COSMETIC DERMATOLOGY PROCEDURES & TREATMENTS

With a wide range of cosmetic dermatology services, we offer procedures and treatments to help your skin look and feel refreshed and youthful.

We offer Cosmetic procedures that allow people to reverse the signs of aging in a safe and effective manner with minimal downtime. Patients with more serious skin issues such as, skin cancers, abnormal moles, cysts, lipomas, and other growths that are either dangerous or symptomatic can be removed surgically. To learn more about our cosmetic dermatology services, simply call our office at 561.495.9797

Toxins (Botox, Dysport, Xeomin)

Cosmetic
  • What is Botox/Dysport/Xeomin?
  • Where is Botox/Dysport/Xeomin used?
  • When will I see results?
  • What can I expect during the treatment?
  • What can I expect after my treatment?
  • What are the possible side effects?
  • Botox Before & After
  • Dysport Before & After
  • Xeomin Before & After

What is Botox/Dysport/Xeomin?

Botulinum Toxin type A was first explored for medical uses in the 1950’s. Botulinum toxin received its first FDA approval as Botox in 1989 for medical purposes, and in 2002 it received FDA approval as Botox Cosmetic for cosmetic treatments of facial lines and wrinkles.  Learn more.

Where is Botox/Dysport/Xeomin used?

These non-surgical injectables are FDA-approved to treat the frown lines between the eyebrows (Glabella). They are also used off-label to treat other areas such as periorbital wrinkle (crow’s feet), brow asymmetry, lip wrinkles, and platysma stranding (neck banding). Learn more.

When will I see results?

Generally results are seen in 3-5 days, although it may take a full two weeks to see the results. Typically patients will see the effects of the Botox/Dysport/Xeomin for 3-4 months.

What can I expect during the treatment?

During the treatment, which generally only takes a few minutes. Several tiny amounts of Botox, Dysport, or Xeomin are almost painlessly injected directly into the muscle. No anesthesia is required, however if you are concerned, we may apply topical anesthetic or cold packs to reduce any discomfort.

What can I expect after my treatment?

Immediately after your treatment, most patients look the same. Results of the treatment start being seen in 3-5 days after the treatment. Some patients may have little red dots for a few hours after. Bruising is uncommon, however, it may occur and usually resolves within a week. Learn more.

What are the possible side effects?

Possible side effects of Botox, Dysport, and Xeomin include possible discomfort, bleeding and bruising at the site of injection. A very small percentage of cases there can be drooping eyelid or ptosis, which resolves with time and sometimes with treatment. Learn more.

Botox Before & After

Dysport Before & After

Xeomin Before & After

Read More

Dermal Fillers (Restylane, Juvederm, Voluma)

Cosmetic Fillers
  • Understanding the Aging Process
  • What are fillers? What do fillers do?
  • Types of Fillers
  • Which Filler is Right for Me?
  • How is Treatment Performed?
  • Normal Duration of Fillers
  • Possible Side Effects
  • Juvederm Before & After
  • Voluma Before & After
  • Restylane Before & After

Understanding the Aging Process

Aging is a part of life, and as the years pass, we start to lose the youthful vibrant look we had for so much of our lives. Having an understanding of this process is key to treating it.

The aging process has multiple aspects such as genetics, fat, skin, muscle and bone. When you look at a more youthful face, such as a child’s face, there is the right amount fat, skin, muscle and bone in all of the right places. As we age, fat is lost, gained, or redistributed, depending on the area. This is what leads to circles under the eyes, gauntness and a tired appearance. Skin undergoes several changes as we age, including becoming thinner, drier, and it loses elasticity and collagen, which all allow for the skin to wrinkle or sag. These skin changes can be accelerated by smoking and sun exposure. Lastly we lose bone as we age. Bone is what gives the overlying muscle, fat and skin support and helps to hold them all up. The results of all of these changes are facial lines, wrinkles, and skin laxity, which make the face appear to have aged.

What are fillers? What do fillers do?

Dermal fillers are injections that add volume and fullness to correct moderate to severe wrinkles and folds on the face, including the lines from your nose to the corners of your mouth (nasolabial folds or laugh lines), the corners of the mouth, the area that extends downward from the corners of the mouth to the jawline (marionette lines). Fillers also can be used to define and plump or define the lips. Dr. Manolakos uses these products to give you a natural more youthful appearance. There are several dermal fillers and each one has its own unique formulation.

Types of Fillers

There are several dermal fillers and each one has its own unique formulation. Here are the fillers we use at Gold Coast Dermatology Center:

Restylane, Perlane, Juvederm, Voluma, and Belotero are a clear smooth gel formulation of hyaluronic acid. Hyaluronic acid is a naturally occurring substance in your skin. These products are specially formulated to act like your body’s own naturally produced hyaluronic acid, helping to instantly, visibly reduce moderate to severe facial wrinkles and folds or add fullness to your lips.

Radisse is also a filler, however if is made of tiny calcium-based microspheres suspended in a water-based gel. The calcium microspheres are similar to minerals found naturally in the body and over time, the microspheres and gel are absorbed leaving only natural collagen.

Sculptra aesthetic is a different type of facial injectable made from poly-L-lactic acid, which helps stimulate collagen growth. The main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades. This injectable is different than the others as it is a collagen stimulator and therefore needs an average of 3 sessions over a few months. See more details under Sculptra.

Which Filler is Right for Me?

Restylane, Juvederm, Voluma, Radisse, Sculptra – which filler is best for you? All of these products are very similar FDA approved products that have minor differences like size of particles, depth of injection, frequency of treatments. Choosing the right one for you is dependant on multiple factors, like what area is being treated, how soon do you need to see your results, what other treatments have you had. The best way to decide is by talking with Dr. Manolakos, or your doctor. Choosing a board certified dermatologist or plastic surgeon, means you have chosen a doctor who is trained to do these procedures.

How is Treatment Performed?

Dermal Fillers are minimally invasive; they are injected directly into the wrinkle or the lips in our office. Patients are pre-treated with a topical numbing cream to make the injection comfortable. In addition most of the products have numbing medicine in them to help with the discomfort. Most patients feel only minimal discomfort.

Normal Duration of Fillers

Dermal fillers fade very slowly and gradually, so for the vast majority of patients, results should last from 6 months to a year. After approximately 6 to 12 months, the effects of the dermal filler gradually weaken, until your skin returns to its natural state. The specific amount of time dermal fillers last varies depending on the patient’s skin, the treatment area, and the type of product used.

As treatment with dermal fillers is temporary, they require touch-up injections for maintenance, and eventually repeat injections. At Gold Coast Dermatology Center, Dr. Manolakos will determine the ideal time interval for your follow-up treatments, and develop the optimal injectable regimen to suit your needs. Alternatively, if you decide not to maintain your new appearance, the results will gradually disappear over time.

Possible Side Effects

In 2012, over 1.9 million injections with dermal fillers were performed. Most side effects of fillers are temporary such as bruising, swelling, slight discomfort (area may feel tender like a bruise), nodules or mild redness at the injection sites. As with all procedures that involve an injection through the skin, there is a risk of infection. There are some more serious risks that are very rare, such as scarring. Pregnant or breast-feeding woman should not have dermal fillers. People with previous bad allergies, particularly to gram-positive bacteria, or that required in-hospital treatment, should not use dermal fillers.

Juvederm Before & After

Voluma Before & After

Restylane Before & After

Read More

Laser Treatments

Cosmetic Treatment
  • IPL Photorejuvenation (photofacial)
  • Resurfx (resurfacing laser)
  • Photofractional
  • IPL Rosacea Before & After
  • IPL Brown Spots Before & After
  • Resurfx Before & After

IPL Photorejuvenation (photofacial)

Sometimes called a laser, IPL (intense pulse light) is a light-based treatment very successful for helping with age spots, brown spots, redness, sun damage, red blood vessels, and improving skin tone and texture. Gentle and non-invasive, an IPL photo-facial can be used to treat any skin surface, but most commonly is used for the face, arms, hands, and neck. Positive results are evident after the first visit, and downtime is minimal.

What to expect?

  • Mild post-treatment stinging may occur and swelling and redness can last one or two days. Treated spots take up to a week to fall off.
  • One to three treatments are usually needed to achieve desired results. Maintenance treatments are encouraged once or twice a year for the best outcome.

Resurfx (resurfacing laser)

ResurFX is a newly FDA-approved laser that works to improve fine lines and wrinkles, soften scars, address freckles, improve skin texture and tone, and promote collagen growth with minimal downtime. Fractional non-ablative laser resurfacing provides treatment both on the surface and deep in the dermis with a single treatment, this results in collagen production and skin tightening.

What to expect?

  • ResurFX is completed as a series of treatments. Because it is a limited downtime procedure, it requires multiple treatments for significant and meaningful results.
  • Immediately following treatment, you will have some degree of redness and swelling, which usually fades over about a week. Your physician will give specific instructions about what to expect for your particular treatment and how to minimize side effects.

Photofractional

Photofractional is a state-of-the-art, non-ablative photo-fractional skin surfacing technology that is used in conjunction with the Intense Pulsed Light (IPL) system. By combining these two powerful tools, you and your clinician receive greater convenience and customization for different skin conditions such as age and sunspots, fine lines, acne scars, uneven texture and skin tone.

What to expect?
Immediately following treatment, you may experience some redness or swelling, depending on your customized treatment. Most patients are able to resume their daily activities the very same day. You should also stay out of direct sun for a few days following treatment and apply sunscreen.

IPL Rosacea Before & After

IPL Brown Spots Before & After

Resurfx Before & After

Read More

Photodynamic Therapy (PDT)

(PDT)

Photodynamic therapy (PDT) is an FDA approved treatment used to treat precancerous lesions called Actinic Keratosis (AK’s) as well as acne, photoaging and even some superficial skin cancers. PDT is a unique treatment using a topical medication called Levulan (Aminolevulinic Acid, ALA). Levulan is applied to the skin then the patient is put in front of the light to activate the medication. The Levulin is activated by the lights and destroys targeted cells. This treatment often results in redness and scaliness, similar to having a sunburn for 1 day to over a week. Patients must avoid sunlight for 48 hours after the procedure.

Read More

Facial & Leg Vein Treatment

Cosmetic Treatment
  • Sclerotherapy Before & After

Tiny, dilated blood vessels on the face near the surface of the skin are called telangiectasias. These veins are harmless and are commonly found on the chin, nose, and cheeks. Especially common with those suffering from acne rosacea, telangiectasias are treated quite effectively and almost exclusively with lasers. Laser therapy is also a great option for spider veins and other leg veins. Often laser treatments are combined with Sclerotherapy for best results. Leg veins come in many forms, a consultation is recommended to examine them and decide on the best treatment options. Downtime involves redness, swelling and stinging. Blood vessels on the face may need as few as one to two treatments. Leg veins usually require more visits.

Sclerotherapy Before & After

SCLEROTHERAPY before after website

Read More

Microneedling Collagen Induction

Cosmetic Treatment
  • What is Microneedling?
  • How Does Microneedling Work?
  • What to Expect

What is Microneedling?

Microneedling is an exciting new collagen increasing procedure. It is an amazing option for treating many ailments, such as stretch marks, fine lines, acne scars, deep wrinkles, and photo damage. A great maintenance treatment, microneedling is perfect way to dull acne scars or just improve overall skin tone. Lines around the mouth, crow’s feet, and other unwanted signs of aging are no match for this procedure—results will continue for months after treatment.

How Does Microneedling Work?

The skin needling process does not damage the skin or remove the epidermal layer. The process involves creating minuscule micro channels in the skin allowing for maximum absorption of the therapeutic, rejuvenating products introduced in the treatment process. The delivery of the skin-specific serums directly into the deep levels of the skin stimulate new collagen fibers in a natural process. Over time, this will act to increase the thickness, suppleness and rejuvenate the general condition of the skin, as well as lighten pigmentation, soften wrinkles, scars and stretch marks.

What to Expect

Redness generally lasts up to four days. Downtime is minimal and dependent on depth of treatment. Deep lines, wrinkles and scars may require more downtime depending on your unique skin type. Microneedling takes from fifteen to thirty minutes, depending on the specific problems being treated. Pre-procedure numbing cream minimizes discomfort.

Read More

Chemical Peels

Cosmetic Treatment
  • What Are Chemical Peels?
  • What We Offer

What Are Chemical Peels?

Chemical peels are an affordable and easy way to keep your skin looking fresh and young. Those wanting to prolong results after a different procedure, maintain healthy skin, or even start a new skin care regimen can’t go wrong with a chemical peel. Light peels reveal a smoother, younger looking complexion by exfoliating the top layer of skin cells. They require minimal downtime. Deeper peels inevitably demand more downtime, but are an awesome treatment option for texture, fine lines and skin tone. Chemical peels stimulate natural collagen production, and trigger positive long-term effects.

What We Offer

Revive Peel
The Revive Peel, our signature peel, is a gentle yet very effective peel that is the perfect acid blend to stimulate collagen production, improve texture of the skin, even out pigmentation and brighten skin tone with no down time. For glowing, radiant skin!

Chemical Peels that Gold Coast Dermatology Center offer include:

Targeted Treatment Peels

  • Gylcolic Acid
  • Salicylic Acid
  • Lactic Acid
  • Mandelic Acid

Jessner’s Peel
Considered medium intensity, this peel uses deep layered lactic, salicylic and resorcinol

TCA Peel

Fruit Enzyme Peel
The amazing treatment is a gentle blend of salicylic acid, papain and bromelain enzymes for rapid exfoliation. Spearmint and camphor oils stimulate the skin while brightening the complexion, perfect for all skin types.

Pumpkin Enzyme Peel
This warming natural enzyme peel is rich in antioxidants with Vitamin A and C, beta-carotene, potassium and zinc. It resolves dead skin cells, stimulates blood flow, decongests and purifies pores while it protects against free radicals. Natural enzymes improve skin tone and the natural hydroxyl acids in pumpkin exfoliate skin.

Read More

Facials

Cosmetic Treatment

Facials are one the best ways to take care of your skin. A facial cleans, exfoliates and nourishes the skin, promoting a clear, well-hydrated complexion, and can help your skin look younger and refreshed.

What We Offer

Signature Renewal Facial
This is a customized facial, perfect for all skin types. It includes thorough skin analysis, cleansing, exfoliation, steam, light extractions, facial massage and skin specific treatment mask.

Collagen Infusion Ant-Aging Facial
This anti-aging facial is infused with hydrating hyaluronic acid, specialty serums, vitamins, peptides and antioxidants to treat and repair cellular damage while nourishing the skin. It is finished with a firming collagen mask and will leave your skin hydrated and glowing.

Deep Cleansing Purity Facial
This purifying facial is a corrective treatment designed to decongest clogged, sluggish pores, control oil production, calm breakouts and heal the skin. It includes all of our signature renewal facial steps plus clarifying serums and high frequency treatment to kill bacteria and calm skin.

Teen Clean Facial
This treatment is designed for the specific concerns of young skin. A thorough cleansing and gentle exfoliation is followed by a treatment to address any specific concerns. A mini lesson on proper at home skincare is included.

SkinFix Refresher Facial
The is a mini quick fix face refresher for that revitalizing “Glow on the Go!” Perfect maintenance between full facials or for that special night out. No extractions.

Read More

Topical Kits for Home Use

Cosmetic Treatment

In some cases, Dr. Manolakos and Lauren may recommend professional home systems to be used along with in office treatments. These at home treatments help to keep your skin look healthier, younger looking, and more radiant. They can be used with other procedures or by themselves. Home kits can easily be integrated into your morning and evening skin care routine.

Read More

Kybella

Cosmetic Treatment
  • What is Kybella?
  • Before & After

What is Kybella?

KYBELLA® is a prescription medicine used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.” It is not known if KYBELLA® is safe and effective for use outside of the submental area.

Before & After

 

Read More