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Cosmetic Procedures
The most up-to-date cosmetic techniques are available for the improvement of personal appearance, including Botox, Restylane, Sculptra, chemical peels, and laser surgery.
 
Botox
Botox treatment can help to diminish frown lines and crow’s feet without the danger and expense of surgery. Botox is a highly purified form of Botulinum toxin A, and is a muscle relaxant. It is injected via a tiny needle into the superficial muscles of the face. This relaxes these muscles, causing the overlying wrinkles to flatten out. The beneficial effects of Botox last approximately three to four months.

Before After


Before After

Unretouched clinical photos taken at maximum frown before BOTOX® Cosmetic and after treatment with BOTOX® Cosmetic at day 14. Results may vary. The photos featured on this Web site are of actual BOTOX® Cosmetic patients. www.botox.com
 
Restylane
Restylane treatment can help to diminish “smile lines” around the mouth and “smoker’s lines” around the lips. It is also used for lip augmentation. Restylane is made of a non-animal based hyaluronic acid. Hyaluronic acid is a natural substance that already exists in the human body, and provides volume and fullness to the skin. Restylane is injected via a tiny needle into the skin or lips, helping to restore a more youthful appearance. The beneficial effects of Restylane last approximately six months. www.RestylaneUSA.com
 
Sculptra
Sculptra treatment can help to restore volume in the face, where the natural course of aging leads to fat loss. Sculptra is an injectable substance that contains poly-L-lactic acid, a member of the alpha hydroxy acid family. It is a biocompatible, biodegradable material that has been widely used for many years in dissolvable stitches. Sculptra is injected via a tiny needle below the surface of the skin in the areas of fat loss. It diminishes the appearance of “hollow” cheeks, restoring a youthful fullness without the need for invasive surgery. The beneficial effects of Sculptra last approximately one to two years. www.Sculptra.com
 
Collagen
Collagen treatment can help to diminish “smile lines” around the mouth and “smoker’s lines” around the lips. It is also used for lip augmentation. Zyderm collagen is made from highly purified bovine collagen. It is injected via a tiny needle into the skin or lips, helping to restore a more youthful appearance. All patients must undergo a collagen skin test prior to treatment. The beneficial effects of collagen last approximately three months.

Before After

www.Inamed.com
 
Juvederm
Juvederm is a smooth consistency gel made of hyaluronic acid, which is a naturally occurring substance in your skin. It helps to add volume and hydration. Juvederm comes in two thicknesses to allow your physician to choose the optimal product for your needs. Injection takes about 15 minutes and the results are immediate. www.juvedermusa.com

Before After

 
Radiesse
Radiesse is made of very small, smooth calcium hydroxylapitite microspheres, which are suspended in a water-based gel carrier. Once the Radiesse is injected, a “scaffold” is formed, stimulating collagen production and encouraging tissue growth in and around the injection area. This “partnership” between Radiesse and your own body creates a natural look comprised of your own tissue and Radiesse microspheres. The results of Radiesse are immediate and typically last a year or more. www.radiesse.com

Before After

 
Perlane
Perlane is the newest member of the hyaluronic acid fillers from the makers of Restylane. The only distinction between Restylane and Perlane is that Perlane has a thicker particle size. This allows greater filling, and often greater longevity. Perlane in injected via a tiny needle into the skin or lips, helping to restore a more youthful appearance.
 
Laser
The Diolite 532 laser is used to treat selected vascular and pigmented lesions of the skin. Telangiectasias (broken blood vessels), angiomas, lentigines (“liver spots”) and keratoses can all be diminished using the laser. There is minimal downtime after treatment. After vascular lesions are treated, there are a few hours of redness, which resolves spontaneously. After pigmented lesions are treated, they turn darker and form a superficial crust that falls off naturally within a week. Multiple treatments may be required, and are usually spaced about a month apart. www.iridex.com
 
Acne Facial Treatments
This new facial treatment is ideal for patients suffering from persistent acne. This procedure combines comedonal extractions, a light glycolic peel and a liquid nitrogen slush. It helps to eradicate clogged pores, exfoliate dead skin and reduce further breakouts. It is the perfect complement to a prescription acne regimen, and is popular among both teenagers and adults alike.
 
Glycolic Acid Peel
The Glycolic Acid Peel is the mildest of the chemical peels offered at Bernardo Dermatology. The Glycolic Acid Peel is a controlled superficial exfoliant that enhances the skin’s texture. It can help to improve blotchy pigmentation, freckling, sun damage, fine lines and can help in the treatment of acne. The Glycolic Acid Peel involves the application of glycolic acid to the skin; there are normally a few minutes of mild stinging or burning. A hand-held fan is used to decrease the burning sensation. After the peel, the skin may appear pink. During the next few days, there may be mild redness and occasional areas of flaking skin. The Glycolic Acid Peel is most often done in a series spaced three to four weeks apart. It is a noninvasive means for facial rejuvenation with very little downtime.
 
Beta Lift Peel
The b-Lift Peel can help to improve blotchy pigmentation, freckling, sun damage, fine lines and can help in the treatment of acne. The b-Lift Peel involves the application of salicylic acid to the skin; there are normally a few minutes of mild stinging or burning. A hand-held fan is used to decrease the burning sensation. After the peel, you will have a white powdery mask on your face. During the next few days, there may be mild redness and peeling. The b-Lift Peel is most often done in a series spaced three to four weeks apart. It is a noninvasive means for facial rejuvenation with very little downtime.
 
Light TCA Peel
The Light TCA Peel is an intermediate strength chemical peel that is stronger than the b-Lift, but not as strong as the TCA peel. The Light TCA Peel can improve blotchy pigmentation, freckling, sun damage and fine lines. The Light TCA Peel involves the application of a dilute trichloroacetic acid preparation to the skin. There are normally a few minutes of stinging and burning after the medication is applied. A hand-held fan is used to decrease the burning sensation. After the procedure, the skin turns darker and feels tight. During the course of the next several days, the skin will peel in “cornflake” sized flakes. As the skin peels, it reveals a new fresh layer of glowing, youthful appearing skin.
 
TCA Peel
The TCA Peel is the strongest chemical peel offered at Bernardo Dermatology. The TCA Peel can improve blotchy pigmentation, freckling, sun damage and fine lines. The TCA Peel involves the application of a concentrated trichloroacetic acid preparation to the skin. There are normally several minutes of burning or stinging after the medication is applied. Both prescription painkillers and a hand-held fan are used to decrease the burning sensation. After the peel, the skin turns darker, feels tight, then cracks and peels off in sheets over the course of the next five to ten days. The TCA Peel yields the most dramatic difference in overall skin appearance and rejuvenation. Unlike the other peels, it is not done in a series, but can be repeated once a year if desired.
 
 
 
Dr. Francis A. Barber, Jr
Dr. Ruth A. Larson
Dr. Shauna A. Schneider
Dr. Lynn P. Shipman
Dr. Elizabeth E. Vierra
Dr. Mark A. Vierra
Leah Larson, N.P
 
 
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