRP microneedling is similar to light sandpaper being moved across the skin. While some areas are more sensitive than others, the speed of the reciprocating tip reduces discomfort while the applied PRP also makes the treatment more tolerable.

The procedure takes 15-30 minutes, depending on the size of the area treated.

Immediately after the treatment you will notice a bright redness to the skin. The total healing time depends on the setting used and the number of overlapping passes your provider performs. On average, patients are red up to 2 to 4 days. Many patients heal completely in as little as 24 hours. 

Patients notice an immediate “glow” to their skin. Visible changes to the skin develop over the course of several days and weeks. Results can continue to improve up to 6 months.  

Some patients only require a single treatment once per year to achieve optimal results. However, it is recommended for most patients to receive a series of 3 treatments, spaced about 4-6 weeks apart. For patients with deep wrinkles, advanced photo-aging, stretch marks, or acne scars, it is recommended to receive 6  sessions at 6 week intervals. Maintenance treatment every 6months is recommended to maintain results.  

A single, platelet-rich plasma microneedling session starts out at $875 and we provide packages as a series of treatments typically produce best results. 

Laser energy is delivered through a small handpiece operated by your physician or physician assistant.

The laser delivers an intense beam of light, which is absorbed by the skin and converted to heat. The heat is then absorbed by the cells being targeted, while the surrounding tissue remains unaffected. Destroyed hairs are then either dissolved within the skin or rejected by the body within two to three weeks.

Laser hair removal is a quick, easy and relatively painless way to reduce hair in unwanted areas. In fact, many patients have their treatments done during lunch without any downtime.

Patients have found their skin may be slightly red immediately following the procedure. This typically lasts from a few minutes to several hours after the procedure.

It is important to find an experienced provider who will take the time to understand your treatment goals and what is takes to develop healthy skin. We value your trust in us and will work together with you to meet your aesthetic goal.

Avoid plucking, electrolysis or waxing for six weeks prior to treatment. If you have a history of herpes simplex virus (cold sores), prophylactic antiviral therapy may be prescribed.

Skin should be clean-shaven and thoroughly cleansed, removing makeup, creams, oils or self-tanning products before laser treatment.

Avoid skin care products with irritants such as Glycolic Acid or Retin-A in the procedure area for about a week before treatment.

Avoid the sun 4-6 weeks before and after treatment. Patients who are actively tan or sunburned will need to re-schedule their treatment session. Additionally, you cannot be treated if you have a spray or artificial tan.

Apply sunblock (SPF 30 or above) before treatment.

Laser Hair Removal treatments are quick and easy. After the skin is cleansed and eye protection is applied, a small hand-piece will be used to deliver each laser light pulse. A light spray of coolant onto the skin will be felt just before each laser pulse.

A treatment can take a few minutes to an hour depending on the treatment area and condition being treated.

Once the laser hair removal procedure is complete you are free to return to your normal activities immediately.

There is temporary redness and swelling that occurs immediately after treatment. This reaction typically disappears within a few hours.

Other potential side effects include hyperpigmentation, hypopigmentation, blistering and purpura (a laser bruise) in the treated area. 

Avoid sun exposure for the next four weeks post treatment as this can increase risk of hyperpigmentation, we recommend the use of a broad-spectrum UVA/UVB sunscreen of SPF 30 or higher.

In the first few days after treatment, don’t scrub or rinse the treated areas with abrasive skin cleansers. Written post treatment guidelines will be provided after your treatment.

Some patients may feel slight discomfort with each laser pulse, sometimes described like a snapping of a rubber band on the skin.

This discomfort resolves quickly and is minimized by the patented Dynamic Cooling Device™ (DCD™). For some patients a topical anesthetic may be used prior to treatment.

Yes. Sun exposure after treatment can increase risk of hyperpigmentation, so we recommend sun avoidance and use of broad-spectrum UVA/UVB sunscreen of SPF 30 or higher. 

Most insurance companies do not offer reimbursement for cosmetic procedures.

All skin types, light and dark, can be treated using GentleMax Pro® Laser Hair Removal treatment.

After a series of six treatments, most Integrated Dermatology Laser Hair removal patients will notice between 60% and 80% permanent reduction. Those hairs that are not permanently reduced will be made smaller, finer and not as dark.

Most patients will experience hairlessness for many months in each area following a laser hair removal series. When the hair that did not get killed gets regrowth, a maintenance treatment is required for the small percentage of hairs that have been resistant to the multi-wavelength series of laser hair removal treatments.

*There’s no guarantee of specific results and the results can vary.

It depends on the area of the body being treated; smaller areas treated may take 15 to 20 minutes, whereas larger areas treated may take a little longer.

Multiple treatments are required. The reduction of hair can be seen after one treatment but because hair grows in cycles, not all hair is affected in one treatment. Everyone usually requires at least 6 treatments, about 4-6 weeks apart.

Cost depends on the area being treated which can be discussed at your consultation. We provide packages to help patients save while receiving the best treatment for their skin.

You’re not alone. According to a 2015 survey conducted by the American Society for Dermatologic Surgery (ASDS), 67% of of people surveyed said they are bothered by the fat beneath their chin.  In fact, the survey results showed that people are just as bothered by double chin as they are by lines and wrinkles around and under their eyes.

Here at Integrated Dermatology, only board certified physicians and physician assistants perform the KYBELLA® treatment.  Our cost not only includes the price of the product, but more importantly, the skill and expertise of the provider who is administering your treatment.  

KYBELLA® Cosmetic is a technique-sensitive treatment — You need someone who is licensed and trained and has experience treating patients with KYBELLA®.  It is more important to find an experienced healthcare provider who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

Integrated Dermatology was one of the first dermatology practices in DC to be trained with KYBELLA® after its launch in 2015.  

Integrated Dermatology is a premier practice that has been consistently awarded Black Diamond Status by Allergan – we are one of the only 1% of the practices in the nation to receive this honor.  What does that mean?  It means we are among the top 1% of all Allergen product portfolio providers which includes KYBELLA® in the US.  We are grateful for our loyal patients who have helped us achieve this honor.

KYBELLA® is a synthetic of deoxycholic acid, a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat.

When injected into subcutaneous fat, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. This results in a noticeable reduction in fullness under the chin, revealing an improved chin profile. After your goal is achieved, retreatment with KYBELLA® is not expected.  

Submental fullness is a gathering of excess fat beneath the chin, commonly known as “double chin.” It can be something you’ve had your whole life due to genetics, or start to appear as you get older or if you gain weight

• You’re bothered (unhappy, self-conscious, embarrassed) by fat under the chin, also known as submental fullness
• You feel the condition makes you look older or heavier than you actually are
• You don’t want to have surgery
• You eat well and exercise, but submental fullness does not go away

Before starting treatment, your board certified dermatologist and certified physician assistant will examine the area under and around your chin to determine if KYBELLA® is right for you. Then, your provider will tailor your treatment to the amount of fat under the chin and your aesthetic goals.

Treatment at Integrated Dermatology can only be administered by a KYBELLA®-trained physician and physician assistant. At each treatment, you will receive multiple small injections under your chin, and the injection process takes about 15 to 20 minutes. The exact number of injections will depend on the amount of fat you have under your chin and your desired profile.

Since everyone’s chin profile is different, the number of treatments varies from patient to patient. Your doctor will help determine how many treatment sessions you need based on the amount and distribution of your submental fat and your personal treatment goals.  Each KYBELLA® treatment session is given at least 6 weeks apart, and you may need 3-4 sessions.

After KYBELLA® treatment, you will likely have some swelling, bruising, hardness or numbness under your chin. Be sure to inform your healthcare professional if you develop an uneven smile, facial muscle weakness, or difficulty swallowing.

While anesthesia is not necessary, some patients prefer ice or topical numbing for about 10-15 minute prior to the procedure.  The discomfort has been described as a mild aching or burning sensation that lasts about 15-30minutes after the procedure. 

79% of KYBELLA® treated patients reported satisfaction with their appearance in association with their face and chin.

Patients also reported improvement in the visual and emotional impact of submental fat when asked how happy, bothered, self-conscious, embarrassed, old, and overweight they felt following treatment in relation to the amount of their submental fat.

The most common side effects occur in the treatment area and include: Swelling, Bruising, Pain, Numbness, Redness, Areas of hardness.  Side effects are usually temporary and often resolve on their own.

KYBELLA® can cause other side effects, including nerve injury in the jaw that can temporarily cause an uneven smile or facial muscle weakness (experienced by 4 out of 100 people in clinical studies) and trouble swallowing (experienced by 2 out of 100 people in clinical studies). In clinical studies, nerve injury in the jaw resolved on its own in a median of 44 days (range of 1 to 298 days), and trouble swallowing resolved on its own in a median of 3 days (range of 1 to 81 days).

You should tell your doctor about all of their medical conditions, including if you: 

• Have had or plan to have surgery or cosmetic treatments on the face, neck, or chin
• Had or have a medical conditions in/near the neck area
• Had or have trouble swallowing
• Are pregnant and are breastfeeding

It is not recommended to receive KYBELLA® treatment if you are pregnant or nursing.

When injected into fat under the chin, KYBELLA® causes the destruction of fat cells. Once destroyed, those cells cannot store or accumulate fat. After reaching your desired aesthetic, further treatment is not expected.

KYBELLA® has been the focus of a global clinical development program involving over 20 clinical studies. More than 1600 people were treated with KYBELLA® in these studies.

KYBELLA® injections commonly cause swelling, bruising, pain, numbness, redness, and areas of hardness in the treatment area. These local side effects can last an average of 1 week.

It is recommended to avoid strenuous activities 24 hours after the procedure.  After 24 hours, you may resume all your activities without restriction.

It varies from patient to patient depending on the number of treatments required to achieve your desired aesthetic goal. Most patients will need anywhere from 3-4 treatment sessions.  We have discounts based on packages as well as flexible payment plans to meet your goals and needs. 

Our cost not only includes the price of the product, but more importantly, the skill and expertise of the physician who is administering your treatment.  KYBELLA® is a treatment that should be someone who is licensed and trained and has experience treating patients with KYBELLA®.  It is more important to find an experienced doctor who will take the time to understand your treatment goals and develop a treatment plan that is right for you. Treatments start at $750 per session.

Enroll in ALLE® Rewards Program to save on KYBELLA® treatments.  You earn points on each KYBELLA® treatment that you can redeem for savings on future treatments. You can also earn and redeem points on other selected treatments and products (such as Juvederm®, Kybella®, Voluma®, Volbella®, Skin Medica®) that your healthcare provider may determine are right for you.

In addition, you can also earn points when you shop online at your favorite retailers participating in the ALLE® Mall. As a member you will receive treatment reminders and information about your points balance.

You may begin to see results after 1-2 treatments but in may take up to 6 treatments to see results.  59% of patients in the studies received 6 treatments.

Integrated Dermatology offers both ViPeel and SkinMedica chemical peels for reducing the appearance of acne scars, wrinkles, and discoloration. These peels are pain-free, outpatient procedures that result in clearer, more even skin. We have been providing chemical peels to our patients through the years and continue to see successful results. 

Our physicians and providers will help you decide which chemical peel is best for your skin and desired results. You do not need a cosmetic consultation for our chemical peels; however, we would love the opportunity to use our experience and knowledge to guide you to the best choice. 

Our most popular peel, we recommend ViPeels for patients that need an extra boost to rid fine lines and wrinkles, along with exceptional sun damage. ViPeels are specifically formulated to rejuvenate aging skin and help prevent future damage.

• Soften fine lines and wrinkles
• Restore a more even skin tone
• Smooths away rough skin texture

We recommend our SkinMedica peels to those who are newer to chemical peels. Choose one of the Illuminize, Vitalize, or Rejuvenize Peels to achieve brighter and more radiant skin. 

• The Illuminize peel is considered our “red-carpet” peel, as very little peeling is involved and the salicylic acid helps to control greasiness.
• The Vitalize peel is our highly-recommended peel, as it has the glycolic acids along with a low dose of retinol.
• The Rejuvenize peel is the highest strength of the SkinMedica peels, with all that you find in the Vitalize peel and a higher dose of retinol.

Each peel has been developed and clinically tested to address concerns for all skin types, including fine lines, age spots, and acne. 

• During the time before and after you start peeling, do not excessively soak treated areas. This will cause the skin to prematurely peel, causing redness and irritation.

• Avoid sunlight as much as possible during the peel phase. For your protection, make sure to use a sunscreen
• Do NOT have any facial treatments for at least one week after you have completely finished peeling

• Do NOT use anything on your face that may sting or burn. If you do, wash off immediately.

• If will take your skin approximately four days at the completion of your peeling to go back to its normal pH balance. This is when your skin will start to look its best. At this time, you may resume the regular use of products, unless instructed by your doctor.

The price of peels increases based on the strength of the peel. We do provide packages for our patients to both save money and attain the best results. Chemical peels range from $100-425 per peel. 

CoolSculpting™ is a patented, non-invasive, clinically proven procedure to selectively reduce fat layers in problem areas using a patented cooling technology. It is a safe procedure cleared by the FDA that gently cools unwanted fat cells in the body to induce a natural, controlled elimination of fat cells. This reduces bulges in treated areas of the body without harming surrounding tissue. 

Here at Integrated Dermatology, only certified CoolSculpting™ specialists perform the CoolSculpting™ treatment. We are an experienced CoolSculpting™ Certified Practice with Crystal status.  We have been treating patients with CoolSculpting™ since 2012.

It is important to find an experienced provider who will take the time to understand your treatment goals and develop a treatment plan that is right for you.  Here at Integrated Dermatology, we value your trust in us and will work together with you to meet your aesthetic goal.

During the CoolSculpting™ procedure, a non-invasive applicator delivers precisely controlled cooling to the treatment area to specifically target underlying fat, leaving surface skin tissue unaffected. When fat cells are exposed to cold, a process of natural removal is triggered, which gradually reduces the thickness of the fat layer. The result is a visible reduction in fat bulges. 

The CoolSculpting fat-reduction procedure is specially designed for those who have unwanted fat in targeted areas. Unlike weight-loss surgery (e.g., gastric bypass), the CoolSculpting procedure is not a weight-loss solution for people who are obese. Good candidates for the CoolSculpting procedure have noticeable bulges in certain areas they’d like to get rid of. Many people want a non-surgical alternative to liposuction.

Request a one-on-one consultation with our Coolsculpting provider who will determine if the CoolSculpting procedure is right for you.

Your CoolSculpting certified specialist will help you create an individualized treatment plan tailored to your specific goals. The length of your CoolSculpting treatment will vary depending on the number of areas being treated during one visit. While each CoolSculpting treatment generally lasts about 1 hour, some patients have more than one treatment during the same office visit. 

At Integrated Dermatology, we even have multiple CoolSculpting systems and applicators, so it’s possible for you to have multiple areas treated at once. You and your provider may also schedule additional treatments or office visits in order to meet your goals.

Many people read, check email, or even take a nap during their treatments.

The price for CoolSculpting procedures varies depending on your areas of concern, the number of treatments needed, and your ultimate goals. Our providers have explained that the overall cost is comparable to the cost of liposuction procedures. Most patients opt to receive treatments in multiple body areas in order to achieve their goals.

We create a customized treatment plan, in person, with you and your CoolSculpting provider that’s tailored to your body, your goals, and your budget. Our practice offers flexible payment plans to help patients achieve their goals.

Each treatment starts at $1500 and varies depending on areas that will be treated.

In the U.S., the CoolSculpting procedure is FDA-cleared for the treatment of visible fat bulges in the submental area (double chin), inner and outer thighs, arms, abdomen and flank, along with bra fat, back fat, and underneath the buttocks.

Once the treated fat cells are crystallized (frozen), they die and are naturally processed and eliminated from the body. Once the treated fat cells are gone, they’re gone for good. 

As the cooling begins during the first few minutes, you typically feel intense cold. This soon dissipates. With some applicators, you’ll feel some pulling as suction is applied. The area generally goes numb within 5 to 10 minutes during treatment. Many people read, watch videos, work on their laptop, or even take a nap during their CoolSculpting treatment. 

After the treatment, you may feel some tingling as the area is massaged for 2 or 3 minutes. Patients are usually able to return to normal activities following their appointment. 

The CoolSculpting procedure is FDA-cleared for the treatment of visible fat bulges in the submental area, thigh, abdomen, and flank. As the #1 non-invasive fat reduction procedure and with millions of CoolSculpting procedures performed worldwide, it is proven to be a safe and effective treatment. 

During the procedure you may experience sensations of pulling, tugging, mild pinching, intense cold, tingling, stinging, aching, and cramping at the treatment site. These sensations subside as the area becomes numb. Following the procedure, typical side effects include temporary redness, swelling, blanching, bruising, firmness, tingling, stinging, tenderness, cramping, aching, itching, or skin sensitivity. Sensation of fullness in the back of the throat after submental area treatment. These effects are temporary and generally resolve within days or weeks. Though rare, some additional side effects may occur. As with any medical procedure, ask your physician if the CoolSculpting procedure is right for you.

Yes, you can. The CoolSculpting procedure is completely non-surgical, so typically you can return to normal activities immediately. Patients often return to work on the same day after a CoolSculpting treatment is completed.

You may start to see changes as quickly as 3 weeks after your treatment, and will experience the most dramatic results after 2 months. Your body will still continue to flush out fat cells for up to 4 to 6 months after treatment.

Many people, after seeing the results from their CoolSculpting procedure, feel even more motivated to stay close to their ideal weight. However, if you do gain weight, you may gain it evenly all over your body, not just in the treated areas.

Our board certified dermatologists and providers are experts in the field of dermatology and can properly diagnose and treat your acne.  Our integrated approach of personalizing the treatment plan to every patient and providing a comprehensive plan to clear your acne is paramount to getting the results you desire.  We value each conversation and concern and believe that this is a “team” approach to collectively reach the same goal of having clearer healthier skin.  We understand that your skin can affect the quality of your life and we strive to provide the highest level of care.

Blackheads, whiteheads, pustules and painful cysts that appear on the face, back, and chest characterize acne. 

Some people will just leave acne untreated, however, as dermatologists we recommend treating this medical condition.  Without treatment, acne can cause dark spots (hyperpigmentation) and permanent scars.  Acne has been correlated with low self-esteem and depression.  It can affect the quality of your life.  There are many effective treatments available for acne.  Our board certified dermatologists and providers can work with you to find a comprehensive treatment plan that will control your acne.  

In the skin, we all have oil glands under the skin, known as sebaceous glands, produce an oily substance called sebum. The sebum moves from the bottom to the top of each hair follicle and then spills out onto the surface of the skin, taking with it sloughed-off skin cells. 

With acne, the structure through which the sebum flows gets plugged up. This blockage traps sebum and sloughed-off cells below the skin, preventing them from being released onto the skin’s surface. The clogged pores form “whiteheads” and “blackhead”.

We also have bacteria that live on our skin, which also can grow to induce inflammation of the pores that cause cysts and nodules.

A dermatologist is a skin disease specialist who will examine your skin to confirm the diagnosis of acne as other skin disorders can mimic acne.  

Our board certified dermatologists and providers at Integrated Dermatology will be able to diagnose your acne and discuss with you which types of treatment can be helpful.

There are many effective acne treatments.  It is categorized by topical treatment (which is applied to the skin), systemic treatments (which works throughout the body), and procedures.  

Topical treatments consist of medication that helps reduce the oil, helps kill/reduce the bacteria in the pores, and unplug the blocked-up material in the pores.  Some of the common topical acne medication consists of tretinoin, benzoyl peroxide, and antibiotics.  In addition, incorporating a sound skin care regimen is also essential to the treatment of acne.

Systemic treatments consist of medication that works throughout the body.  This type of oral medication may be helpful for inflammatory types of acne.  Some common oral medications are antibiotics, spironolactone, oral contraceptives, and isotretinoin (Accutane). 

Procedures that can be helpful to treat acne consist of extractions, injections, chemical peels, and laser & light treatments.  Extractions remove the plugged up pore and empty out an acne blackhead.  Injections  can be helpful to treat large acne cysts to ease the pain and reduce the chance of leaving a scar.  Chemical peels are medical grade peels performed in the office to treat acne as well as hyperpigmentation.  Laser and light therapies can reduce the oil and helps reduce the bacteria that cause the acne.  

Our board certified dermatologists and providers at Integrated Dermatology will be able to determine which types of treatment will be helpful to you.

There are many safe and effective treatments available for acne scars.  Treatments can treat hyperpigmentation as well as true acne scars that cause “depression” in the skin.  Treatments include procedures such as PRP microneedling, Fraxel, chemical peels amongst other treatments. In addition, incorporating an effective skin care regimen is also essential to the treatment of acne scars and hyperpigmentation.

It is also imperative to work with a dermatologist to clear your acne.  Since new acne breakouts can lead to new acne scars and hyperpigmentation, it is imperative to treat the current breakouts.  

Our board certified dermatologists and providers at Integrated Dermatology perform these treatments in our medical office.  

Any person who has acne may be a candidate. We recommend you come in for a consultation to discuss if Isolaz is the right treatment for you.

Yes. In fact, the Isolaz is the first system indicated to treat severe forms of acne, such as pustular and comedonal acne, as well as mild to moderate inflammatory acne.

There are no post-treatment regimens associated with Isolaz therapy. Once your treatment is complete, you are free to resume your normal activities. In fact, you may apply makeup or shave immediately. You may find that your skin takes on a healthy glow and feels cleaner immediately following your treatment.

Yes. In a published clinical study, an impressive 100% of patients noted Isolaz acne treatments were painless.

It depends on the area of the body being treated; treatments on the face may take 15 to 20 minutes, whereas body treatments may take a little longer.

According to a clinical study, 100% of patients surveyed noted that they would choose Isolaz acne treatment over previously experienced treatments.

All skin types, light and dark, can be treated using Isolaz acne treatment.

Isolaz acne treatments are relaxing and do not include side effects such as crusting or other common post-treatment discomforts. There may be mild redness that lasts less than an hour. You can go right back to your normal activities immediately post-treatment.

While everyone is different, many patients who have not responded to other acne treatments have responded to Isolaz treatments.

Isolaz is the only system indicated for the treatment of pustular and comedonal acne, as well as mild to moderate acne and acne vulgaris.

Depending on your own situation, you may be instructed to continue to use other acne treatments while undergoing Isolaz treatments.

While everyone's skin is different, many patients who have not responded to other acne treatments, such as Isotretinoin (Accutane®), antibiotics, topical creams, or even lasers have responded to Isolaz treatments. In fact, studies have shown that patients who had Isolaz treatments achieved 90% acne clearance, leading to clearer skin. 

Of course! Because the Isolaz is helpful for deep pore cleansing, the treatment will leave you with healthy, radiant looking skin.

Many patients see best results after 6-10 treatments, however it does vary from patient-to-patient. We provide packages to help patients save while receiving the best treatment for their skin. A single session is $250. A Package of 6 treatments is $1,250.

Many patients see the additional benefit of reduced redness after an Isolaz acne light treatment.

An intense but gentle burst of light is delivered to targeted areas of the skin. There it’s absorbed by the blood vessels or melanin pigmented areas, safely treating the condition.

Most patients notice results right away, and it’s safe for all skin types.

VBEAM® PERFECTA SAFLEY AND EFFECTIVELY TREATS:

• Red, flushed faces
• Sun-damaged skin
• Facial veins
• Port wine stains
• Stretch marked skin
• Spider Veins
• Scars

At Integrated Dermatology, our physicians and physician assistants perform Vbeam® Perfecta (PDL) treatments. Our cost not only includes the price of the product, but more importantly, the skill and expertise of the provider that is administering your treatment.

It is more important to find an experienced provider who will take the time to understand your treatment goals and develop a treatment plan that is right for you. Cost depends on the condition and size of the area being treated. To learn more, schedule a consultation to discuss your personal needs.

During the procedure patients often report a warming or tingling sensation, although anesthetics are usually not required. Skin receives additional protection through a Dynamic Cooling Device™, which delivers a cooling burst of cryogen before the laser pulse is delivered. This will increase comfort during treatment and minimizes side effects such as redness.

Some patients experience redness immediately after the treatment, but it usually goes away in a few hours. Occasionally a laser bruise called purpura may occur; this usually disappears in three to five days.

Following any treatment, you should follow your doctor’s instructions, avoid any harsh skin cleansers and use sunscreen. 

After only one treatment, your skin will have a more even tone with a smoother look and feel. Sun spots will fade. Fine lines and wrinkles will gradually decrease in size. These improvements will steadily increase with each treatment. Patients with rosacea will see a progressive decrease in redness with every treatment. 

The treatment uses bursts of high intensity light to target the lower layers of skin and remove underlying causes of redness and discoloration. It is an outpatient procedure that may require multiple sessions for maximum results. 

Using the advanced IPL system, your provider gently delivers precise amounts of light energy through your skin’s surface. Treatments are spaced at three week intervals. The energy is delivered at specific setting for each treatment to maximize your results. 

The light energy stimulates the production of collagen. As the new collagen forms, it softens the appearance of aging skin. Fine line and wrinkles are decreased. The redness associated with rosacea can be dramatically reduced. Treatments start at $600 per session. 

WHO ARE THE BEST CANDIDATES FOR IPL?

• Red, flushed faces
• Sun-damaged skin
• Hyperpigmentation
• Enlarged pores

At Integrated Dermatology, our physicians perform the IPL treatment. Our cost not only includes the price of the product, but more importantly, the skill and expertise of the physician who is administering your treatment. A single, full face session starts out at $600 and we provide discounts for patients that have subsequent treatments.

IPL is a technique-sensitive treatment — You need someone who is trained and has experience treating patients with intense pulsed light. It is more important to find an experienced doctor who will take the time to understand your treatment goals and develop a treatment plan that is right for you.

Most patients describe the sensation to be like the snap of a rubber band on the skin as the pulses of energy are delivered through the hand piece. Some patients opt to have a topical anesthesia. After treatment, the pain is minimal to nonexistent. 

Depending on the area treated, there will be a series of five to eight treatment. Treatments usually take from 15-30 minutes and are administered in the office. 

Post-operative discomfort is almost nonexistent. After treatment with most light systems, the treated skin may appear a little flushed and capillaries may seem to be more visible. The flushed look soon fades away, and the capillaries appear to vanish, leaving the skin looking younger.

Following any treatment, you should follow your doctor’s instructions, avoid any harsh skin cleansers and use sunscreen. 

After only one treatment, your skin will have a more even tone with a smoother look and feel. Sun spots will fade. Pore sizes will shrink. Fine lines and wrinkles will gradually decrease in size. These improvements will steadily increase with each treatment. Patients with rosacea will see a progressive decrease in redness with every treatment. 

Isotretinoin (Accutane) is an oral medication used to treat acne. It is indicated for treatment for severe acne, nodular-cystic acne, and/or acne that has not sufficiently responded to other treatments. Although there is no official cure for acne, Accutane treatment is the closest option.

The iPledge program aims to inform patients about the teratogenic effects of isotretinoin (Accutane). All patients must be enrolled in the iPledge program prior to starting treatment. Females must be on two forms of birth control or choose abstinence one month before the start date and stay on the chosen method throughout the duration of treatment. 

Male patients will be registered in the iPledge program once all consent forms and bloodwork results have been received and processed.

Female patients will be registered in the iPledge program once all consent forms and bloodwork results have been received and processed. However, female patients must wait 31 days from the registration date before starting treatment. The iPledge program requires 2 negative pregnancy tests performed one month apart before allowing female patients access to the medication. After the initial consultation, female patients must return to the office 31 days after the registration date to leave a urine sample and see the provider to receive the prescription. The patient has 7 days starting on the date of the visit to pick up the medication. 

The exact length of treatment depends on the patient. The average length of treatment varies from 9-12 months. 

Majority of patients will experience dryness to some degree, but we provide various recommendations to help manage it. The next most common side effect is muscle soreness/joint aches for our active patients, but most patients will control it with over-the-counter analgesics.  While mood changes are rare, if you have a diagnosis of any mood disorders (depression, anxiety, etc), you must let us know.  In some cases, we will speak to your primary care physician or other providers involved in your care to consult with them regarding starting Accutane. 

First, please have your complete medical records transferred to our office prior to your visit, or bring a copy to your first visit. We need an accurate record of your current dose to date, bloodwork results, and side effects. 

Next, you will need to log into your iPledge account to transfer care to the provider you’re seeing at our office prior to your visit. 

If you’re a male patient and missed your 7-day window, please call our office. We will confirm you again in our system and you will be able to pick up your prescription without a waiting period.

If you missed the window during your first month of treatment, you will need to wait another 19 days before the iPledge system will allow us to enter another negative pregnancy test. After the 19-day waiting period, you will need to return to the office to leave a urine sample so we can confirm your pregnancy test is negative. 

If you miss your 7-day window during month 2 or later, you will need to return to the office to leave a urine sample. There is no waiting period, but you will need to answer your comprehension questions again on iPledge. 

No.

Your iPledge number will be available on the iPledge progam website under your account.  Alternatively, you can call our office to obtain your iPledge number.

It is recommended that you fast for your bloodwork.

Yes. The iPledge program requires monthly visits for both male and female patients. 

Our medical assistants try their best to confirm patients immediately after the appointment. However, most morning patients will be confirmed before 12 PM and afternoon patients will be confirmed by 4:30 PM. If there are extenuating circumstances that require confirmation immediately after your appointment, please let one of our medical assistants know at the beginning of your appointment and they will make every effort to accommodate your request.

Unless otherwise instructed, patients should not be using any topical acne medications while undergoing isotretinoin (Accutane) treatment. We strongly suggest using gentle, hydrating products to help manage the most common side effect of dry skin. 

If you and your provider agree that another course of isotretinoin (Accutane) is appropriate for you, we will need you to fill out another set of consent forms to re-register you in the iPledge system. After we receive your bloodwork results and they are normal, we will re-register you in the iPledge system. Male patients don’t have a waiting period. Female patients of childbearing potential must wait one month after the date of registration to follow up for another negative pregnancy test.

BASAL CELL CARCINOMAS CAN PRESENT IN A NUMBER OF DIFFERENT WAYS:

• Raised pink bump with a pearly edge and small, visible blood vessels
• Brown/black dome-shaped bumps that look like moles with a pearly edge
• A sore that continuously heals and re-opens
• Flat red scaly scar with a waxy appearance and blurred edges

Risk factors for basal cell carcinoma include having fair skin, sun exposure, age (most skin cancers occur after age 50), exposure to ultraviolet radiation (as in tanning beds), and therapeutic radiation given to treat an unrelated health issue. 

If you have had one Basal Cell Carcinoma, your risk of developing a second one increases by about 50%.  You also have an increased risk if you have close blood relative that had BCC.  If you are on an immunosuppressant medication, your risk of developing a BCC increases. 

YOU SHOULD SEE A DERMATOLOGIST FOR EVALUATION IF YOU HAVE A BUMP THAT:

• Bleeds easily
• Won’t heal, or heals and returns
• Oozes or crusts over
• Has a sunken center

Diagnosing basal cell carcinoma requires a simple skin biopsy that can be performed in the office by a dermatologist during your visit.  During the skin biopsy, the suspicious lesion is removed and the sample will be sent to a laboratory to be analyzed under a microscope. 

SOME OF THE TREATMENTS FOR BCC INCLUDE

• Excision — This is a surgical treatment where the tumor is removed and cut out with some normal-looking skin around the tumor. Your dermatologist will stitch up the area after the excision. This is an outpatient procedure and a common way to treat BCC. The removed skin is also sent out to the laboratory to ensure that the skin is free of cancer.
• Curettage and Desiccation — This in-office treatment involves using a small metal instrument (called a curette) to scrape out the tumor along with using electrocautery into the tissue to kill off any remaining cancer cells.
• Mohs Micrographic Surgery  — This specialized surgical treatment is indicated for large tumors and for BCC in certain anatomic locations. Mohs Surgery combines removal of cancerous tissue with microscopic review while the surgery takes place. By mapping the diseased tissue layer by layer, less healthy skin is damaged when removing the tumor. It has the highest cure rate for BCC. Your dermatologist will let you know if Mohs surgery is recommended and right for you.
• Prescription Medicated Creams — These creams can be applied at home. They stimulate the body's natural immune system over the course of weeks. The most common medications are imiquimod or 5-fluorouracil.
• Cryosurgery — Some basal cell carcinomas respond to cryosurgery, where liquid nitrogen is used to freeze off the tumor.
• Radiation Therapy — Radiation therapy is used for difficult-to-treat tumors, either because of their location, severity, or persistence.  If radiation therapy is an option, your dermatologist will refer you to a radiation oncologist.

Our board certified dermatologists and providers here at Integrated Dermatology will discuss with you your treatment options and will recommend a treatment that is right for you.

Nearly every basal cell cancer can be cured, especially when the cancer is found early and treated. 

Our board certified dermatologists and providers are experts in the field of dermatology and can properly diagnose and treat skin cancers.  Our experts perform complete body exams and skin cancer examinations routinely and can accurately diagnose various types of skin cancers. Our dermatologists are also trained as dermatologic surgeons and can treat your skin cancer to the gold standard of care.  Any suspicious lesion will be biopsied and sent out for analysis at a laboratory.  We also work with specialized physicians called dermatopathologists that have expert training in properly diagnosing skin cancer under the microscope.  Our physicians and providers have every patient’s interest at heart and strive to provide the highest level of care.

MELANOMA CAN PRESENT IN NUMBER OF WAYS:

• Large brown spots with darker speckles located anywhere on the body.
• Dark lesions on the palms of the hands and soles of the feet, fingertips toes, mouth, nose or genitalia.
• Existing moles that begin to grow, itch or bleed.
• Brown or black streaks under the nails.
• A sore that repeatedly heals and re-opens.
• Clusters of slow-growing scaly lesions that looks like a scar

USE THE AMERICAN ACADEMY OF DERMATOLOGY'S ABCDES AS A GUIDE FOR ASSESSING WHETHER OR NOT A MOLE MAY BE BECOMING CANCEROUS:

MELANOMA CAN PRESENT IN NUMBER OF WAYS:

• Large brown spots with darker speckles located anywhere on the body.
• Dark lesions on the palms of the hands and soles of the feet, fingertips toes, mouth, nose or genitalia.
• Existing moles that begin to grow, itch or bleed.
• Brown or black streaks under the nails.
• A sore that repeatedly heals and re-opens.
• Clusters of slow-growing scaly lesions that looks like a scar

USE THE AMERICAN ACADEMY OF DERMATOLOGY'S ABCDES AS A GUIDE FOR ASSESSING WHETHER OR NOT A MOLE MAY BE BECOMING CANCEROUS:

• Asymmetry: Half the mole does not match the other half in size, shape or color.
• Border: The edges of moles are irregular, scalloped, or poorly defined.
• Color: The mole is not the same color throughout.
• Diameter: The mole is usually greater than 6 millimeters when diagnosed, but may also be smaller.
• Evolving: A mole or skin lesion that is different from the rest, or changes in size, shape, or color.

Anyone can get melanoma.  Most individuals are fair-skinned but people who have darker skin types also get melanoma.  Your risk of getting melanoma increases with UV-radiation exposure (tanning beds, sun).  

RESEARCH SHOWS THAT YOUR RISK INCREASES WITH:

• Using indoor tanning beds before age 35 increase your risk of melanoma by 59%
• Had 5 or more blistering sunburns between ages 15-20, your risk increases by 80%
• Live closer to the equator
• Live in a sunny area of the US like Florida, Arizona
• Not using sun-protection
• If you have fair skin, red/blond hair, blue/green eyes
• Having 50+ more moles, large moles, history of atypical (dysplasia) moles
• Having a personal history of melanoma or other types of skin cancer
• Having a disease that weakens your immune system
• Having a family history of melanoma

YOU SHOULD SEE A DERMATOLOGIST FOR EVALUATION IF YOU HAVE:

• Large brown spots with darker speckles located anywhere on the body.
• Dark lesions on the palms and soles, fingertips toes, mouth, nose or genitalia.
• Translucent pearly and dome-shaped growth.
• Existing moles that begin to grow, itch or bleed.
• Brown or black streaks under the nails.
• A sore that repeatedly heals and re-opens.
• Clusters of slow-growing scaly lesions that look like scars.

Diagnosing a melanoma requires a careful examination of the moles and suspicious spots. Dermatologists may use a device called a dermatoscope during your exam, to get a better closer look at the mole. Dermatoscopes highlight the pigment and structure of the mole.  A skin biopsy that can be performed in the office is required for a suspicious spot.  A skin biopsy is quick, safe, and easy.   During the skin biopsy, the suspicious lesion is removed and the sample will be sent to a laboratory to be analyzed under a microscope.  If the biopsy reports states that a patient has melanoma, the report will also indicate the stage of the melanoma.  The stage indicates the depth of the cancer in the skin.  Depending on the stage of the melanoma, a lymph node biopsy may be recommended to stage the melanoma and to see whether the melanoma has spread.

The recommended treatment will depend on the depth of the skin cancer into the skin and whether it has spread to other parts of the body

SOME OF THE TREATMENTS FOR MELANOMA INCLUDE:

• Excision — This is a surgical treatment where the tumor is removed and cut out with some normal-looking skin around the tumor. When the cancer has not spread, it is often possible for a dermatologic surgeon to remove the melanoma in the office as an outpatient procedure. Your dermatologist will stitch up the area after the excision. The removed skin is also sent out to the laboratory to ensure that the normal skin is free of the melanoma.

When caught early, removing the melanoma with excision may be all that a patient needs.  If the melanoma grows into just the outer layer of the skin, it is considered the earliest stage and called melanoma in situ (stage 0).  The cure rate with surgical excision for a melanoma in situ is 100%.

When the melanoma grows deeper into the skin a multidisciplinary team consisting of a dermatologist, medical oncologist, and a surgeon may be involved to discuss the appropriate treatment plans.  With advanced melanoma, treatments can get more complex involving:

• Immunotherapy – treatment that helps the immune system fight the cancer
• Lymphadenectomy – surgery to remove the affected lymph nodes
• Chemotherapy – medicine that kills the cancer cells
• Radiation therapy – X-rays that can kill the cancer cells
• Clinical Trials – being part of a medical research that studies a medicine/other treatments for melanoma.

Our board certified dermatologists and providers here at Integrated Dermatology will discuss with you your treatment options based on the depth and the stage of the melanoma.

With the earliest stage when the melanoma is only in the top outer layer of the skin, the cure rate is 100% with treatment.  If the melanoma has grown deeper into the skin or metastasized to other parts of the body, it can lead to death.  It is imperative that you seek a dermatologists to diagnose melanoma at its earliest stage.

Our board certified dermatologists and providers are experts in the field of dermatology and can properly diagnose and treat all types of skin cancers.  Our experts perform complete body exams and skin cancer examinations routinely and can accurately diagnose various types of skin cancers. Our dermatologists are also trained as dermatologic surgeons and can treat different types skin cancer to the gold standard of care.  Any suspicious lesion will be biopsied and sent out for analysis at a laboratory.  We work with specialized physicians called dermatopathologists that have expert training in properly diagnosing skin cancer under the microscope.  We also have relationships with a network of physicians and melanoma experts that we consult with to ensure out patients received the highest level of care.

SQUAMOUS CELL CARCINOMAS CAN PRESENT IN A NUMBER OF DIFFERENT WAYS:

• A bump or lump on the skin that can feel rough.
• A dome-shaped or crusty bump that can bleed.
• A sore that continuously heals and re-opens
• Flat red scaly patch that grows slowly.

Risk factors for squamous carcinoma include having fair skin, sun exposure, and exposure to ultraviolet radiation (as in tanning beds).  In addition, exposure to cancer-causing chemicals (such as Arsenic, tar, insecticides) and history of tobacco use can increase your risk.  If you have been diagnosed with a precancerous skin lesion called an Actinic Keratosis, you are more likely to develop a SCC.

YOU SHOULD SEE A DERMATOLOGIST FOR EVALUATION IF YOU HAVE A BUMP OR A SCALY RED PATCH THAT:

• Bleeds easily.
• Won’t heal, or heals and returns
• Oozes or crusts over
• Lump that feels rough

Diagnosing squamous cell carcinoma requires a simple skin biopsy that can be performed in the office by a dermatologist during your visit.  During the skin biopsy, the suspicious lesion is removed and the sample will be sent to a laboratory to be analyzed under a microscope. 

SOME OF THE TREATMENTS FOR SCC INCLUDE

• Excision — This is a surgical treatment where the tumor is removed and cut out with some normal-looking skin around the tumor. Your dermatologist will stitch up the area after the excision. This is an outpatient procedure and a common way to treat SCC. The removed skin is also sent out to the laboratory to ensure that the skin is free of cancer.
• Mohs Micrographic Surgery — This specialized surgical treatment is indicated for large tumors and for SCC in certain anatomic locations. Mohs Surgery combines removal of cancerous tissue with microscopic review while the surgery takes place. By mapping the diseased tissue layer by layer, less healthy skin is damaged when removing the tumor. It has the highest cure rate for SCC. Your dermatologist will let you know if Mohs surgery is recommended.
• Prescription Medicated Creams — These creams can be applied at home. They stimulate the body's natural immune system over the course of weeks. The most common medications are imiquimod or 5-fluorouracil.
• Cryosurgery — Some squamous cell carcinomas respond to cryosurgery, where liquid nitrogen is used to freeze off the tumor.
• Radiation Therapy — Radiation therapy is used for difficult-to-treat tumors, either because of their location, severity, or persistence.  If radiation therapy is a treatment option, you will receive a referral to a radiation oncologist.

Our board certified dermatologists and providers here at Integrated Dermatology will discuss with you your treatment options and will recommend a treatment that is right for you.

With early diagnosis and treatment, most SCC can be cured.  If left untreated, SCC can grow deep and SCC can potentially spread to other parts of the body. 

Our board certified dermatologists and providers are experts in the field of dermatology and can properly diagnose and treat skin cancers.  Our experts perform complete body exams and skin cancer examinations routinely and can accurately diagnose various types of skin cancers. Our dermatologists are also trained as dermatologic surgeons and can treat your skin cancer to the gold standard of care.  Any suspicious lesion will be biopsied and sent out for analysis at a laboratory.  We also work with specialized physicians called dermatopathologists that have expert training in properly diagnosing skin cancer under the microscope.  Our physicians and providers have every patient’s best interest at heart and strive to provide the highest level of care.

• Acne
• Acquired and congenital nevi (moles)
• Atopic Dermatitis (Eczema)
• Diaper rash
• Hemangiomas of infancy
• Keratosis Pilaris
• Molluscum Contagiosum
• Psoriasis
• Ringworm
• Scars
• Vascular malformations/birthmark (port wine stains, spider angiomas, pyogenic granulomas).
• Vitiligo
• Warts

All of our board-certified providers believe that compassion and professionalism are at the core of delivering high quality dermatological care irrespective of age.  We know that the skin disorders can impact the quality of life of kids and their families.  Dr. Lauren McKelroy is a board certified dermatologist that will impress you with her professionalism and knowledge.