Bruce P.Robinson, MD
XEOMIN is a botulinum toxin that has been used internationally since 2005 and was introduced to the US market in 2010 by Merz Pharmaceuticals, LLC. The FDA recently approved Xeomin for the treatment of severe frown lines.
Xeomin is similar to other treatments such as Botox, but has it's own advantages, beginning with the fact that it contains no additives, just botulinum toxin type A. This may mean that there is less risk of developing antibodies against Xeomin than other available neurotoxins. The body develops antibodies in response to a foreign invader and attacks. In theory, antibodies could prevent a neurotoxin from having its desired effects.
The full effects of Xeomin occur within one week, and the results last from three to six months, making it comparable to Botox in terms of both onset and duration of action. Xeomin prices are also quite competitive to existing botulinum toxin therapies.
Dr Robinson offers Xeomin treatments, and would be happy to discuss with you whether Xeomin is the right approach to help you to look more youthful. Dr. Robinson's training and expertise will enable you to make the best possible decisions regarding your health and appearance during a cosmetic consultation.
V-Beam Perfecta laser is the gold standard to target sun damage, rosacea, and a variety of red broken and damaged blood vessels & other vascular skin conditions, with no downtime. V-Beam helps with Rosacea, stretch marks, Keloid scars, leg veins, dilated blood vessels and other conditions. It helps rejuvenate healthy skin naturally and restore a softer, smoother skin texture and tone.
A V-Beam laser is a pulse-dye laser that safely delivers short bursts of light to the treatment area. The light beam targets and coagulates broken and damaged blood vessels and vascular lesions so they my be naturally reabsorbed by your body during the healing process.
After a comprehensive assessment including a skin examination and medical history, Dr. Robinson will design a treatment plan for you. You will be provided with protective eyewear to shield your eyes during the treatment. Using a small hand piece, Dr. Robinson will deliver short bursts of light, lengthening in duration, with puffs of cryogen cooling mist. The treatment is safe and comfortable. Many patients notice improvement after a single treatment, but 3-5 sessions are typically recommended for optimal results. These results can last up to 18 months. Dr. Robinson will recommend a schedule that is right for you.
Our Cosmetic Consultation Reimbursement policy is offered to all our 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.
You should avoid saunas, hot tubs, and other forms of excessive heat for 48 hours after treatment. For the first two weeks avoid skincare products that may clog your pores or cause skin irritation. As with all skin treatments, it is critical to use a SPF 30 or higher sunscreen every time you go outdoors.
Ultherapy® sets the bar for nonsurgical, regenerative skin medicine in "LIFTING & SKIN TIGHTENING"! Ultherapy® is the only FDA - cleared non-invasive treatment for "lifting & tightening" the skin on the neck, chin and brow. Now it is also the only non-invasive treatment specifically FDA - cleared to improve lines and wrinkles on the décolletage.
WHO SAYS ULTHERAPY® BOOSTS YOUR COLLAGEN?
OH RIGHT, SCIENCE. Ultherapy® is a safe, non-surgical "ultrasound" treatment. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. Through time-tested ultrasound technology, Ultherapy® helps produce new collagen growth with "no downtime" by using the body's own regenerative response to gently and gradually over time "lift" skin above the eyebrow, under the chin and on the neck, and smoothes lines and wrinkles on the décolletage. The result yields firmer younger looking skin, from brow to chest.
Ultherapy® is the only "regenerative" skincare cosmetic procedure to use ultrasound imaging, which is what makes Ultherapy stand out from the others. Ultherapy has the ability to visualize deeper structures of the tissue and allow us to target and treat those areas safely. Also, customizing the treatment for each individual patient. When you're able to use ultrasound visualization, you are able to see where the targeted levels are to ensure the energy is being delivered to the correct depth as you are performing the treatment. It is possible that these tissue planes can shift and change slightly allowing you to add additional pressure to certain areas. Therefore, treating the correct layer depth throughout the entire treatment.
Ultherapy® treats the deep foundational layer addressed in cosmetic surgery, but won't duplicate the results of a facelift. Ultherapy® is a great alternative especially for those not ready for surgery or for patients looking to extend the effects of cosmetic surgery.
Ultherapy® uses sound energy - tried-and-true ultrasound - which has unique properties that allow it to bypass the surface of the skin to treat depths not matched by any other non-invasive cosmetic device. Ultherapy ultrasound stimulates collagen production in the skin's foundation, resulting in a clinically significant lift of tissue over 2-3 months.
Lasers rely on light energy, which cannot reach deeper skin layers at an optimal temperature, so laser treatments typically only treat superficial skin and are not FDA-cleared to lift skin.
Since the two technologies often treat different types of skin issues, they're actually very compatible, like a hand in glove.
Ultherapy® deposits focused ultrasound energy deep beneath the skin at the optimal temperature for collagen regeneration. The treatment jumpstarts a natural process, known as neocollagenesis, to produce fresh, new collagen. Ultherapy® doesn't involve any creams, fillers or toxins; it just relies on your body's own collagen-building process for natural, noticeable results.
The length of the treatment will depend on the area being treated and your individual treatment plan. A face and neck procedure typically takes 60-90 minutes, while a chest treatment takes approximately 30 minutes.
With Ultherapy®, there is no downtime. After your procedure, you can resume your normal activities immediately, without having to follow any special post-treatment measures.
As the ultrasound energy is delivered, you will feel tiny amounts of energy being deposited to precise depths, indicating that the collagen-building process has been initiated. Comfort levels vary from person to person, but the sensation only lasts while the ultrasound energy is being delivered.
After your Ultherapy® Treatment, you may see some initial effect, but the ultimate results will take place over 2-3 months, as your body naturally regenerates collagen. Since the procedure stimulates your own collagen production, how long the results last really depends on you. The treatment produces new collagen on the inside, but your natural aging process will dictate how long that translates into visible results on the outside.
Most patients only need one treatment. However, based on the degree of skin laxity, the biological response to ultrasound energy and the individual's collagen-building process, some patients benefit from additional treatments. Because skin continues to age, future touch-up treatments can help patients keep pace with the body's natural aging process.
The skin might appear flushed at first, but the redness should disappear within a few hours. Some patients experience slight swelling, tingling or tenderness to the touch, but these are temporary in nature. Other, less common post-procedural effects may include temporary bruising or numbness on small areas of skin. As with any medical procedure, there is the possibility for other rare effects, which Dr. Robinson will review with you.
The FDA-cleared Ultherapy® procedure has been used safely in over 250,000 treatments worldwide and has been used safely in the medical field for more than 50 years. In addition, every Ultherapy® practitioner receives extensive procedural training.
The cost of an Ultherapy® treatment can range depending upon the area being treated. To get the most accurate quote, consult with Dr. Robinson.
A good Ultherapy® candidate has mild to moderate skin laxity where the skin begins to feel and look less firm. Examples include a lowered eyebrow line, loose skin on the neck, sagging under the chin, and lines or wrinkles on the chest. The best way to find out if you're an Ultherapy candidate is to consult with Dr. Robinson. Our Cosmetic Consultation Reimbursement policy is offered to all our 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.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Do you ever wish you could try on a treatment before having it done? Now you can with the results simulator tool you will see what your Ultherapy® procedure treatment results could look like. Click here: https://www.ultherapy.com/your-own-ultherapy
With TempSure Envi, great-looking skin doesn't have to be complicated. TempSure is a radio frequency FULL body skin tightening system designed for both the face and body that minimizes facial fine lines and wrinkles, tightens skin, improving the appearance of cellulite by non-invasively heating up the deep layers of the skin. Applied with a massage wand, this treatment encourages new collagen formation which leaves skin tighter and minimizes wrinkles, fine lines and dimples. It is safe for all skin types and levels of sun exposure, so it fits beautifully and simply into any beauty maintenance routine, any time of year. A series of treatments is recommended. With the TempSure Envi treatment, there’s no surgery, no needles, and no downtime, so you can immediately get back to what you were doing, and look great doing it.
Here's a video about TempSure Envi:
Achieve great looking skin without surgery or downtime.
With TempSure Envi, there is no surgery, no needles, no pain and no downtime. The patient leaves with immediate lift, tightening and healthy "glow".
TempSure Treatment Areas:
TempSure Envi treatment is a gentle way to revive your skin's natural beauty and reduce the appearance of wrinkles and fine lines. The TempSure Envi massage wand delivers radiofrequency technology to gently heat your skin increasing it's temperature for a defined, therapeutic time, triggering your skin's natural response to create new collagen and elastin. At 7-10 days post-treatment, the rebuilding process begins in the skin. Fibroblasts accumulate to synthesize new collagen and elastin and tissue growth factors are released. This process may continue for up to three months giving you tighter, younger-looking skin.
HydraFacial MD - is a great compliment to TempSure Envi
Hydrate before and after your TempSure Envi
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Treatment begins with a warm ultrasound gel applied to the selected skin area. Radiofrequency energy is delivered via a wand which massages and gently heats the skin in relaxing small circular motions. Tissue resistance to RF energy at the dermal and subdermal junction causes an increase in temperature. This temperature is modulated by the TempSure system to safely maintain the skin at appropriate temperature levels. As the skin temperature increases during the procedure, new collagen is created. the new collagen fibers are tight, dense and neatly organized, giving you tighter, younger-looking skin. Once the procedure is complete the skin temperature drops back to normal. TempSure has been designed to provide a comfortable, pain-free and effective treatment every time.
A series of treatments is recommended, therefore, treatments are typically bundled into packages. Every patient is different and the optimum number of treatments can vary. Dr. Robinson and his staff will develop a plan that is right for your goals.
Treatments last about 30-60 minutes, depending on the area(s) being treated. There is no downtime allowing you to return to your normal activities immediately.
TempSure Envi is a simple solution for beautiful skin. It provides a soothing patient experience while delivering beautiful results. Each treatment delivers consistent and controlled heat, giving you an effective, yet comfortable treatment every time.
Instantly - you will leave with an immediate lift, tightening and "natural glow". Patients describe a "tighter, smoother feeling and reduced pore size". The best part is that collagen will continue to rebuild over time, enhancing your skin's appearance.
TempSure Envi is right for those looking to minimize fine lines and lift sagging skin on the face and body. Also, excellent at reducing the appearance of cellulite. Treatments are extremely safe and can be performed on all skin types year round.
A surgical excision is an in-office procedure in which a skin lesion is removed by a dermatologic surgeon. This technique involves the use of local numbing medicine which is injected into and around the target area and followed by sharp dissection of the lesion from surrounding normal tissue. The most common scenarios for utilization of this technique include: treatment of skin cancers, atypical or suspicious moles (nevi), and cysts.
Cysts may remain asymptomatic, but if they continue to grow or become painful surgical excision is the treatment of choice. The cyst consists of a wall that makes the contents. To insure that the cyst does not return, it is best to completely excise it, including the wall, to prevent its recurrence.
Moles often become more raised over time. Occasionally they become irritated or are cut when shaving. A shave excision removes the raised portion of the mole. As a general rule, a complete excision is only performed if a mole is changing or when a complete excision will yield a better cosmetic result. Either of these treatments is performed under local anesthesia in our office. The shave excision takes less than a minute and a complete excision under a half hour. The functional and cosmetic results are excellent.
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, thinner scar line or to change the scars shape and/or direction so it is less obvious.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Microdermabrasion is a non-surgical, minimally invasive treatment used to renew overall skin tone and texture. It can improve the appearance of sun damage, wrinkles, fine lines, age spots, acne scarring, melasma, and other skin-related concerns and conditions.
The procedure uses a special applicator with an abrasive surface to gently sand away the thick outer layer of the skin to rejuvenate it. Microdermabrasion exfoliating treatment is 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.
You're more likely to get Lyme disease if you live or spend time in grassy and heavily wooded areas where ticks carrying Lyme disease thrive. It's important to take common-sense precautions in tick-infested areas.
Where you live or vacation can affect your chances of getting Lyme disease. So can your profession and the outdoor activities you enjoy. The most common risk factors for Lyme disease include:
A small, red bump, similar to the bump of a mosquito bite, often appears at the site of a tick bite or tick removal and resolves over a few days. This normal occurrence doesn't indicate Lyme disease.
However, these signs and symptoms can occur within a month after you've been infected:
If untreated, new signs and symptoms of Lyme infection might appear in the following weeks to months. These include:
Several weeks after infection, some people develop:
If you've been bitten by a tick and have symptoms, only a minority of tick bites lead to Lyme disease. The longer the tick remains attached to your skin, the greater your risk of getting the disease. Lyme infection is unlikely if the tick is attached for less than 36 to 48 hours.
If you think you've been bitten and have signs and symptoms of Lyme disease — particularly if you live in an area where Lyme disease is common — contact your doctor. Treatment for Lyme disease is more effective if begun early.
Visit your doctor even if signs and symptoms disappear — the absence of symptoms doesn't mean the disease is gone. Untreated, Lyme disease can spread to other parts of your body for several months to years after infection, causing arthritis and nervous system problems. Ticks can also transmit other illnesses, such as babesiosis and Colorado tick fever.
The best way to prevent Lyme disease is to avoid areas where deer ticks live, especially wooded, bushy areas with long grass. You can decrease your risk of getting Lyme disease with some simple precautions:
Laser skin tightening is a nonsurgical, minimally non-invasive cosmetic procedure. It may help reduce signs of aging on the skin. As skin ages, it tends to lose its elasticity and become less tight.
The body areas people most often target using laser skin tightening procedures include the:
Skin aging is a natural process that occurs as people age. However, it could be accelerated by such factors as sunlight, stress, and chemicals. Skin aging is affected by numerous genetic and environmental factors that can appear as wrinkles, abnormal pigmentation, skin weakness, and telangiectasia.
Different types of lasers for skin rejuvenation are ablative lasers, non-ablative lasers, and fractional lasers
These kinds of lasers have been used to treat scars, pigmentations, and rhytides by removing the epidermis and heating dermis. However, ablative lasers reduce time of treatment and cause a more difficult recovery process, these lasers create the most dramatic impressive results. For severe facial wrinkles, pigmentation, and skin challenges, ablative lasers are often the preferred treatment. The most common ablative lasers used for skin rejuvenation is the Nd:YAG.
Non-ablative laser resurfacing demonstrates one of the main developments in procedural dermatology over the past decade and has become the treatment of selection for a broad range of aesthetic indications. However, safety concerns related to their use in darker skin types have remained. These lasers are less destructive than ablative lasers and tighten the skin by naturally stimulating collagen production in the dermis; the epidermis is protected through skin cooling. This type of laser is less aggressive than the Ablative laser options.
The Fraxel® DUAL Laser system has the unique advantage of two treatment modes/wave lengths in one laser. This non-surgical laser procedure smooths wrinkles and scars, improves texture , tone, elasticity, color and also minimizes pore size. The Fraxel® DUAL Laser uses patented fractional technology to target sun damaged skin. The laser treats only a fraction of tissue at a time, leaving the surrounding tissue untouched, which promotes rapid healing. This stimulates your body's own natural healing process and stimulates collagen growth & replaces the old and damaged cells with fresh, glowing, healthy skin. The result is more youthful, radiant skin with minimal down time. Any area of the body can be treated: face, chest, neck and hands.
Fraxel DUAL Laser Modes/Wave Lengths:
Laser skin tightening is performed in the office. You will wear safety eyewear to protect your eyes. Each laser pulse may be preceded and followed by a short puff of cooling spray. A treatment can take as little as a few minutes to as long as an hour, depending on the area and condition being treated.
Patients will have a topical numbing cream applied approximately 30 minutes before their treatment. Some patients may feel a slight discomfort with each laser pulse, sometimes described as the snapping of a rubber band on the skin. Should this discomfort occur, it resolves in several seconds.
Usually 3 to 5 treatments at monthly intervals.
If you have a history of cold sores, prophylactic treatment with antiviral therapy (Valtrex, Famvir, or Acyclovir pills) may be started before your laser treatment. The intended treatment area should not be exposed to sunlight or tanning booth light for 14 days prior to treatment.
Your face will feel hot, applying cool compresses will provide comfort. Any redness or swelling should resolve within a few days. During the healing process your skin will originally appear "sunburned" and have a sandpaper feel and then peel 4-7 days after your treatment. By day 7 you will begin to reveal a softer, brighter and improved skin tone. Treating yourself to a HydraFacial MD one- two weeks post Fraxel will help expedite the shedding of old skin and infuse intense hydration. Other benefits of Fraxel laser treatment include: reducing the appearance of acne scaring, treatment of actinic keratosis, reduction of fine lines and wrinkles, smoother, fresher, younger looking skin, improved tone and texture, erase unwanted brown spots, age spots & melasma.
After laser treatment, prevent sun exposure and apply sunblock (SPF 30 or greater). Apply generous amounts of moisturizer often to keep skin hydrated. Avoid scrubs or abrasive skin cleansers the first few days after your treatment.
Your risks are minimal. Side effects may include redness, swelling, hyperpigmentation, hypopigmentation, blistering and a bruise in the treated area--if they do occur, it does not usually last more than a week. Permanent side effects are rare.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
What is intralesional steroid injection used for?
Intralesional Steroid Injections, or Intralesional Kenalog is a common treatment used in dermatology & are a standard treatment for many skin diseases including: acne lesions, cysts, alopecia (bald spots) hair loss, eczema, abundant scar tissue (keloids, hypertrophic scars), psoriasis, lichen simplex chronicus, skin lupus, granuloma annulare, and more. Intralesional injections are extremely helpful, as they are able to bypass the outer defensive layers of the skin to reach an area that will make the greatest impact on your condition. It is common for a patient to need multiple injections, as different cases vary in severity. The goal of these injections is ideal for quick healing to reduce the inflammation within the skin, and relive pain and discomfort as well as improving the appearance. This treatment is usually reserved for tender, swollen acne nodules, or cysts that aren't responding to typical acne therapies. Prompt treatment with intralesional injections can often prevent scarring.
Re-think your skin health. Hydration is the single most important factor in healthy skin. HydraFacial MD - Hydradermabrasion is the latest, non-invasive, gentle skin resurfacing and complexion treatment. The immediate, noticeable, long lasting results are achieved with zero downtime and without any discomfort. You can return to school, work, social life, or exercise right after your procedure. HydraFacial MD uses a uniquely shaped spiral tip and patented vortex fusing technology to gently cleanse, exfoliate, and extract, removing impurities and dead skin cells while hydrating the skin and adding antioxidant protection simultaneously. The additional capability of hydrating the skin after dermabrasion is one of the unique attributes of the HydraFacial MD.
Want the best skin of your life in 3 easy steps? Hydrafacial MD is a relaxing, gentle, non-irritating, fully customizable treatment for all skin types and concerns. Step 1. CLEANSE + PEEL, Deep clean clogged pores and exfoliate gently using a 7.5%, 15% or 30% (physician/medical grade ONLY) glycolic acid chemical peel. Step 2. EXTRACT, HydraFacial MD uses a patented, gentle vortex extraction approach to easily dislodge and remove impurities painlessly. Step 3. FUSE + HYDRATE + PROTECT, infuse & saturate hydration back into the skin’s surface with antioxidants, hyaluronic acid and peptides. Which Immediately improve elasticity, skin tone and minimizes the appearance of enlarged pores, fine lines and wrinkles, leaving your skin feeling smooth, looking bright, radiant & glowing. This makes a HydraFacial MD a great way to safely beautify your skin before special occasions and events. We offer signature Hydrafacial® packages to save you money.
Hydrafacial MD is for everyone! It appeals to all ages, both men and women with different complexions & skin concerns. Each treatment is personally tailored for each client and is suitable for all skin types. This includes young acne prone skin, sensitive, aging or ethnic skin, meaning everyone can reap the benefits of this gentle and revolutionary new skincare treatment. Using HydraFacial earlier on in life, could also mean less need for more drastic skincare procedures later, helping to slow down pollution induced skin damage by ...
- Reducing problematic acne
- Deep clean, oily clogged pores
- Painlessly dislodge and remove impurities
- Remove blackheads
- Achieve an instant gratifying "glow"
- Fight the effects of skin damage from sun exposure and pollution
- Hydrate
- Even out skin tone and texture
- Minimze enlarged pores
- Plump, improve elasticity & firm
- Decrease hyperpigmentation (dark spots)
Hydrafacial MD, - Acne Facial, is highly effective for anyone suffering from oily and/or acne-prone skin. It visibly reduces redness, enlarged pores, hyperpigmentation, utilizing LED blue light killing acne causing bacteria.
LED Light Therapy
Following your HydraFacial MD treatment we can utilize LED light therapy, again personalizing your treatment to the individual, blue light on acne or red light to build collagen and calm redness.
Instant Gratification In Minutes With Zero Downtime
HydraFacial MD offers NO pain and ALL gain! This facial hits the sweet spot- it's more than a facial, but less than a laser treatment, It is a rare unicorn, its payoff is immediately apparent, with unparalleled radiance - imparting properties, which is what makes it so highly requested before red-carpet events and special events - It really delivers that "extra" glow.
HydraFacial uses a unique, patented Vortex-Fusion delivery system to exfoliate, extract and hydrate skin, and, the spiral design delivers painless extractions.
HydraFacial MD Plays Nicely With Other Procedures
The HydraFacial MD can be done the very same day as dermal fillers, Botox, ablative skin resurfacing laser treatments, like the V-Beam and Fraxel laser skin resurfacing and & skin tightening treatments, such as TempSure Envi. It is also a godsend 4-5 days post Fraxel Laser Resurfacing, as it speeds up the shedding process that resurfacing lasers inevitably induce while deeply hydrating the skin.
Hydrafacial MD for lymphatic drainage. This hybrid treatment merges soothing and invigorating spa therapies with advanced medical technology to achieve instant, lasting results. This facial is appropriate for all skin types with no downtime or discomfort.
Have a specific skin concern? Tailor your treatment with super serums to address your unique concerns:
PerkTM is an add-on treatment that can enhance your HydraFacial; it includes take-home products to use at home to help maintain you results. Perk targets areas not treated by the original HydraFacial, such as lips and around the eyes. You get immediate results and long-lasting benefits that fit perfectly into your daily life. What can PerkTM do for you? PerkTM caters to your needs, whether you are in the mood to boost your lips, replenish your eyes, or give your skin that instant glow.
Where some other treatments can be more invasive, harsher on the skin and cause side effects in some cases, the hydra facial is the opposite. It is a totally gentle, non-invasive and non-irritating treatment, which refreshes and hydrates all skin types. There is no recovery time needed.
For anyone who wishes to slow down the aging process and improve skin appearance, Hydrafacial is the solution. Maintenance treatments are recommended to maintain results.
