• FotoFacial®- AgeDelay™

    Restore a natural, youthful beauty to your skin with no downtime

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  • Laser Scar Treatments

    Learn about how various factors influence the way your skin scars

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  • Injectable Treatments

    Treat deep lines and wrinkles with injectable treatments

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  • Laser Skin Treatments

    Dramatic improvement in wrinkles, scars, tone and texture

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  • Body Treatments

    Melt fat around problem areas and contour the body

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Injectable Treatments

Injectable treatments have come a long way from the initial days of Botox® to relax wrinkles. An injectable treatment can be used to reduce sweating, add filler to tear troughs to reduce dark circles, fill in laugh lines, create fuller lips, lift jowls or add volume to regain a more youthful appearance. Regardless of your area of concern, there are many treatment options available to you. Please give us a call to schedule a consultation or treatment.

What is Botox?

Discover the proven results that 11 million women and men have experienced. With real, noticeable results, no surgery and no recovery time, there are many reasons why Botox has been chosen by millions of women and their doctors. You may feel that the moderate to severe glabellar lines between your brows make you look tired or unapproachable, or have other reasons for being curious about Botox. Ask your doctor about Botox to find out if it is right for you.
Botox is a prescription medicine that is injected into muscles and used to improve the look of moderate-to-severe frown lines between the brows in people 18 to 65 years of age for a short period of time (temporary).

Botox is administered by a healthcare professional as a simple, nonsurgical treatment that is injected directly into the muscles between the brows. It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form between the brows.

What is Dysport?

Prescription Dysport is an injection used to temporarily improve the look of your moderate to severe frown lines without changing the look of your whole face. The untreated facial muscles still work normally, allowing you to freely show facial expressions, such as smiling, in untreated areas. Dysport is a formulation that has been shown to deliver temporary improvement in moderate to severe frown lines, even with repeat treatments. So, the effect of repeat treatment with Dysport may be comparable to your first use.

With just 1 injection into each of 5 points between and over the eyebrows, Dysport blocks the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines. You should not be treated with Dysport more frequently than every 90 days. Treatment with prescription Dysport can temporarily improve the look of your moderate to severe frown lines. Treatment generally takes just 10 to 20 minutes. The most common side effects of Dysport treatment are nose and throat irritation, headache, injection site pain, injection site skin reaction, upper respiratory tract infection, eyelid swelling, eyelid drooping, sinus inflammation, and nausea. You should wait at least 90 days between Dysport treatments.

What is Restylane?

The Restylane family of products includes Restylane, Restylane-L, Perlane, and Perlane-L. These products can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane may also be used for lip enhancement in patients over 21 years. Ask your doctor which is right for you. Products in the Restylane family should not be used by people with previous bad allergies, particularly to microorganisms known as gram-positive bacteria, or by people with serious allergies to drugs that have previously required in-hospital treatment. These products should not be used by people with bleeding disorders. Products should not be injected anywhere except the skin, just under the skin (Perlane and Perlane-L only), or in the lips (Restylane only).Restylane-L and Perlane-L should not be used by anyone with a known allergy to lidocaine.

Use at the site of skin sores, pimples, rashes, hives, cysts, or infection should be postponed until healing is complete. In these instances, product use could delay healing or make your skin problems worse. After treatment, you might have some swelling, redness, pain, bruising, or tenderness. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14 days in lips. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years. Rarely, the doctor may inject into a blood vessel, which can damage the skin. Although rare, red or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause an outbreak. To avoid bruising and bleeding, you should not use the products if you have recently used drugs that thin your blood or prevent clotting. Products should not be used during pregnancy, when breastfeeding, or in patients under 18 years for nasolabial folds.

Treatment volume should be limited to 6.0 mL in wrinkles and folds, such as nasolabial folds, and limited to 1.5 mL per lip (Restylane only), as greater amounts significantly increase moderate and severe injection site reactions. The safety or effectiveness of treatment in areas other than nasolabial folds and lips (Restylane only) has not been established in controlled clinical studies.

What is Juvederm?

Juvederm is the smooth gel filler that your doctor uses to instantly smooth away wrinkles around your mouth and nose. With just one treatment, you’ll get smooth and natural-looking results that last up to a year. Juvederm is manufactured using hylacross technology, creating a smooth-consistency gel. It is infused with lidocaine to improve comfort during treatment. With Juvederm you get the smooth results you expect, with the improved comfort you want. Everyone will notice, but no one will know. Everyone’s skin ages differently and Juvederm may be used to rejuvenate multiple problem areas. From smile lines to vertical lip lines, you can smooth away unwanted wrinkles and restore natural contours.

With any cosmetic treatment, safety is the first concern. As always, it’s important to consult with your doctor before deciding on a wrinkle treatment. Because Juvederm injectable gel is a non-surgical, in-office treatment, most patients experience minimal recovery and downtime.

What is Voluma?

Voluma injectable gel is indicated for deep (subcutaneous and/or supraperiosteal) injection for cheek augmentation to correct age-related volume deficit in the mid-face in adults over the age of 21. Voluma is the first and only FDA-approved filler to instantly add volume to the cheek area in people over the age of 21. Voluma provides a subtle lift and helps restore contour for up to 2 years. Voluma contains a modified hyaluronic acic derived from naturally occuring complex suguar that can help many patients look up to 5 years younger.

With any cosmetic treatment, safety is the first concern. As always, it’s important to consult with your doctor before deciding on a wrinkle treatment. Because Voluma injectable gel is a non-surgical, in-office treatment, most patients experience minimal recovery and downtime.

Written by Patrick Bitter Jr, MD

Patrick Bitter, Jr., M.D., is a board-certified dermatologist specializing in non-surgical treatments to improve skin health and delay aging and anti-aging medicine. He is the founder of Advanced Aesthetic Dermatology and maintains medical practices in Los Gatos, CA and Beverly Hills, CA. He graduated from the University of California with highest honors in Biology. He received his medical degree from Stanford University School of Medicine. He completed his dermatology residency at Stanford University School of Medicine in 1986. Dr. Bitter is regarded as the pioneer in the use of pulsed light technology for skin rejuvenation. He is the developer of the acclaimed FotoFacial procedure using pulsed light to rejuvenate aged skin. He has authored several ground-breaking scientific papers on the use of pulsed light for skin rejuvenation. He is a sought after lecturer and teacher and has taught over four thousand physicians world-wide in the use of pulsed light. Dr. Bitter has been featured as a celebrity dermatologist on ABC's Extreme Makeover. He is a member of several professional societies including Fellowship in the American Academy of Dermatology and the American Academy of Anti-Aging Medicine. Dr. Bitter has been a consultant to the medical laser device industry and to nutritional and anti-aging companies. Dr. Bitter is dermatologist for the San Jose Sharks National Hockey League Team. He is a former USA Triathlon National Champion and two-time Hawaiin Ironman Triathlon finisher.