Bruce P.Robinson, MD

Xeomin

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 Pulse Dye Laser

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.

What is a V-Beam Laser?

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.

What Is a Treatment Like?

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.

Cosmetic Consultation Reimbursement Policy

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.

Recovery After V-Beam Laser Treatment

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® Lift and Tighten

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.

Crank The Collagen

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.

What is unique about Ultherapy®?

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.

Can Ultherapy® replace a face lift?

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.

How is Ultherapy® different from laser treatments?

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.

How does Ultherapy® stimulate the creation of collagen?

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.

How long does an Ultherapy® treatment take?

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.

Will I need to take time off?

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.

What does the Ultherapy® treatment feel like?

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.

When will I see results? How long do they last?

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.

How many Ultherapy® treatments will I need?

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.

Are there any side effects?

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.

Is Ultherapy® safe?

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.

How much does an Ultherapy® procedure cost?

The cost of an Ultherapy® treatment can range depending upon the area being treated. To get the most accurate quote, consult with Dr. Robinson.

Who is a good candidate for Ultherapy?

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.

Cosmetic Consultation Reimbursement Policy

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 could Ultherapy® look like on me?

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

Before & after images:

TempSure Envi | Skin Tightening

Minimize Wrinkles, Fines Lines, Tighten Skin and Reduce the Appearance of Cellulite - Beautiful skin / Beautifully Simple

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 eye Envi, Erase Crows Feet, Lift Eyelids & Tighten Lax Skin Around the Eyes
  • Upper Face, Forehead Lines
  • Lower Face, 
  • Full Face
  • de'collete' (the V of the chest and between the breasts)
  • Cellulite on the Body
  • Abdomen (especially after pregnancy and weight loss)
  • Any area of the body requiring lifting and tightening

How does it work?

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

Cosmetic Consultation Reimbursement Policy

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.

“Before and After” TempSure Envi

What is a treatment like?

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.

How many treatments are needed?

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.

How long are the treatments?

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.

Why TempSure Envi?

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.

When will I see results?

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.

Is TempSure right for me?

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.

Cosmetic Surgical Excision of Cysts, Moles & Scars

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.

Surgical Excision of 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.

Surgical Excision of Moles

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.

Surgical Excision of Scars

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.

Cosmetic Consultation Reimbursement Policy

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

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.

Medlite Nd:Yag Laser

Laser Skin Renewal and Tattoo Removal are made possible with the Medlite laser. It is also the best choice for removal of unwanted brown and red spots on your skin including: liver spots, freckles, age spots, sun spots, brown birthmarks, such as cafe-au-lait spots and Nevus of Ota, broken capillaries, birthmarks, tattoos and angiomas. It has been compared to taking a pencil eraser and removing years from the appearance of your skin.

Preserve your skin's natural beauty

Just about everyone has a few obvious brown spots on their skin. Age spots, freckles, and various birthmarks are just a few of the commonly known marks generally referred to as pigmented lesions. Although some pigmented lesions can be ignored, many are quite conspicuous, and can easily detract from your skin’s natural beauty.

What causes these unwanted pigmented lesions?

Melanin is what gives our skin its color. The amount of melanin in your skin determines if you have a light or dark complexion. Pigmented lesions are dark in color simply because the melanin is abnormally concentrated in one area of the skin. High concentrations of melanin can be due to various factors. Some types are present at birth, but most occur with age, or as a result of overexposure to the sun's damaging ultraviolet rays.

How does the Medlite, Q-switched Nd:Yag Laser remove unwanted pigments in the skin?

The MedLite® laser is one of the most technologically advanced lasers for removing pigmented lesions. The laser removes these pigments with the energy of light. The specialized light produced by the MedLite laser is absorbed by the pigmented lesion. The unwanted pigment is then destroyed, thus removing or lightening the lesion.

What types of brown spots or pigmented lesions will the MedLite remove?

The MedLite Laser is most commonly used for removing brown and red spots, age spots, liver spots, sun spots, freckles, birthmarks, such as cafe-au-lait spots and Nevus of Ota, broken capillaries, tattoos and angiomas.

Does the MedLite laser remove my normal skin pigmentation also?

No, the laser light of the MedLite laser was specifically designed to effectively target the dark concentrations of melanin. After the abnormal amounts of melanin are removed, the skin's natural regenerative system will replace the normal melanin over time, returning the skin to its natural color.

Is the process painful?

The MedLite laser emits light in very short pulses. The impact of the energy from the power pulse of light is similar to the snap of a thin rubber band. After the treatment, the area will feel similar to a light sunburn. Typically any discomfort will disappear within a day or so. After the redness clears, the skin returns to its natural color, texture and tone.

How many treatment sessions will it take to remove the pigmented lesion?

Most common pigmented lesions are removed within one to two treatments. Some deeper lesions will require more treatments.

Can the excess pigmentation come back?

Common pigmented lesions do not return. Some birthmarks may return after a period of several months to a year. If that should occur, the procedure can be repeated.

What type of post-treatment care is necessary?

Usually, an antibacterial ointment will be applied to the area immediately after treatment. The treated area should be kept clean with a continued application of any ointment recommend to you by Dr. Robinson. The treated area should not be scrubbed.

How do I get started?

Make an appointment for a consultation to discuss your specific needs.

For Tattoos

The MedLite laser - a good choice for tattoo removal.

Decorative tattoos have a history dating back at least 5000 years and the desire to remove them has probably existed for just as long. Early attempts to remove tattoos have had less than desirable results. The use of dermabrasion, saltabrasion and Argon or CO2 lasers have left behind scars in place of the tattoo. The advent of Q-Switched lasers has permitted the removal of most tattoo inks with a very low risk of scarring. The MedLite laser; Q-Switched Nd: YAG laser is the laser of choice for tattoo removal. The MedLite laser can significantly lighten or remove a wide variety of tattoo inks.

How does the MedLite laser remove the tattoo?

The MedLite laser removes tattoo ink with the energy of light. A laser is a device which is designed to produce one or more specific wavelengths of light. Tattoo ink is removed by using this specific wavelength of light which passes into the skin, but is absorbed by the ink. The rapid absorption of light energy causes the tattoo ink to break into tiny particles which can then be removed by the body's own natural filtering systems. The MedLite laser provides maximum tattoo removal while leaving the surrounding skin unharmed.

What type of tattoos can be removed?

The MedLite laser can remove professional, amateur (homemade), traumatic and surgical tattoos.

How many treatments will it take to remove a tattoo?

On the average, professional tattoos require 6-8 treatments, while amateur tattoos require 4-5 treatments, all spaced approximately 6-8 weeks apart. The number of treatments depends on the amount and type of ink used, and the depth of the ink in the skin.

Does the laser remove colored tattoos?

Dark (blue, black) and red inks will resolve the best. Oranges and purples usually fade as well. Green and yellow inks are the most difficult to remove, and additional treatments are needed to produce significant fading.

Will the tattoo completely disappear?

In over 95% of the cases fading of the tattoo will be accomplished. However, there are many types of tattoo inks in use today which are not regulated by the FDA. Not knowing which tattoo ink was originally used, or how deeply it was applied, makes it impossible for the physician to predict the degree of removal on any given tattoo.

Is the process painful?

The MedLite laser emits light in very short pulses. The impact of the energy from the pulse of light is similar to the snap of a small rubber band on the skin. The majority of patients do not require anesthesia, depending on the size and location of the tattoo. Anesthesia creams are available if needed.

What type of post-treatment care is necessary?

An antibacterial ointment and a dressing will be applied to the area immediately after treatment. Occasionally, there will be pinpoint bleeding associated with the treatment. The treated area should be kept clean. Follow office post laser treatment instructions for what to do during the days following the procedure. A shower can be taken the next day, although the treated area should never be scrubbed. If a scab forms it is vital that you do not pick it or scratch it.

How do I get started?

Dr. Robinson will be happy to discuss this procedure with you. Please feel free to make an appointment for a consultation to discuss your specific needs.

Cosmetic Consultation Reimbursement Policy

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.

Laser Skin Tightening

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:

  • face
  • jawline
  • neck
  • stomach

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.

Laser Features and Skin Aging Treatment

Different types of lasers for skin rejuvenation are ablative lasers, non-ablative lasers, and fractional lasers

Ablative 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 Lasers

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.

Fractional Lasers

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:

  • The 1550 wave length: penetrates deep into the skin layers, specifically targeting concerns such as wrinkles or acne scarring.
  • The 1927 wave length: effectively targets tone, texture and other more superficial signs of aging

What can I expect during the treatment?

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.  

Does it hurt?  

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.  

How many treatment sessions will I need?

Usually 3 to 5 treatments at monthly intervals.  

How do I prepare for the treatment?

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.

What can I expect after the 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.

What precautions should I take after the treatment?

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.

Are there side effects?  

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.

Cosmetic Consultation Reimbursement Policy

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.

Laser Skin Resurfacing

Laser therapy is one of the most exciting treatments for skin resurfacing and rejuvenation. Today’s sophisticated laser technology allows us to achieve excellent, consistent results, without the risk and extended downtime.

How does laser skin resurfacing work?

Laser energy can be used to target both damaged skin at the surface, as well as aging collagen in the deeper layers of skin. The effect of this treatment is two-fold: first, you’ll see an immediate improvement in skin texture at the superficial level. As the skin heals, the treated area will be resurfaced with the growth of new, fresh skin cells, resulting in smoother, healthier-looking skin. Second, the laser energy also works to improve skin beneath the surface by stimulating the body’s natural healing mechanisms and encouraging the production of new collagen and elastin in the coming months.* Found in abundance in young, healthy skin, collagen and elastin provide natural skin firmness and elasticity.

Laser skin resurfacing can improve skin texture and tone, reduce wrinkles and acne scarring, and promote healthier-looking, more vibrant skin.This treatment is excellent for acne scarring as well as sun damaged or aged wrinkled skin. The laser vaporizes the damaged skin and commences the regeneration of fresh skin during the natural healing process. The thermal heating of the deep tissue stimulates new skin growth, promoting a healthy new collagen growth. This is usually accompanied by a week of healing time.

Can laser skin resurfacing be combined with other procedures?

Absolutely.  With a full range of state-of-the-art laser technology at his fingertips, Dr. Robinson can recommend the best treatment or combination of treatments to meet your skin rejuvenation needs.  Our HydraFacial MD signature treatment — is a godsend one - two weeks post Fraxel speeds up the shedding process that re-surfacing procedures inevitably induce while deeply hydrating the skin. Once healing is done, it is important to stay out of the sun as much as possible in order to maintain the results. The use of sunscreens, Retinol and skin brightening products will help keep hyperpigmentation at bay. In addition, Dr. Robinson often combines laser rejuvenation with BOTOX® injections and various fillers for maximum cosmetic improvement.

Patients may also take advantage of the unique arsenal of State of the Art Lasers @ The Dermatology Practice of Bruce P. Robinson of NYC.  This allows us to combine laser treatments and surgical procedures for the most outstanding results, while minimizing patient discomfort and downtime.  For example, patients may choose full facial resurfacing together with Warm Body Contouring. 

Cosmetic Consultation Reimbursement Policy

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.

Intralesional Steroid Injections

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.

What are the side effects of Intralesional Steroid Injections?

  • This injection is a form of steroid, which some may have an allergic reaction to. It is not very likely that you will be allergic, but it is possible may happen after injection.
  • It is possible that the skin may become thinner in the area of injection (atrophy). This is not very likely, but could result in a dimpling of the skin. This tends to recover after some time.
  • Bleeding may occur after any type of injection including intralesional steroids. It is also possible that the blood vessels surrounding the injection site may become more prominent after injection.
  • Pigmentation can develop around the injection site.
  • As with most injections, there is a chance that pain will be felt. Each area of the body has a different level of sensitivity for each individual, so discomfort is possible. Local anesthetics can be used if necessary to help with pressure or pain during the procedure.
  • There is a slight possibility that a treatment may be ineffective, or that the condition may return after the injection.
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