Bruce P.Robinson, MD
Subcission is a treatment used to correct a type of scar called a valley scar. A valley scar simply means there is a defect in the volume of the skin at the site of the scar. The goal of subcission is to improve this decreased volume. This then allows a depressed scar to regain its smooth appearance. This treatment may be combined with other scar treatments to yield the best cosmetic results.
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.
Melanoma is the most common type of cancer for young adults 25 to 29 years old, and the second most common type for adolescents and young adults 15-29 years old. Melanoma is a cancer of the pigment producing cells in the skin, known as melanocytes. Cancer is a condition in which one type of cell grows without limit in a disorganized fashion, disrupting and replacing normal tissues and their functions, much like weeds overgrowing a garden. Normal melanocytes reside in the outer layer of the skin and produce a brown pigment called melanin, which is responsible for skin color. Melanoma occurs when melanocytes become cancerous, and then grow and invade other tissues.
Melanoma begins on the surface of the skin where it is easy to see and treat. If given time to grow, melanoma can grow down into the skin, ultimately reaching the blood and lymphatic vessels, and spread around the body (metastasize), causing life-threatening illness. It is curable when detected early, but can be fatal if allowed to progress and spread. The goal is to detect melanoma early when it is still on the surface of the skin.
It is not certain how all cases of melanoma develop. Understanding what causes melanoma and whether you’re at high risk of developing the disease can help you prevent it or detect it early when it is easiest to treat and cure.
However, it is clear that excessive sun exposure, especially severe blistering sunburns early in life, can promote melanoma development. There is evidence that ultraviolet radiation used in indoor tanning equipment may cause melanoma. The risk for developing melanoma may also be inherited.
Anyone can get melanoma, but fair-skinned sun-sensitive people are at a higher risk. Since utraviolet radiation from the sun is a major culprit, people who tan poorly, or burn easily are at the greatest risk.
In addition to excessive sun exposure throughout life, people with many moles are at an increased risk to develop melanoma. The average person has around 30 moles, and most are without significance; however, people with more than 50 moles are at a greater risk. In addition to the number of moles, some people have moles that are unusual and irregular looking. These moles (nevi) are known as dysplastic or atypical moles. People with atypical moles are at increased risk of developing melanoma. Melanoma also runs in families. If a relative such as a parent, aunt or uncle had melanoma, other blood relatives are at an increased risk for melanoma.
The following factors help to identify those at risk for melanoma:
Anyone can develop melanoma, but people with one or more of the risk factors are more likely to do so. Annual skin examinations by a board-certified dermatologist can truly be life saving.
To help you find melanoma and other skin cancers early, dermatologists encourage everyone to learn the following:
The ABCDEs of melanoma
Learn to recognize a possible melanoma by learning these 5 warning signs.
How to perform a skin self-exam
Watch this short video to learn how to check your own skin for signs of melanoma and other skin cancers.
An estimated 2-3% of Americans suffer from excessive sweating of the underarms, or of the palms and soles of the feet. Sweating is embarrassing, it stains clothes, ruins romance and complicates business and social interactions. Severe cases can have serious practical consequences as well, making it hard for people who suffer from it to hold a pen, grip a car steering wheel or shake hands.
If left untreated these problems may continue throughout life. We can help!
Once other medical conditions have been ruled out, we offer a range of exciting treatment options – from prescription products to in-office treatments – to manage this condition. Dr. Robinson has many happy patients who were treated for Hyperhidrosis.
Although neurologic, endocrine, infectious, and other systemic diseases can sometimes cause hyperhidrosis, most cases occur in people who are otherwise healthy. Heat and emotions may trigger hyperhidrosis in some, but many who suffer from hyperhidrosis sweat nearly all their waking hours, regardless of their mood or the weather.
Through a systematic evaluation of causes and triggers of hyperhidrosis, followed by a judicious, stepwise approach to treatment, many people with this annoying disorder can sometimes achieve good results and improved quality of life.
The approach to treating excessive sweating generally proceeds as follows:
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.
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.
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.
The non-surgical Liquid FaceLift procedure is one of our most popular cosmetic treatments because they deliver stunning immediate results without surgery or downtime. Dr. Bruce Robinson is proud to offer the best dermal fillers on the market to help you achieve your aesthetic goals. Injectables expert Dr. Bruce Robinson performs the procedure using cosmetic fillers to plump deep creases, minimize fine lines wrinkles & restore volume back in your face. Lifting sagging skin and restoring the natural shape of the face. The Liquid FaceLift treatment sculpts the face back to its original form while maintaining a natural look. Unlike a surgical facelift during Liquid FaceLift, there is no surgical cutting, removal, or repositioning of the tissues, and no stretching of the skin. It's you, only younger.
Did you know that many visible signs of aging can be traced back to volume loss? As facial tissues thin out, lines become etched around the nose, mouth and cheeks. Dermal fillers replace lost volume to help smooth wrinkles, diminish the appearance of dark circles under the eyes, turn up the corners of your mouth, undo the impression of unhappiness and restore a more youthful appearance.
Lip Enhancement fillers can restore volume and fullness in deflated and dehydrated lips turning "up" the corners of your mouth.
The results are immediate and natural; resulting in the WOW effect. Friends and family will comment on how well rested you look or inquire if you have changed your hair, often, without ever knowing what was done, as it truly "looks natural".
Give your skin a lift, without surgery and very little downtime. Schedule a dermal filler consultation today.
As we age, our skin inevitably loses its youthful appearance as the production of natural dermal volumisers such as hyaluronic acid (HA) diminish, leaving lines and wrinkles where our skin once was plump, youthful, and radiant. Today, the signs and symptoms of the natural ageing process can be reduced by replacing lost volume. While dermal fillers are casually known as "wrinkle fillers," they can do so much more!
How Can Dermal fillers Enhance My Appearance?
*Smooth out lines around the nose and mouth (a.k.a. marionette lines, smile lines and parentheses)
*Enhance and restore volume to cheeks, reduce the appearance of dark circles and sunken eyes
*Diminish vertical lip lines
*Plump and enhance lips
*Smooth out chin creases
*Improve symmetry among facial features. (e.g., define chin & jawline, non-surgical rhinoplasty or nose job)
What are Fillers Made With?
There are a variety of FDA approved filler products that cosmetic dermatologists use. A note for your safety, always make sure you are receiving FDA approved, brand name fillers, which are available ONLY through licensed physician's.
Which Filler Do I Need?
With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic dermatologist's guidance. Each product is uniquely formulated to have a certain texture, density and injection depth which means that certain fillers work better for certain areas of concern. Dr. Robinson will determine what product is best for you, the following diagram illustrates in general where board certified dermatologists tend to apply certain products:
What to Expect During Treatment
Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will discuss your concerns, goals and medical history with Dr. Robinson. While the risks associated with dermal fillers are minimal, you will need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions or medications can jeopardize your safety or results. For instance, you need to tell you doctor if you have been taking NSAID's (e.g., aspirin, ibuprofen, naproxen) or blood thinner, as these may increase the likelihood of bruising.
You may be given a topical anesthetic to numb the area prior to injection. although many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your doctor will then inject a precise amount of filler strategically beneath the skin.
Depending on the product and the areas treated, you should be able to notice subtle, natural looking results immediately. Some patients experience bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment
How Long Do The Results Last?
How long the effects of dermal filler will last depends on the product, the area treated and the individual patient. The results are not permanent making timing of when you receive your treatments essential. To maintain your results, Dr. Robinson will simply repeat treatment as needed, adjusting the amount and techniques as necessary to ensure optimal results.
Combining Botox and Filler - SWEET!
Botox and dermal fillers are very different types of injectables, however they complement each other quite nicely. When used together you can address multiple areas of the face simultaneously. Botox is typically used around the eyes and forehead, whereas dermal fillers are generally used on the middle and lower areas of the face. Using Botox and dermal fillers together can also prolong the results of treatment. In the long run you may even ending up saving money by combining the two treatments.
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.
Torn, split or long and droopy earlobe rejuvenation is an easy in-office procedure that takes approximately 30 minutes from start to finish. Under local anesthesia an enlarged earring hole is closed or a torn earlobe is restored. The sutures are removed in just one week. Dr. Robinson can re-pierce your ears 6 weeks later (see Pierced Ears). So go ahead and get those earrings you always wanted but couldn't wear.
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.
Skin Tags are growths that occur mainly in the folds of the skin such as the neck, underarms, groin, and beneath the breasts. Routinely found in families -- a father, mother or grandparent -- skin tags become more numerous with age. These growths, also referred to as barnacles, can easily be removed with an excellent and immediate cosmetic result.
If you are bothered by the moles or skin tags that occur on the neck, face, groin or under the arms or breasts then snip removal is an easy way to rid yourself of those annoying growths. It is often performed without anesthesia or pain and with a quick snip the excess skin is removed.
