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Here is a list of services we provide, move your mouse over each one to learn more about each of their benefits to you.

MOHS Micrographic Surgery MOHS Micrographic Surgery is a state-of-the-art procedure for skin cancer which offers the highest potential for recovery - even if the skin cancer has been previously treated by another method and recurred.

Doctors need an additional one to two years of advanced fellowship training in Mohs Micrographic Surgery, surgeons are able to precisely identify the tumor, remove it with minimal damage to the surrounding healthy tissue, and reconstruct the wound.

Skin Cancer Surgery If you have a growth which we are going to remove because it irritates you or because the doctor cannot be sure it is not a skin cancer. The most important thing to do before your surgery is to avoid aspirin and alcohol (beer, wine, etc.) because these drugs make your blood thin. When you arrive, we will first numb the area with Xylocaine. This involves inserting a small needle into the area to be removed and then injecting the medication. The medicine stings when it is injected and this is usually the worst part of the whole procedure. After the Xylocaine is injected, the doctor will wait fifteen to twenty minutes before starting. This allows the area to numb and also reduces bleeding.

The doctor will then remove the growth. This will be done by cutting it out with a scalpel. You should not feel any pain when the doctor is cutting. If you do, tell him right away and he will inject more Xylocaine. The doctor will cut an oval of skin around the growth. This leaves a longer scar, but avoids the formation of "dog ears" which are bunches of skin or folds of skin left over when a growth is cut out in a circular fashion.

General Dermatology Our full-time and associated faculty is consistently consulted by the medical community for our expertise in diseases of the skin, hair, and nails. Resident and faculty physicians care for patients with both common and uncommon dermatological conditions.
Laser Hair Removal Laser Hair Removal, when first introduced in the late 1990’s, was limited to light skinned individuals with dark hair. Efficient Laser Hair Removal was produced by Alexandrite and Diode lasers. Dark skinned individuals could not use these lasers for effective hair removal because early generation lasers were unable to distinguish between skin pigment and hair follicles, which led to the burning of those with darker skin. Today this has all changed. The advent of the new laser line, the YAG, and the re-invention of the IPL system has afforded excellent results for individuals with dark skin and dark hair.
Liposuction & Fat Injections Fat injections can be an effective way to reduce wrinkles, reduce acne scarring, and regain a more youthful appearance. In this procedure the patient's own fat is collected (suctioned often using liposuction) from a distant donor area and reinjected into the defect area. Fat transfer may require sedation plus local anesthesia if larger amounts of fat are to be collected. Small amounts of fat can be collected and transferred under local anesthesia.

Studies have shown that fat tends to accumulate in the center of our body (the abdomen in men, hips and buttocks for women), as we become older. In an effort to correct both of these unwanted problems, cosmetic surgeons have developed a technique called "autologous fat transplantation." The word "autologous" means that the material (the fat) is harvested from and donated to the same individual. This technique is also referred to as "microlipoinjection." Fat from unwanted areas ( abdomen, buttucks) is removed through liposuction, then this same fat can be harvested and stored or used for cosmetic purposes such as fat injections. The injected fat can be used to enhance lips, reduce wrinkles and lines and plump up the hollow appearance of cheeks and the area around the eyes. Fat transplantation works best for the naso-labial fold, the line angled between the nose and upper lip.

DOT Therapy® If you have spent years in the sun, especially without adequate sun protection, then you know what it can do to your skin. Wrinkles, skin discoloration, sun spots, skin laxity may be reduced or eliminated with DOT Therapy®. Also, if you have scars from acne or other skin injuries, then you may also be a candidate for this procedure. Now, using DOT Therapy®, an innovative, new laser technology, less than 30 minutes in your doctor’s office may restore your skin’s youthful appearance. While the aging process cannot be stopped, with proper care you can maintain your rejuvenated skin’s appearance for many years!
Thermage® Thermage® treatment is the latest non-surgical tool to reverse the signs of aging and sun damage. The non-invasive procedure works by using heat from a radio frequency device to tighten or lift the skin. Initially, the thermage® treatment was FDA approved to treat the eye and forehead areas, though in June 2004 thermage® treatment received FDA clearance for the full face. Although the thermage treatment does not replace a facelift, the procedure has facelift benefits without the cost, pain, anesthesia, incisions or downtime.

Plastic surgeons believe thermage® treatment is most ideal for people in mid-to-late 30s, or older people with just mild photoaging or wrinkled skin. Patients wishing to see immediate, drastic results may not choose thermage® treatment since it has subtle before and after differences. The way the thermage® treatment works is by sending radio waves down to heat the deeper layers in order to cause new collage to form. At first, there will be little noticeable change but weeks to months later the improvements will begin to show.

Restylane® Restylane® is an injectable gel that should always be administered by a trained, medically qualified practitioner.

Restylane® enhances your natural looks by restoring your skin’s volume, creating softness and revitalizing your appearance.

Restylane® can instantly soften telltale aging lines or improve your looks by enhancing your natural features, such as your cheeks or lips. RESTYLANE® restores volume, improves skin elasticity, and smooths lines and imperfections. Long lasting but not permanent, Restylane® allows you to stay in control of your looks.

Botox® Having a treatment with BOTOX® Cosmetic is one way that you can invest in your appearance. Talking with your physician will help determine if BOTOX® Cosmetic is right for you. BOTOX® Cosmetic was the most popular physician-administered aesthetic procedure in the United States for the fourth year in a row (surgical and nonsurgical combined). The American Society for Aesthetic Plastic Surgery (ASAPS) estimates that almost 3.3 million treatments were performed in 2005 alone—that's an increase of almost 16% over 2004.

BOTOX® Cosmetic is the only treatment approved by the FDA for the temporary relief of moderate to severe frown lines between the brows in people 18 to 65 years of age. With one simple 10-minute treatment, results can be seen within a couple of days and can last for up to 4 months. Individual results may vary.

Dermal Fillers Dermal fillers can be injected into areas with fine lines and wrinkles. Most of the problem areas include the area around the eyes, brow, bridge of the nose, mouth, jaw line and cheeks. Other areas that can be enhanced by dermal fillers include the lips, which can look fuller and younger after an injection. Scarring from injury to the face or acne can also be corrected with dermal fillers.

There are many different types of dermal fillers which include human collagen, hyaluronic acid, donor tissue fat and even one’s own fat (autologous fat). Each of the dermal fillers has different strengths and weakness, some last longer than others, sometimes a combination of different fillers may be used for best results. Dermatologists can formulate a specific treatment for each individual patient.

Smart Lipo® SmartLipo® is a non-invasive fat removal procedure which uses the focused power of laser energy to break up and dissolve fatty tissue trapped beneath the skin. By directing the energy to the area beneath the surface of the skin, the technique also encourages the development of collagen, which results in a tighter, more toned appearance overall.

The technique is especially popular because it requires no incisions or general anesthesia, and therefore offers a quick recovery time. SmartLipo also helps treat localized pockets of fat which cannot be effectively treated with traditional liposuction techniques.

Laser & Cosmetic Surgery Dermatologic Surgery encompasses a wide variety of methods to remove or modify skin tissue for health or cosmetic benefit. These methods provide high-quality, cost-effective skin surgery and include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
The skin is susceptible to many diseases, discolorations, and growths. It may also be damaged by excessive exposure to the sun and the effects of aging. In most cases, skin problems requiring dermatologic surgery can be addressed in the dermatologist's office or in an outpatient setting, usually under local anesthesia, with minimal pain, and low risk of complications.

Chemical Peels Chemical peels, also known as chemical resurfacing, are cosmetic treatments to produce an improved appearance of the face. Chemical peels are used for the treatment of photoaging (from sun damage), wrinkles, scarring, acne, precancerous lesions, and discoloration (or dyschromia). Chemical peels produce controlled injury to the skin that promotes the growth of new skin with an improved appearance.
Sclerotherapy Sclerotherapy is a procedure used to treat blood vessels or blood vessel malformations (vascular malformations) and also those of the lymphatic system. A medicine is injected into the vessels, which makes them shrink. It is used for children and young adults with vascular or lymphatic malformations. In adults, sclerotherapy is often used to treat varicose veins and hemorrhoids.
Dermabrasion Dermabrasion is a cosmetic medical procedure in which the surface of the epidermis of the skin (the stratum corneum) is removed by abrasion (sanding). The instrument used to perform the procedure is called a dermabrader, and that can be any number of types of devices under that category. It is used to remove sun-damaged skin and to remove or lessen scars and dark spots on the skin. The procedure is very painful and usually requires a general anaesthetic or twilight anaesthesia, in which the patient is still partly conscious [1] Afterward, the skin is very red and raw-looking, and it takes several months for the skin to regrow and heal. Dermabrasion is useful for scar removal when the scar is raised above the surrounding skin, but is less effective with sunken scars. In the past, dermabrasion was done using a small, sterilized, electric sander. In the past decade, it has become more common to use a CO2 or Erbium:YAG laser. Laser dermabrasion is much easier to control, much easier to gauge, and is practically bloodless compared to classic dermabrasion.
Skin Rejuvination As skin ages it becomes thinner and less elastic because collagen and elastin, the tissues that keep the skin firm, become weaker. These changes lead to fine lines, sagging skin, and other unwanted signs of aging.

Dermatologists and dermatologic surgeons have the medical training and experience required to use a wide range of surgical and non–surgical methods to treat skin conditions. As experts on skin aging, these doctors are uniquely qualified to keep skin healthy and youthful looking.

Facial rejuvenation can effectively: reduce wrinkles, treat sun spots, tighten loose skin, improve skin tone and color, remove blotchiness, and eliminate damaged blood vessels.

Hair Replacement Hair loss is primarily caused by a combination of aging, a change in hormones, and a family history of baldness. As a rule, the earlier hair loss begins, the more severe the baldness will become. Hair loss can also be caused by burns or trauma, in which case hair replacement surgery is considered a reconstructive treatment, and may be covered by health insurance.

If you and your doctor have determined that hair transplants are the best option for you, you can feel comfortable knowing that board-certified plastic surgeons have been successfully performing this type of procedure for more than thirty years.

If you have any questions about a procedure contact our office staff at (352) 243-2544. Our office staff will have answers to some of your questions however, some questions can only be answered best by a doctor during a consultation visit.