Dermatologists specialize in diagnosing and treating conditions related to the skin, hair, and nails, including concerns related to cosmetic issues, such as sun damage and aging, as well as skin cancer, and other medical skin conditions.
Dermatologists who have additional interest and skill in performing surgical procedures are referred to as dermatologic surgeons or dermasurgeons.
Cosmetic dermatology - Non-surgical procedures
Lasers can be used for several cosmetic procedures, including skin resurfacing, teeth whitening, liposuction, and vision correction. Lasers come in two forms: Ablative, which remove the top layer of skin, and non-ablative, which are less invasive and use heat to stimulate cells to improve underlying collagen.
Chemical peels remove old skin so that new layers can grow in their place. This controlled removal ranges in strength, from superficial peels that use mild acids to deep peels that penetrate several layers of skin. Depending the type of peel you get, you might have a reaction similar to a sunburn, which may involve scaling, swelling, and blisters. This may last anywhere from three to 14 days, after which time your skin should be smoother, brighter, and softer.
Injectable fillers, like Juvederm or Restylane, can be used for everything from lip augmentation to wrinkle treatment to scar removal. There are many to choose from, and the RealSelf community has tried them all. Injectable fillers may be used to correct a variety of cosmetic concerns, such as wrinkles, thin lips, acne scars, and undereye areas.
Botox and Dysport
Botox is an injection that temporarily relaxes facial muscles to reduce the appearance of fine lines and wrinkles, as well as prevent new lines from forming. Common injection sites include the forehead, the area between the eyebrows, the corners of the eyes, and the sides of the chin. Botox can also be used for a wide variety of other conditions, including migraines, excessive sweating, and psoriasis.
Lip augmentation increases the fullness of the lips, using one of a variety of surgical or minimally invasive techniques. While the most popular methods use fillers such as Restylane or Juvederm, fat grafts, and lip implants may also be options.
Non-Surgical Nose Job
Those not interested in a traditional, invasive nose job may decide on the non-surgical option. This procedure makes use of injectable fillers such as Radiesse or Juvederm to smooth out bumps and humps and, at times, correct breathing issues.
Those worried about going under the knife may be able to lift and firm without surgery by using popular fillers like Restylane or Radiesse, laser treatments, and even alternative medical procedures like acupuncture.
Everybody’s had a zit and everybody’s wanted it zapped. Acne treatment ranges from prescription medication to surgery. And that doesn’t even begin to cover all the ways to treat acne scars.
Acne Scar Removal
Acne treatments refer to any method used to lessen acne, both non-inflammatory (blackheads, whiteheads, and milia), or inflammatory (pustules, papules, nodules and cysts). Treatments can include topicals that include retinoids, like Retin-A, or a prescription oral medication like Accutane. Other common treatments include: salicylic acid peels, laser and LED therapies, photodynamic therapy (Levulan), Fraxel laser, and intense pulsed light (IPL).
Microdermabrasion is a non-invasive treatment that gently exfoliates to smooth, brighten, and rejuvenate skin.
Dermabrasion is the process of surgically scraping the skin to help lessen the appearance of scars, wrinkles, pigmentation, and pre-cancerous lesions.
Varicose to spider, this form of treatment helps reduce the appearance of enlarged veins. Common treatments often include sclerotherapy and lasers.
Many methods are available to lessen the appearance of scarring, and the one used will depend on the severity of the scar. Non-surgical methods include injectable fillers for concave scars, light therapy, lasers, dermabrasion, and chemical peels. Deeper scars require surgery to remove.
As we age we lose volume in our face, primarily fat. As a result skin can hang down as gravity acts on it creating droopiness, wrinkles and bands. This can be thought of as excess skin and is similar in concept to a dress that becomes too large as its owner loses weight. In cases where you have a significant amount of this loose skin, you may find no other solution than plastic surgery (e.g. facelift, body lift, arm lift, etc.) because the underlying muscles need to be addressed and repositioned.
Cosmetic Dermatology - Surgical Procedures
Moles can be removed for aesthetic or medical reasons, especially if there are signs of melanoma. Mole removal uses one of three methods: a shave excision (cutting it off with a sharp scalpel blade); a punch excision (a small apparatus is placed over the mole and “twists” it out); or a surgical excision for larger moles.
Mohs Surgery (Reconstruction)
Mohs surgery removes skin cancer, working through skin layers until all traces of cancer are gone. It is most effective on the two most common skin cancers, basal cell carcinoma and squamous cell carcinoma.
A hair transplant (also called hair restoration or hair implantation) permanently restores the hair by transplanting new follicles into balding or thinning areas. Healthy follicles are taken from other areas of the body, most often the back or the sides of the head. This can be done by removing a single strip of skin and hair or removing the follicles individually. The number of grafts needed depends on the patient and the size of the area being treated. A typical surgery involves anywhere from 1,000 to 3,000 grafts.
Liposuction is an invasive procedure used to remove areas of fat that are resistant to diet and exercise. Thin tubes called cannulas are inserted into the body, dislodging fat cells and suctioning them out. Lipo can be performed on various body parts, including the abdomen and waist, hips and thighs, and cheeks, chin, and neck. It’s important to note that liposuction is intended to improve body contour and not to significantly reduce weight, cellulite, or sagging skin.
A facelift reduces wrinkles and sagging skin on the face and neck caused by aging or weight loss. The procedure removes excess skin, tightens the underlying muscles, and redrapes the skin in a higher position. The results go beyond what can be expected from wrinkle-fighting injections like Botox. Different types of lifts, such as cheek lifts or mini lifts, address specific concerns.
Blepharoplasty (more commonly known as eyelid surgery or an eyelid lift) removes or tightens sagging skin around the eyes, resulting in a smoother, more youthful appearance. The procedure may also be used to create a crease where one is missing.