Cosmetic Procedures

LaseMD Ultra is an advanced non-ablative fractional laser used for skin resurfacing and rejuvenation. It uses a 1927 nm Thulium laser to create thousands of microscopic treatment zones just below the skin’s surface. These tiny micro-channels trigger your skin’s natural healing response, promoting collagen and elastin production and revealing smoother, brighter, healthier skin — without removing the top layer of skin.

Key Features

• Non-ablative → doesn’t strip or damage the outer skin layer.
• Fractional → targets only a fraction of the skin at once for faster healing.
• Customizable intensity →  based on your goals and skin type.
• Common treatment areas include: the face, neck, chest/décolletage, hands, arms, and shoulders.

What it Treats

LaseMD Ultra can address a range of skin concerns, such as:

• Hyperpigmentation, sun spots, age spots, freckles & melasma.
• Uneven texture and tone.
• Fine lines and early wrinkles.
• Sun damage & dull skin.
• Large pores & acne scarring.
• Actinic keratosis (pre-cancerous lesions) in some cases.

What to Expect During Treatment

• Preparation: Clean skin + topical numbing cream for about 15 minutes.
• Procedure Time: ~10–30 minutes depending on the area.
• Many describe the sensation as warm tingling or mild prickling.
• Minimal downtime: Most people return to normal activities immediately. After treatment, your skin might look slightly red, warm, or flushed — similar to a light sunburn — which typically fades quickly.

Recovery And Results

• Mild redness lasts ~1–2 days.
• Skin may feel dry with a sandpaper texture as it exfoliates over 5–7 days.
• Results begin within a week, with ongoing improvement as collagen develops.
• A series of 3–6 treatments spaced weeks apart is often recommended for optimal results.
• Many people maintain results with occasional maintenance sessions and good skincare.

Frequently asked questions

1. Is LaseMD Painful?
   Most people tolerate it well. You may feel mild warmth or tingling. Topical numbing can be used to enhance comfort.
2. Who is a good Candidate?
   It’s generally safe for all skin types when performed by a trained provider, including Fitzpatrick skin types I through VI.
3. How Many Sessions will I need?
   Visible improvement can appear after one session, but most providers recommend 3–6 treatments for best outcomes.
4. Does it work on deeper wrinkles?
   It’s ideal for fine lines, texture and pigmentation. For deeper wrinkles, your provider may combine it with other treatments.
5. Can i wear make up after treatment?
   Yes — you can typically apply makeup in 24 hours once any post-treatment redness or sensitivity subsides
6. Is there downtime?
   Very minimal. Most people return to normal life quickly, though some temporary redness or texture changes may appear.
7. Are there risks?
   Side effects are usually mild and include temporary redness, warmth, or dryness. Follow your provider’s aftercare instructions to minimize risk.

Before and After

The DermaV Laser by Lutronics brings the latest laser technology straight from South Korea. A powerful dual wavelength 532nm KTP and 1064nm ND:Yag laser, it treats multiple indications in an efficient, non-invasive manner, with minimal discomfort.

• Tired of seeing red? DermaV™ is incredibly effective in reducing the appearance of redness, flushing, and superficial veins. 
• Got spots? DermaV offers a comfortable, non-invasive treatment to help reduce unwanted pigment and achieve a bright, healthy-looking complexion on face, neck, and décolletage. 
• Ready for the skin you deserve? The unique Clear and Smooth™ treatment with IntelliTone™ technology comfortably delivers improved tone and texture to keep your skin looking and feeling amazing!

What can DermaV treat?

• Red spots (angiomas), spider veins, rosacea (flushing/redness)
• Brown spots (lentigines) and mottled discoloration (poikiloderma)
• Scars, Keloids
• Acne – perfect for patients who want to avoid oral medications
• Birthmarks (port wine stains, hemangiomas, capillary malformations)
• Hair removal – dark facial hair
• Rejuvenation - painless “laser toning” to improve skin quality with no downtime 

Frequently asked questions

1. What can I expect from the treatment? 
   You may experience mild discomfort throughout the treatment, which will vary depending on the condition of your skin and the area being treated. Your provider will work with you to ensure the procedure is as comfortable as possible.
2. How long does a treatment take? 
   Depending on the size and area to be treated, your session could last from 5-20 minutes.
3. What will happen after the treatment? 
   You may experience mild redness and puffiness immediately following the laser treatment, but you should be able to return to normal activities right away. Laser toning has no downtime. You can apply light makeup if desired. Don’t forget your sun protection!
4. How long before I see results? 
   Some lesions may immediately disappear while others will take time to be broken down and removed by your body. Your skin will continue to regenerate and revitalize for several weeks.
5. How many treatments will I need?
   The number of treatments depends on the severity of your issue as well as type of condition. Your provider will work with you to determine the number of treatments you will need to achieve your desired results.
6. Is it painful?
   Laser toning for rejuvenation is painless, and you will simply feel heat. Treatment for red spots, spider veins, and hair removal uses higher bursts of energy but the DermaV has a state-of-the-art instant cooling spray that makes the procedure very comfortable. No numbing is required.

Before and After

We offer VI Peels for the face and body to treat acne, skin rejuvenation, photoaging, and pigmentation. Please see http://www.vipeel.com for more info.

Morpheus8 is a new subdermal adipose remodeling device (SARD) that fractionally remodels and contours the face and body. Penetrating deep into the skin and fat, this morphs the aging face of body into a more desired smooth and sleek appearance, for all skin tones. Morpheus8 has the ability to penetrate deeper into the skin than any other microneedling device, going as deep as 4mm. Patient comfort is a major advantage of this device because of the sharper needles and tiny punctures it causes in the skin without tugging or pulling. M8 can be used for, but is not limited to treating wrinkles, acne scars, stretch marks surgical scars and more.

FAQs

WHAT IS MORPHEUS8?
MORPHEUS8 is a fractional skin treatment that stimulates collagen production of the underlying layers of the dermis. By targeting the deeper layers of the skin, the building blocks will reorganize themselves in a natural anti-aging process.

WHAT AREAS CAN BE TREATED?
Morpheus8 can be used on any areas that can benefit from sub-dermal renewal. The most commonly treated areas include the lower face and neck. Areas of the face and body that exhibit wrinkles, discoloration or acne scarring are suitable for treatment.

HOW MANY TREATMENTS WILL I NEED?
Depending on your Morpheus8 treatment regime you can expect to have between 1-3 sessions.

HOW QUICKLY WILL I SEE RESULTS?
Visible results can be seen within a few days, but typically after three weeks the most noticeable results appear. Improvements continue up to three months after treatment.

WHAT IS THE BENEFIT OF FRACTIONATED ENERGY?
Fractionated RF energy is a scientifically proven method to reduce wrinkles and rebuild collagen and fat. It is minimally invasive, using a matrix of micro pins to renew deeper layers of the skin with almost no patient downtime.

CAN ANYONE USE MORPHEUS8?
The benefit of Morpheus8’s color blind technology is that it can be used on all skin types. The unique properties allow even darker tones to be treated.

WHAT IS THE BENEFIT OF RF ENERGY?
RF energy heats the deep layers of the skin in a controlled way to revitalize the collagen. The treatment will improve skin complexion and texture for a more radiant and youthful appearance.

CAN THIS BE USED IN COMBINATION WITH OTHER TREATMENTS?
Yes, Morpheus8 can be used in the same treatment session, or a few days after other treatments.

WHEN CAN I PUT MAKE-UP ON AFTER TREATMENT?
Since patient downtime is minimal, makeup can be applied 1 to 2 days after the treatment. Patients should expect to see micro lesions a few days after treatment and slight redness for up to 1 week depending on treatment parameters.

WHAT KIND OF POST PROCEDURE CARE IS REQUIRED?
Patients should moisturize the treatment area and avoid direct sun exposure. It is also recommended that patients use a good, broad spectrum sunscreen every day. In addition to reducing their future risk of skin cancer, sunscreens also reduce wrinkles and slow the aging process.

Before and After

The Q-switched laser is a 532nm Nd:YAG laser that utilizes nanosecond bursts of energy to specifically target pigmented lesions. It effectively eradicates lentigines or “brown spots” on the face, chest, and hands in 1-3 treatments.

FAQs

How do I schedule this laser?

• Schedule a consultation with one of our providers to see if this laser is appropriate for you.
• A dedicated laser visit will be scheduled with Dr. Chung or Dr. Patrone.
• This laser is not scheduled during the summer months June-Sept due to sun exposure which cause increased risk of burn from the laser and post-treatment hyperpigmentation (darkening of the treated areas).

How do I prepare?

• Avoid prolonged sun exposure or tanning at least 6 weeks prior to the procedure. If your skin is tanner than usual, it can increase the risk of a burn from the laser.
• Come to your appointment with a clean face: no makeup or lotion.
• Avoid wearing jewelry – the laser can reflect off shiny surfaces.
• Schedule during a week where you don’t have special events or planned sun exposure such as a wedding, birthday dinner, sunny vacation or outdoor soccer game.

What can I expect during my visit?

• Eye protection will be applied. Dr. Chung or Dr. Patrone will treat each brown spot with the laser, customizing the settings to your skin type and lesion size, thickness, and pigment density. The laser will feel like a rubber band snapping against your skin each time it pulses.
• The procedure takes about 10-15 minutes. Most patients do not require topical numbing, but you can request numbing in advance, which takes 15-20 minutes.
• After your treatment, we will apply Aquaphor or Vaseline to the treated areas, which will be temporarily red like chicken pox.

What is the healing time?

• The first day all the treated spots may appear red, swollen, and slightly scabby, like chicken pox. The redness will subside in 1-2 days and thin dark scabs will form on the treated spots. The scabs will flake off in 5-10 days.
• Most of the treated spots will disappear. Some may appear pink for up to several week. Stubborn spots may still have some pigment remaining and will require another treatment.

How should I care for my skin following the procedure?

• Wash twice a daily with a gentle fragrance-free facial cleanser just using your hands (no washcloth or cleansing brush). Avoid any cleanser with exfoliating ingredients. Do not scrub the skin. Pat dry gently without rubbing.
• Next, apply a thin layer of Aquaphor or petroleum jelly to all the treated spots.
• If desired, a sparing amount of concealer or makeup can be applied after day 3.
• Apply a mineral-based sunscreen every day.
• Avoid sun exposure, especially in the first few weeks after your laser, due to risk of increased pigmentation in the treated areas. Moving forward, continue to always protect your skin from the sun to prevent new brown spots from forming.

How many treatments will I need?

• Depending on the number of spots and pigment density of each spot, patients will need an average of 1-3 treatments, spaced 4-6 weeks apart.

What are the risks or potential adverse effects of this laser?

• There is a risk of burning the skin or causing increased hyperpigmentation to the treated areas if proper settings are not used. If proper eye protection is not used, there is a risk of the laser adversely affecting your vision. Therefore, we take every precaution to protect your skin and your eyes. Caring for your skin properly after the procedure is also essential. Lasers are powerful tools that should only be used by licensed clinicians. In our practice, only board-certified dermatologists operate the Q-switched laser. For certain skin types and lesions, we may do a complementary test spot prior to treating the entire face.

SkinPen® Precision Microneedling System is a medical device intended to treat facial acne scars in adults aged 22 years or older. Aesthetic Purposes: SkinPen® Precision Microneedling System is also intended to help improve the cosmetic appearance of fine lines, wrinkles, stretch marks, surgical scars, enlarged pores and pigmentation conditions (dyschromia).

Botox and Dysport
Botulinum toxin is a neuromodulator used to freeze targeted muscles in the face, preventing movement that causes wrinkles. The most common locations include the forehead, between the brows “11 lines”, and crows feet. It can also be used to enhance the lips, prevent a downturned smile, reshape the jawline, and relieve jaw tension. Medical indications include hyperhidrosis (excessive sweating). We offer several brands of botulinum toxin to fit your needs.

Restylane and Revanesse
Hyaluronic acid fillers can be used to restore structure and volume loss to the face due to either aging or weight loss. Special care is taken to select the appropriate type of filler for desired effect. Fillers carry potential risks of infection or blockage of blood vessels. These procedures are performed only by Dr. Patrone.

The HydroDerm Facial is a multi-step facial available to our current patients. It utilizes the power of water, oxygen, microdermabration, and radiofrequency energy to revitalize the skin. Powerful yet gentle, there is no downtime, and your skin will feel cleansed, refreshed, brighter, and tighter. Patients can opt for regular monthly maintenance facials or schedule facials as needed before special events. Our licensed aesthetician Dana DeGarduer will perform this 45-60 minute facial, customizing it to each patient’s individual needs. Call the office to schedule at your convenience.

Features include:

• HydroDermabrasion: the diamond tip exfoliates with alpha hydroxy acid. Gentle suction clears sebum from pores and infuses antioxidants, peptides, and hyaluronic acid.
• Radiofrequency: quadripolar or bipolar radiofrequency is used to stimulate collagen and elastin for tightening and lifting.
• Oxygenation calms and rejuvenates the skin.
• Ultrasonic Mesotherapy delivers deep hydration and repair.
• Custom application steps may include Vitamin C antioxidant therapy, retinol for rejuvenation, or tranexamic acid for pigment correction.

Acne scars can be challenging to treat and require a combination of therapies. Controlling active acne is the first step, then various cosmetic procedures can address the stubborn remaining scars. At Premier Dermatology, we offer subscision and TCA cross, treatment with Morpheus 8, as well as dermal fillers.

Removal of benign lesions are typically not covered by insurance, but we offer affordable options to remove milia, skin tags, seborrheic keratoses (warty growths), angiomas (cherry red spots), sebaceous hyperplasia (overgrowth of oil glands) or benign moles.