Bruce P.Robinson, MD
We are pleased to introduce ProNox™ in our practice, a patient controlled, inhaled analgesia for in-office use. We want our patients to achieve their cosmetic goals worry-free. Patients say that it has made all the difference in moving forward with many cosmetic procedures.
The use of nitrous oxide in Medical, Cosmetic & Laser Dermatologic procedures is becoming more common. Our goal is to provide each patient with a pain-free experience and to work with their varied anxiety levels. While we have excellent topical numbing options for pain control, nitrous oxide can help calm the patient who is nervous or anxious and also help with pain relief.
Wrinkles are caused by the natural aging process, expressions made by muscles and sun damage. Using Sunscreen daily is the Holy Grail Anti-Aging product. Today there are many treatments available to help reduce fine lines and wrinkles on the skin. For deeper creases, a person may require more aggressive technique. With the latest treatments such as Botox, Fillers, Ultherapy, TempSure, and Fraxel laser skin resurfacing, wrinkles can appear less noticeable and even be prevented. These treatments are easy in office procedures that require little to no social downtime. The results can be immediate or seen in just a few weeks. Say "Good-bye" to wrinkles and fine lines and hello to beautiful, younger, smoother looking skin.
Cosmetic Consultation Reimbursement policy offered to all patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. Procedure must be completed within 30 days of your consult visit.
Time To Smile Again ... A venous lake is a benign, soft, compressible blue bump usually found on or around the lips caused by a dilated vein. While it is benign it can be cosmetically unsightly. With the use of the Nd:YAG laser a venous lake can be treated within seconds and resolved without scarring.
What To Expect:
FAQ's:
Is It Safe? The Nd:YAG laser is clinically proven to be both safe and effective.
How Does It Work? Treatments target the blood in the venous Lake lesion, causing it to regress.
Is The Treatment Suitable For Me? This procedure can be used on all skin types and treatment is suitable for most people. However, prior to treatment please review our cosmetic reimbursement policy.
Telangectasias (commonly known as spider veins) are dilated or broken blood vessels located near the surface of the skin. They often occur on the face and particularly on the sides of the nose. They often look like small red or pink lines, which temporarily whiten when pressed.
Some Symptoms Of Spider Veins Include:
Common Causes of Spider Veins
Spider veins are generally caused by weak or damaged valves. The following causes can contribute to weaker blood flow in certain areas of your body.
Treatment(s):
Thankfully, laser therapy is safe and efficacious treatment. It is an easy in-office treatment that can be performed during ones lunch break. In 10 minutes those red lines are gone and you can go right back to work. No wound care or dressings needed.
Sclerotherapy is also a treatment option. A special solution is injected directly into the affected veins, forcing the veins to close and the blood to redirect into healthier veins. The old vein turns into scar tissue that your body will eventually absorb, causing it to fade.
Lately, the decision to obtain a tattoo has become increasingly popular, and so has the decision to remove them! DON'T REGRET IT ... REMOVE IT! An estimated 20 million Americans have tattoos, and many of them now feel that having a tattoo does not fit their image. Those remorseful about their tattoos are consulting with cosmetic laser physicians to determine if the removal of their tattoo is possible. Today's advanced laser technology provides the means for tattoo removal safely and quickly and, in most cases, without leaving a scar. Complete removal of all types of tattoos, on all skin types, in up to half the treatments.
Cosmetic medical lasers designed to eradicate tattoos range from a single wavelength of light to a broad spectrum of light, the varieties of which are intended to obliterate the ink in the tattoo without damaging the skin. Certain colors of light are absorbed by specific corresponding colors of the tattoo ink. The light energy vaporizes or fragments the ink particles. Your body then absorbs these ink fragments naturally and the color fades over the next couple of weeks. This treatment is very similar to methods used for years to treat birthmarks.
Ask us about our "Cosmetic Consultation Reimbursement" policy offered to all patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. Procedure must be completed within 30 days of your consult visit.
Spider Veins are very small veins caused by a dilation of the small venules under the skin. This occurs when the pressure inside the vein increases enough to overcome normal resistance of the vein wall. The ability of veins to resist increased pressure is reduced with hormonal changes.
Reticular Veins are small, bluish-colored veins that carry blood to the skin venules and are larger than spider veins. These veins have thin walls and dilate with excessive venous pressure. When this occurs, they become large enough to be unsightly, but are not considered to be varicose veins.
In recent years medical lasers have made great advancements in sophistication. Today, lasers are safely used for a wide variety of cosmetic non-invasive treatments. Laser Therapy treatment is extremely safe and effective on leg veins, as well as veins visible on the face, neck, and chest. Laser treatment also corrects benign pigmented lesions such as age spots and birthmarks. These non-invasive treatments are increasingly popular because they have very few side effects, and one can resume regular activities immediately following treatment.
Both men and women, light and dark-skinned individuals can now safely and effectively benefit from laser therapy for spider veins. Patients using blood thinners or afflicted with a serious illness generally are not candidates for treatment. Patients with dark suntans or photosensitivity disorders, uncontrolled or severe diabetes, bleeding disorders, or those currently taking photosensitizing medications may also be restricted from candidacy.
The number of treatments necessary to resolve your vein concerns depends on the size of the vein and your body's ability to heal. During your consultation, you will be given an estimate of the number of treatments required to obtain optimal results.
Treatment may vary from 15 to 30 minutes. As a result of treatment, the walls of the veins are damaged by the laser's heat. The body next induces a healing process. The veins shrink and become less visible or disappear altogether. Medical studies have documented exceptional results on veins with laser treatments.
The beauty of this treatment is that there is no down time involved. You can resume most of your regular activities immediately. Your doctor may use various methods to reduce the pain that may be associated with this procedure. Swelling and mild bruising can occur, but almost always resolve over a short period of time. Limiting sun exposure, avoiding strenuous exercise, and wearing compression stockings will greatly minimize the risk of complications immediately following your treatment.
Laser Therapy treats many types of leg veins, including shallow spider veins and reticular veins.
Spider Veins are very small veins caused by a dilation of the small venules under the skin. This occurs when the pressure inside the vein increases enough to overcome normal resistance of the vein wall. The ability of veins to resist increased pressure is reduced with hormonal changes.
Reticular Veins are small, bluish-colored veins that carry blood to the skin venules and are larger than spider veins. These veins have thin walls and dilate with excessive venous pressure. When this occurs, they become large enough to be unsightly, but are not considered to be varicose veins.
Just like a precious piece of jewlery or a beautiful piece of furniture, the skin can become dull, weathered and aged. With the modern age of dermatology one can restore the brightness, alleviate lines, get rid of dark marks, erase broken capillaries and scars with no social downtime and superior cosmetic results.
Cosmetic Consultation Reimbursement policy offered to all patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. *Procedure must be completed within 30 days of your consult visit.
Today, there are many treatment options which, when properly chosen for the specific type of scar and/or skin type, can greatly improve and repair your skin to its natural and more healthy state. These treatment options include surgical excision, laser skin resurfacing, laser skin rejuvenation, intense pulsed light skin rejuvenation, microdermabrasion, chemical peels, dermabrasion, cortisone injections, and bleaching or age defying softening topicals.
During your consultation, your skin type and scar will be evaluated and a customized treatment program will be developed. This may include a combination of treatments to optimize your results. In some cases, certain types of scars can only be improved and not completely eliminated. Your treatment expectations and results will be thoroughly discussed during your consultation.
This option is typically for scars that are deeply pitted, raised, or for older surgical scars that did not heal properly. The scar tissue is removed, followed by careful stitching of the skin to leave a much smaller or thinner scar line.
This treatment is excellent for acne scarring as well as sun damaged or aged skin. The laser vaporizes the damaged skin and commences the regeneration of fresh skin during the following weeks. The thermal damage to the deep tissue stimulates new skin growth, promoting a healthy new collagen layer as well.
Microdermabrasion is a non-surgical exfoliating treatment helpful for those unhappy with scars, acne scars, sun-damaged skin, pigmentation spots, stretch marks, fine lines, and rough skin. Treatment can be performed anywhere on the body. This treatment works for scarring especially when used in conjunction with other modalities.
This is a non-invasive approach in which the laser energy penetrates the skin, damaging the deepest tissue layers. The damage causes the skin to repair itself and stimulates the production of collagen. As the underlying skin thickens, the top layers of the skin begin to contour more smoothly. Multiple treatments may be recommended. This treatment option works well in conjunction with microdermabrasion for certain scars.
Depending on the skin type and scar to be treated, a superficial, medium, or deep chemical peel may be recommended. In addition to removing the top layers of the epidermis, chemical peels are noted for their ability to stimulate collagen synthesis and aid in the production of new skin cells. Depending on the type of peel, multiple treatments may be required.
This is a non-invasive approach in which intense pulsed light energy penetrates the skin, damaging the deepest tissue layers. The damage causes the skin to repair itself and stimulates the production of collagen. As the underlying skin thickens, the top layers of the skin begin to contour more smoothly. Multiple treatments may be recommended. This treatment option works well in conjunction with microdermabrasion for certain scars and coarse, uneven skin texture.
By the time we reach our adult years, our skin has been exposed to rough childhood environmental damage, acne, chicken pox, scrapes, burns and numerous other phenomena. As part of the skin’s natural healing process, a scar is formed when several layers of the skin have been damaged. Presently there are diverse treatment modalities available to address various forms of skin scarring. These treatments can dramatically reverse, improve, and renew your skin to it’s natural, healthier state. Many patients seek solutions not only to achieve healthy-looking skin, but also to improve their image and self esteem.
Rosacea is a common skin disease that causes redness, papules, and swelling on the face. Often referred to as adult acne, rosacea frequently begins as a tendency to flush or blush easily. It may progress to persistent redness in the center of the face that may gradually involve the cheeks, forehead, chin, and nose. The eyes, ears, chest, and back may also be involved. With time, small blood vessels and tiny pimples begin to appear on and around the reddened area; however, unlike acne, there are no blackheads.
When rosacea first develops, the redness may come and go. Some people may flush or blush and never form pustules or papules. Small dilated vessels may also be present. However, when the skin doesn't return to its normal color, and when other symptoms such as pimples and enlarged blood vessels become visible, it's best to seek advice from a board-certified dermatologist. The condition may last for years, rarely reverse itself, and can become worse without treatment.
Small red bumps, some of which may contain pus, appear on the face. These may be accompanied by persistent redness and the development of many tiny blood vessels on the surface of the skin.
In more advanced cases, a condition called rhinophyma may develop. The oil glands enlarge causing a bulbous, red nose, and puffy cheeks. Thick bumps may develop on the lower half of the nose and nearby cheeks. Rhinophyma occurs more commonly in men.
Anyone can get Rosacea. It is more common in fair skinned adults between the ages of 30 and 50. Since it may be associated with menopause, women are affected more often than men and may likely have an extreme sensitivity to cosmetics. In people of color, studies show that early symptoms can often be missed and may be under diagnosed because dark skin can mask facial redness. Few children get rosacea, but it is worth considering if the signs and symptoms are there.
Tips for Rosacea Patients
Many people with Rosacea are unfamiliar with it and do not recognize it in its early stages. Identifying the disease is the first step to controlling it. Self-diagnosis and treatment are not recommended since some over-the-counter skin products may make the problem worse.
Dermatologists often recommend a combination of treatments tailored to the individual patient. These treatments can stop the progress of rosacea and sometimes reverse it.
The key to successful management of Rosacea is early diagnosis and treatment. Rosacea can be treated and controlled if medical advice is sought in the early stages. When left untreated, Rosacea will get worse and may be more difficult to treat.
Hemangiomas/Angiomas are growths of blood vessels and other red spots which can be dilated blood vessels that take the form of a birthmark (Nevus Flameus).
Hemangiomas is a bright red birthmark that shows up at birth or in the first or second week of life. It looks like a rubbery bump and is made up of extra blood vessels in the skin. A hemangioma can occur anywhere on the body, but most commonly appears on the face, scalp, chest or back. It can grow out of proportion to the child for the first 8 months of life before the growth rate levels off. Therefore, it is important to evaluate these growths early especially if they are located around the eyes, mouth, genitals, scalp, neck or anus. Many hemangiomas disappear by age 5, and most are gone by age 10. The skin may be slightly discolored or raised after the hemangioma goes away.
Red bumps that we acquire with age or genetics are referred to as cherry angiomas. They often arise later in life and while not dangerous, can be considered unsightly. Their treatment can be simple and often requires no wound care enabling one to return to daily activities immediately.
A doctor can usually diagnose a hemangioma just by looking at it. Tests usually aren't needed.
A hemangioma is made up of extra blood vessels that group together into a dense clump. What causes the vessels to clump isn't known.
Hemangiomas occur more often in babies who are female, white and born prematurely.
Occasionally, a hemangioma can break down and develop a sore. This can lead to pain, bleeding, scarring or infection. Depending on where the hemangioma is situated, it may interfere with your child's vision, breathing, hearing or elimination, but this is rare.
Treating hemangiomas usually isn't necessary because they go away on their own with time. But if a hemangioma affects vision or causes other problems, treatments include medications or laser surgery:
If you're considering treatment for your child's hemangioma, weigh the pros and cons with your child's doctor. Consider that most infantile hemangiomas disappear on their own during childhood and that treatments have potential side effects.
