
Acne Scar Treatments
This patient is a 37 year old male who sought treatment for his acne scarring. He was reticent to undergo any laser treatments for fear of post-inflammatory hyperpigmentation that often occurs in patients with more pigment in their skin.
The patient underwent two sessions of radiofrequency microneedling using Lutronic’s Infini Device. Pre-and post-operative precautions were taken, using Infrared mineral sunscreen, potent, topical vitamin C, and hroquinone to prevent pigment formation.
The after picture is after just two treatments of Infini (we recommend three for acne scarring). He noted considerable improvement and no pigment abnormal pigment formation after treatment.

CO2 Fractionated Resurfacing
The patient is an 18-year-old male with acneiform scarring. He came to me to discuss various treatment options. I felt that with his condition’s severity, the best treatment option would be CO2 fractionated laser resurfacing.
He underwent one treatment of full-face fractionated resurfacing and received three passes. The first pass addressed the box-car scarring: I used a high-powered, square, 4mm spot size to target these deeper, punched-out scars. Next, I used medium-to-high-powered energy with a larger spot size to treat the general area of scarring and blend treatment areas. Lastly, I performed a lighter-energy setting to treat the entire face.
The after-photos are from one year later when he was home visiting from college and still noticing significant improvements every few months.

Dermal Fillers
The patient was unhappy with the hollows under her eyes and the “11” wrinkles on her lower forehead.
After discussion and consultation, we arrived at a conservative plan to treat the glabellar complex (frown lines) with neurotoxin and use Restylane Kysse (a soft hyaluronic acid) to gently and safely fill the under-eye hollows. Additionally, I lifted her cheeks with Radiesse filler (Calcium Hydroxyapatite) to reduce the heaviness in her lower face.
The results?…a younger-appearing, happier patient!

Fat Transfer
The patient is a 59-year-old female who was getting remarried and wanted to look younger for her wedding. We discussed various options, including fillers, but we decided on fat transfer because she wanted a more dramatic result.
I performed fat harvesting from her breasts and carefully processed her own fat to be strategically injected into her face to create a lifted and more youthful appearance. All of this was done using local tumescent anesthesia and light sedation.
Her photos are from six weeks later, and the results speak for themselves…a beautiful bride!

Neurotoxin (Botox)
The patient presented for Botox in the glabellar region (frown lines) because she had a deep furrow.
After discussing the possibilities, I treated the glabellar region with neurotoxin. I also enhanced this patient’s eyes with minor tweaks, including elevating her brows and widening the aperture of her eyes to make them appear larger.
The patient is pleased and still travels from Colorado to Florida to have her work done whenever she can.

Profound
The patient is a 43-year-old female who was a patient for Botox and fillers but learned of the Profound™ treatment through my office. She had seen some of my before-and-after photos and was interested in a more comprehensive treatment.
She underwent treatment of the full face (minus the eye area) and received a total of 372 pulses. The After photo is six weeks after Profound™ treatment (a fast-responder, for sure).
She was surprised and pleased with her noticeable and early result (I had told her that it might take six months to see a full result). I find that younger patients (30s-40s) respond more quickly.

Surgical Lift
The patient is a 63 year old female who was self conscious about the appearance of her neck. She felt it made her appear older than she was.
The patient underwent a surgical neck lift under gentle sedation/ local tumescent anesthesia. Liposuction technique was used to remove fat deposits at the underside (submentum) of the chin and along the jawline to recreate a contoured neckline. Skin was surgically removed and artfully redraped anteriorly to the ears, along the ears, and traversed high into the hairline, so that scars wouldn’t show when she would wear her hair up.
Three months later the patient was ecstatic with her new contour and could detect the scars, not even those in her hairline.

Tumescent Liposuction
The patient is an 18-year-old female who had a genetic fullness around her jawline that she felt made her look heavy and less attractive.
She underwent tumescent liposuction to the jawline and lower cheeks in-office and under local anesthesia. The procedure took two hours from start to finish. The patient wore a compression garment for two days after the procedure.
These results are one month after the procedure. She was very satisfied and had improved confidence in how she presented to the world.

You think you need a lift, but you’re not ready for surgery? What do you do? Well, you probably do an energy device treatment. Which one do you choose? I would say radiofrequency or ultrasound coupled with microneedling. But there are lots of different choices in the market. And how do you make that choice? All therapy. Thermage Genius, rf, Morpheus, eight Soft Wave. The list goes on. My choice, and it’s been my choice for five years running because the results are so phenomenal is this one right here. Profound. Profound. Has patented technology to double the collagen in your skin and increase the elastin content up to five times with just one treatment, and the results last up to five years. There’s nothing else in the market that can say that, and I’ve seen the results proven for the last five years. So if you want to learn more about Profound, click in the link below and follow me for more detailed information on Profound because it is.

Are you looking for an all natural but medical-grade, anti-aging skin product? Restore C Pro is the only line on the market that is medical grade and is also all natural. It contains no phthalates, no sulfates, no parabens, no polyethylene lycos, no silicone, no mineral oil. It’s completely safe during pregnancy or breastfeeding. And it’s great for people that are hyperallergic or have inflammatory sensitive skin or those with rosacea, and you may just want to use it. It smells so amazing. But the product is, we carry a number of their products. This one that I have in my hand right now, ISI Pro 10 X. This is something that patients will use in lieu of a retinoid. So retinoids are two irritating for your skin. This is a great alternative. Another one of their products that I really like is this Restore Pro Foaming cleanser. This is the cleanser that I use. This whole thing is filled with liquid, and then it mixes with a little bit of air at the top to make a foam. And this lasts you a really long time. We’ve got moisturizers. This is the night moisturizer. Very thick. It’s almost like La Mer, but it smells better. And we have a lip magic, and there’s a number of different things to choose from. So if you’re interested in learning more about Restore, click on the link below.

Collagen in your skin? How do you get it? How do you increase it? It makes you look plump and younger. Do you take a pill form a liquid? Do you use some sort of a product on your skin? Well, let’s look at this clip critically. If you ingest collagen, whether it’s a pill or a liquid, goes into your stomach and then it’s broken down into proteins and then amino acids, and then it’s absorbed through your gut, it doesn’t magically reform into collagen. Those amino acids can be used for many different things in your body. It can be used to repair bone tissue or build muscle or repair lung tissue, and maybe some of it will go towards collagen in your skin. But if you’re really not that good at making collagen, I don’t really know if it’s going to make a difference. As far as products, there’ve been many products in the market in the last 20 years that are touted to increase collagen. There are growth factors, human derived, plant derived, snail derived copper peptides, regular peptides. They work marginally in my opinion, but there’s been one product that’s on the market for about five years that has leveled the field in collagen production.
That product is called elastin, and it’s a game changer. This product actually rejuvenates the fibroblasts in the skin, which are the cells that make collagen and elastin, and it makes them act younger. And if you use this twice a day for 6 to 12 weeks, you will see a difference. It’s the number one selling product in our practice. If you’re interested more, click the link in the bio.

Okay, today I’m going to talk about sunscreens and there’s a cosmetic dermatologist, which are my favorites. I have a few. So the first company I love is color science. Color science does wonderful sunscreens. They’re all 50 SPF. They only do mineral sunscreens, and they all have excellent infrared protection in them, and that’s a whole other conversation that I’m going to address in another reel. But anyway, this one is bronze colored, so it’s going to make you look a little tan. It’s for your face. This one is flex. Flex is also color science. This goes on white, but then it adjusts to your skin tone glow is what I have on right now. It just gives you a little bit of a glow, and I really like to use this one because it doesn’t have a lot of color in it, so I can put it down on my decollete and my neck and not get it on my clothes.
And then this one is classic. Classic is great because it’s got a little bit of a light pink tone as opposed to going on white. It doesn’t look at all like makeup. A lot of our men buy this product. It just looks sheer without making you look like you have some zinc on. Color Science also makes a product for your body. Also is 50 SPF mineral sunscreen with infrared protection, and they also have these brushes that come in different tents. These brushes are great for athletes, people that play tennis, play golf and don’t like the fact that the sunscreens that are liquid run into your eyes and cause stinging or blurry vision. These are powder sunscreens so they don’t run. The next company that I love is Elastin. Elastin Hydrogen is the bestselling product in our practice. This is a tinted sunscreen moisturizer, and it has just a very nice universal tint to it.
I’m wearing it on this hand. This is a 36 SPF all mineral infrared sunscreen. The last company that I would recommend is this company called Skin Better, and they have a subline called Sun Better, which is their sunscreens. This is a sunscreen that is a 70 SPF mineral sunscreen, infrared protection. It is a sheer sunscreen. It’s great for athletes, it’s great for children. Anybody can wear this. And then this one is also from a skin Better. You can carry this in your purse. This is got a little sponge with it, and it’s a solid that you can dab on. I like it because it’s a matte finish. This is a 68 SPF infrared mineral sunscreen. So we’ll talk about why I like mineral and why I like infrared in another segment. But if you’re interested in learning more about any of these products, please click the link in the bio and follow us. Thanks.

Hi. Let’s talk sunscreens. What sunscreens should you be using on your skin? Should you be using on physical sunscreen or a chemical sunscreen or a combination of both? My feeling is you should only be using physical sunscreens. And why is that? Well, lemme tell you about chemicals first. So chemical sunscreens, some examples of those in the active ingredients would be oxybenzone, avobenzone ate ralene. And what these sunscreens do is that they actually are absorbed into the skin. And when the sun rays hit your skin, they are also absorbed and they are rendered inert by those chemicals, but they are absorbed into the skin with mineral or physical sunscreens. We’re talking zinc oxide and titanium dioxide only in the active ingredients. These form a sheer thin barrier on your skin and it’s not perceptible anymore. It’s either completely sheer or it’s got a little bit of tint if that’s what you want.
No longer are they these white, thick sunscreens. So they actually sit on your skin, they form a barrier, and when the rays come along and hit your skin, they actually are reflected off and they never enter the skin. And they never cause heat, which is a whole other topic. So why are the chemical sunscreens so bad? Well, we find them in the blood. We find them in human tissue, but they’ve also been thought to cause cancer and at least three of the chemical ingredients have been found to be hormone disruptors. Not a good thing. So I would only with [00:01:30] the physical mineral sunscreens. And what you’re looking for is titanium dioxide and zinc oxide, and either one on its own or a combination of both. Here’s one of my favorite sunscreens. It’s elastin hydrant. This has got in the active ingredients right at the top, titanium dioxide, 8.9%, zinc oxide 3.4%, so that equals 12.1% total, which is great.
Anything greater than 12% for mineral sunscreen is wonderful. I also have sun, better mineral sunscreen, SPF. This is also just titanium dioxide and zinc oxide. And the combination is, let’s see, 3.6% titanium dioxide and zinc oxide is 12%, so that’s 13.6%. Also a fabulous sunscreen. The last one I have as an example is color science. This is brush on sunscreen, sun, unforgettable. It’s got 22% zinc oxide, 22.5% zinc oxide, which alone would be fine. You could stop right there. But they also [00:02:30] have 22.5 titanium dioxide. This is 45% mineral sunscreen right here. This is an amazing sunscreen. They all are. These are my favorite brands for sunscreens. Anyway, I hope you have a great weekend. Have fun in the sun, and don’t forget your sunscreen.

If you’ve been following my mini seminar series on the sunscreens, you know that I like physical mineral sunscreens over chemical, and that I want you to apply a 30 to 50 SPF every two hours when you’re in the sun. But now you’re at the master level and we’re going to speak about infrared. So infrared is heat in the skin, and it also penetrates just like UVA and UVB rays. It goes down deep and it affects the collagen causing collagen breakdown. And it also simulates melanocytes, which are the pigment cells in the skin that rev up with heat and produce more pigment. Well, how does that happen? It happens if you’re in the sun or in the heat. If you live in someplace warm like Florida or Texas, it can happen if you are working out on a peloton for an hour a day or if you’re pregnant and have an increased body temperature that can cause melasma.
It can happen if you do chemical peels or laser resurfacing. And the deeper your skin color is, the more susceptible you are to this problem. It can also happen if you have acne breakouts or inflammation or heat in the skin, leaving brown purplish spots that will last for weeks after your acne heals. But now there are sunscreens that have infrared protection in them, infrared and blue light actually, and they’re difficult to find. But you’re luck because every sunscreen that I carry in my practice contains infrared elastin, hydrogen mineral sunscreen, SPF 36, infrared protection, color signs, face shield. And this is a really cool one because when you put it on your skin, it goes on white, but then when you rub it in, it turns the color of your skin. And the last one, my personal favorite for today is SunButter Facial Compact, and it’s a 68 SPF mineral sunscreen only with infrared. And this is really cool because it’s a compact. You can see that I’ve used it a lot. It comes with full sponge and it has a tint, but it’s a lot lighter on than what it looks like in the compact, and it goes on really matte, which I love. So now you know more about sunscreen than most dermatologists. Have a good weekend.
