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Obagi Products

Obagi is one of our top selling product lines. Obagi has systems that help hyperpigmentation, sun damage, rosacea and even acne. All the Obagi lines give amazing results.

*The C RX System is for sensitive and sun damaged skin. It is brightening. This system combines prescription strength hydroquinone with vitamin C.

*The Clenziderm System is for acne. This acne system has salicylic acid and a 5% solution of benzoyl peroxide which penetrates deep into the hair follicle to kill the acne causing bacteria.

*The Decolletage System is designed to reduce hyperpigmentation, age spots and appearance of fine lines on your chest and neck.

*The Elastiderm Eye Cream is amazing. In just 9 weeks it will restore elasticity and reduce visible fine lines around the eyes.

*The Rosaclear System is a new system designed for patients with rosacea. The system includes calming agents Includes calming agents such as licorice, aloe, lavender and sea whip. The system recommends it be used with metrogel. We are only selling the gentle cleanser, a hydrating complex to moisturize the skin and a skin balancing sunscreen to reduce the appearance of redness and blotchiness.

*Obagi also offers C Serums for use around the eyes and face. These products give the skin firmness and a healthy glow and range from 5% to 20% in concentration.

*The Obagi Nu Derm System has prescription strength ingredients that penetrate to a deep cellular level, whereas most products work only on the surface of the skin. Clinically tested and FDA approved Obagi Nu Derm combine, tretinoin and hydroquinone for better results. Using the Nu Derm System is twice as effective as using either tretinoin or hydroquinone alone. In just 12 weeks you can have radiant, brighter skin, fewer freckles and brown spots. It’s a complete transformation process that has your skin looking younger and healthier.

The Obagi skin care line is our product of the month. Schedule a consultation with our Skin Care Department to find out which Obagi skin care line is best for you.

Laser Treatments

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UltraPulse Fractional Ablative Laser Resurfacing

What is Fractional CO2 Laser Resurfacing?

Fractional CO2 ablative laser resurfacing is a revolutionary laser technology for aged, sun-damaged, pigmented or scarred skin. It is a precise, effective, and long-lasting method to regenerate new, healthy skin. The minimal downtime procedure uses Fractional CO2 Laser microbeams to precisely target the deep dermal layers of the skin. This stimulates a cascade of healing responses that leads to tissue regeneration and new collagen formation throughout the entire treatment area. As a result, the skin is restored to a healthier, more youthful state. The face, neck, chest and hands can all be treated with UltraPulse technology. Because only a fraction of the skin is actually touched by the laser, healing time can be limited to just a few days.

What Conditions Can It Treat?

Cosmetic Indications:

  • Rhytides (Wrinkles)
  • Mottled dyspigmentation
  • Telangiectasia (Red Spots)
  • Solar lentignes (Brown spots)
  • Large pores
  • Rough skin texture

Medical Indications:

  • Actinic keratosis (sun-damaged skin, precancerous lesions)
  • Seborrheic keratosis (sun-damaged skin, precancerous lesions)
  • Sebaceous hyperplasia (yellow, shiny bumps on the face)
  • Rhinophyma (nose swelling and tissue over growth)
  • Epidermal Melasma (Brown spots)

Who Will Perform the Procedure?

Our dermatologic surgeon, Dr. Weimin Katherine Hu, will perform your procedure. She has fellowship training in laser and cosmetic surgery and has extensive experience with ablative lasers and other cosmetic procedures. Along with her strong background in wound healing and reconstructive surgery as a Mohs surgeon, she provides her patients with excellent treatment and a high level of satisfaction.

What is Fractional CO2 Laser Resurfacing Treatment Like and Is the Procedure Painful?

Fractional CO2 laser resurfacing is typically performed in a physician’s office and lasts for about 20 minutes. Your comfort is our top priority. Oral pain medications, as well as topical anesthesia, may be used during the treatment. As the microbeams are applied, you will feel a warm sensation at the treatment area. Immediately following the treatment, your skin will feel warm and will be similar in appearance to a deep sunburn. Over the next several days you will follow a gentle washing and moisturizing regimen, and avoid direct exposure to sunlight.

The post-procedure discomfort is minor; our patients have been able to tolerate the procedure very well. As your skin heals, it will begin to flake, and you will notice improvement in your wrinkles, fine lines, pigment and scars. Redness can last a few months depending upon your individual skin type.

You will be able to go back to work in 5-10 days depending on the depth of the treatment.

How Soon Will I See Results and How Long Will They Last?

You will notice improvement with skin texture and color in about two weeks. Wrinkle improvement will take about 2-6 months since it depends on collagen regeneration. UltraPulse ablative resurfacing can typically provide long lasting benefit for decades.

How Do I Get Started?
Call us at 520-618-0235 to schedule your consultation today!
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Intense Pulsed Light Therapy

What is IPL?
IPL uses short bursts of high energy light to penetrate into the skin and correct a variety of abnormalities. It has been used to effectively treat the redness associated with rosacea, removal of broken facial veins and brown spots associated with sun damage. One of the advantages of IPL is that it is non-ablative and noninvasive, meaning it does not involve surgery or destruction of the skin.

How does it work?
IPL is similar to laser therapies in that it uses a beam of light to target pigmentation and wrinkles and eliminate them with heat. However, instead of using just one color, or wavelength of light, IPL uses a range of wavelengths. This gives our technicians the ability to adjust how deep in the skin the light goes and what structure it targets. Different structures in the skin absorb different wavelengths of the light more effectively. This prevents the use of excessive energy and damage to other layers of the skin.

What does IPL treat?

Problem Areas:

  • Hands
  • Arms
  • Chest
  • Neck
  • Face

Target Conditions:

    • Rosacea
    • Spider Veins
    • Brown Spots

 

 

What can I expect during treatment?

IPL treatments typically involve four to six visits spaced three to six weeks apart. The procedure takes about 20 minutes and patients can return to their normal routine immediately. IPL infrequently causes some side effects including mild discomfort during treatment and skin turning pink, freckling, mild swelling and feeling a little sore immediately after the procedure. Side effects are minimal and typically fade within two weeks of the procedure.

How Do I Get Started?
Call us at 520-618-0235 to schedule your consultation today!
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Vbeam Vascular Laser

What is Vbeam?

Our 595-nm pulsed-dye laser (PDL) has a superb reputation in the treatment of vascular lesions. It targets unwanted blood vessels while leaving other skin structures with minimal damage. The duration of the pulses can be adjusted so that the desired energy can be delivered to the targeted vessel without excessive heat to the surrounding skin. This laser also has a Dynamic Cooling Device (DCD), which delivers a spray of cool air prior to the laser pulse, protecting the epidermis and reducing the risk of blistering, purpura, and pigmentary changes. The V-beam has been considered to be the most effective and safest modality of choice for the removal of excess blood vessels.

What Conditions Can It Treat?

Cosmetic Indications:

  • Skin Rejuvenation
  • Diffuse Redness
  • Pigmented Lesions
  • Facial/Leg Veins
  • Wrinkles
  • Scars and Stretch Marks
  • Freckles, Sun and Age Spots
  • Poikiloderma

Medical Indications:

  • Rosacea
  • Warts
  • Acne
  • Psoriasis
  • Hemangioma/Port Wine Stain
  • Angioma
  • Venous Lakes
  • Benign Gynecological Vascular Lesions
  • Other Benign Cutaneous Vascular Lesions
  • Onychomycosis (Toe Nail Fungus)

What Does the Procedure Feel Like?
In most cases, our patients consider the treatment very tolerable with no need of any pain medications. However, in the cases of patients with a large treatment area, Tylenol can be taken prior to the treatment to reduce the discomfort during the procedure.

What Can I Expect After the Procedure?
In general, each treatment can reduce target vessels by 50-90%. The necessary number of treatments is determined by the type of blood vessel, the area being treated, and the medical condition of the patient. In most cases, 2-3 treatments will achieve a satisfactory outcome. For some conditions, such as port wine stain, 6-8 treatments are necessary. On average, treatment can be done every 4-6 weeks. Additional “touchup” treatments on small troublesome areas can be arranged at relatively low cost.

Normally, there will be some swelling and possibly purpura (red-purple discoloration, bruising) after treatment. You can use cold compresses for the first 24 hours after the procedure for comfort if necessary.

How Do I Get Started?
Call us at 520-618-0235 to schedule your consultation today!
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Laser Hair Removal

Specialists in Dermatology offers permanent hair reduction with laser hair removal treatment. This treatment option for hair removal is great news for both men and women and can target many different areas on the body. Today, laser hair removal is a more viable alternative to shaving, waxing, and plucking than ever before. In fact, nearly 1.3 million Americans underwent laser hair removal in 2009 due to its proven safety and effectiveness.

How Does it Work?
During laser hair removal, a large beam of highly6 concentrated light is generated and focused onto the skin. The light emitted is absorbed by the pigment located in the hair follicles (melanin). Throughout the procedure, the laser pulses for a fraction of a second, allowing the hair to absorb the light and heat up. This significantly reduces the hair’s ability to regrow, and results in permanent hair reduction over time.

How Many Treatments Will I Need?
Because hair grows in phases, a series of treatments will be needed to remove the hair that subsequently enters the growth phase. Treatments are generally spaced 6-8 weeks apart to compensate for this.

What Can I Expect?
Following laser hair removal the treated area may appear slightly red, but this is usually minimal and gone within a few hours. If you have tanned skin or have been exposed to a lot of sunlight, you may be asked to wait until the tan has subsided to begin treatment. Additionally, the treated area must be shaved close to the skin immediately prior to treatment – this can be done at home and we will assist in shaving the hard-to-reach areas in the office. Three weeks prior to treatment, patients are told not to use hair removal products such as gels and waxes.

How Do I Get Started?
Call us at 520-618-0235 to schedule your consultation today!
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Cosmetic Facials

Eminence Spa Treatments and techniques are as unique as the natural ingredients from which they are made.  Eminence brings together a vast array of potent, natural ingredients and essential technique training.

Eminence Facials are customized to address your individual needs and to fit your schedule.  Our skin care specialists will meet with you and tailor your treatment to address your specific skin care needs and wants.

Below is a sampling of facials we frequently perform:

  • Classic Facial for dry, mature skin types
  • Lemon cleanser
  • Wild Plum Toner

To begin we use an AHA  Fruit Pulp Treatment added with a Paprika Herbal Treatment , mixed with a Rosehip Maiz Masque; for a nice kick you can add a Pear and Poppy Seed Microderm Polisher. Follow with a Naseberry Treatment cream that is be massaged into the face for up to 5-10 minutes. This facial is followed with customized serums of your choice. To end with a nice Tomato Sun Cream SPF 16.*

Classic Facial for Oily, Acne Skin Types

  • Stone Crop Gel Wash
  • Stone Crop Hydrating Mist

Similar to the Classic Facial for dry skin types, this facial begins with the AHA Fruit Pulp Treatment added with a Paprika Herbal Treatment. Follow with a soothing facial steam, optional extractions and a Seven Herb Treatment Masque/ Stone Crop Masque. Your Moisturizer would be a Rosehip whip Moisturizer. This facial comes with an eye contour cream of your choice and a Tomato Sun Cream SPF 16.*

Facial for Sensitive, Rosacea Skin Types

  • Stone Crop Gel Wash
  • Sweet Red Rose Toner

This facial begins with a relaxing Rosehip Exfoliating Masque. We can either use a Seven Herb Treatment or a Clay Masque to nourish skin. For extra calming and Hydration we can use a Linden Calendula Treatment as a massage cream for up to 5-10 minutes. The Serum used in this facial is the Couperose-C Serum. Moisturizers will vary with personal skin needs. To end this facial a Tomato Sunscreen Cream SPF 16 is applied.*

Facial for Normal /Combination Skin Types

  • Lemon Cleanser
  • Stone Crop Gel Wash
  • Sweet Red Rose Toner

This facial includes the usage of either a Parsley Cucumber Treatment or a Lime Stimulating Treatment, mixed with the Rosehip Maize Masque. The second Masque that can be used in this facial consists of a Stone Crop Masque that is gently massaged for 5-10 minutes. Following this is a Sour Cherry Masque that can be left on as a masque or be massaged into the face. To follow with a Serum customized to your skins needs. The treatment creams include a Naseberry Treatment Cream or an Apricot Moisturizer. The finishing touch is to always apply the Tomato Sun Cream SPF 16.*

For an extra kick, all facials can include a lip exfoliate, serum, and plumper.

*All facials are customized to fit the specific skin care health of the individual.  We reserve the right to alter or replace specific masques, products, or techniques as determined by the skin care specialist and the client’s skin type and health.
All of our facials can be purchased in one of the following treatment options:

Facials

Express Facial
This customized facial meets the needs of individuals with the most active schedules.

30 minutes/$65.00

Eminenece Custom Facial
This facial treats a variety of skin care conditions such as anti-aging, acne and rosacea.

50 minutes/$85.00

Eminenece Ultimate Facial
Our custom facial with a second masque that will give your face a glow for days to come.

80 minutes/$120.00

Add On Treatments
Eye Treatment
Exfoliate, Masque, Eye Cream, Eye Contour Cream

$32.00

Lip Treatment
Lip Exfoliate, Comfort & Plumping Masque, Lip Balm

$32.00

General Dermatology

General Dermatology

Dermatology is a specialty that focuses on the health and diseases of the skin, hair and nails. Since the skin is readily examined, the specialty as such has existed for over 3000 years. The skin is the largest organ of the body and reflects the overall health of an individual.

A dermatology consult and examination can include discussion of a patient’s general health issues and nutrition as well as an assessment of breakouts, rashes, lumps and bumps.

It can also involve discussion of how these skin changes can impact the individual’s overall functioning and self-image. A treatment plan will typically include and address all these factors.

Click the sections below to learn more about each skin disorder. (They may contain pictures.)

Acne

Acne is a disorder of the hair follicle and its associated oil gland. It usually starts around puberty and can persist for many years. Individuals usually notice black heads and white heads, red pimples and/or cysts. These lesions tend to come on the face, torso, and shoulders. They can persist for days and sometimes months. Symptoms associated with breakouts include itching, pain and burning.

Often, acne can be disfiguring and upsetting to the patient. It can also leave scars which may be prevented by appropriate treatment early in the course of the diseases. Treatments are usually tailored to the needs of the individual patient. They typically include a combination of topical creams, gels or lotions with oral medications such as antibiotics, hormonally active agents (like birth control pills), and Isotretinoin, a synthetic form of Vitamin A.

Actinic Kerastoses

Actinic kerastoses is the name given to sun-induced precancerous spots. These spots occur typically in sun exposed areas such as the face, arms, chest and hands. They are usually small flaky spots without substance other than scale. May actinic keratoses will come and go on their own. Some keratoses can sting, itch, or even thicken and ultimately develop into a skin cancer.

Treatments can include: observation or several different removal methods such as prescription creams, photodynamic therapy and liquid nitrogen.

Age Spots

As we grow older, our skin changes. Our skin texture becomes less elastic and more fragile. Dry skin is also more common with increasing age and hormonal changes. Age spots include “liver spots” (seborrheic keratoses or lentigoes), sun spots (actinic keratoses), and friction spots (skin tags). Most of these spots are harmless but can be worrisome as they can grow fast or sometimes change. Treatment of the precancerous spots (AK’s) usually recommended. It may include removal with liquid nitrogen, photodynamic therapy or creams. These harmless spots can also be removed especially if they are located in bothersome areas.

Eczema

Eczema is a hypersensitivity of the skin that is seen in people of all ages. It can be seen in people who also suffer from asthma and/or seasonal allergies. Typically, a patient complains of an itchy, red rash that is either patchy and can involve the creases or that is spotty. Many will say that the itching precedes the rash and so eczema is also called the itch that rashes. Eczema can differ in appearance depending on the age of the patient, on the location and length of the eruption as well as the treatments that have been tried. Treatments usually include topical creams (over the counter and by prescription) but can sometimes require oral medications, injections and ultraviolet light treatments to name a few.

Hair Loss

Hair loss is a condition that is usually evaluated and treated in a dermatologist’s office. It can have many causes including hormonal changes, a recent history of a severe illness, a recent history of surgery, inherited factors and infections. The hair on the scalp usually reflects the overall health of a person, and hair loss evaluations usually include a thorough history of the illness, an examination of the patient and lab work. Many hair loss conditions can be effectively treated if the patient is appropriately evaluated and a specific treatment plan is developed to address that particular patient’s problem. Treatments can include topical creams or solutions, oral medications and light treatments.

Hives

Hives, or urticaria, is a condition that affects about 20% of the population at some point in their lives. It consists of itchy red spots or patches that usually come and go within a 24-hour period of time. A hive reaction can be triggered by many different causes, among those are exposure to foods, pollens or infections. A severe hive outbreak can be dangerous because it could cause a person to have difficulty breathing, go into shock and possibly die. Treatments for hives will usually include oral antihistamines but also oral steroids or steroid injections.

Nail Disorders

Examination of a patient’s nails can provide clues about his or her general health or specifically about the status of his or her skin. Many skin conditions can affect a person’s nails, including psoriasis, eczema or alopecia. When someone has had a recent illness, the nails can change in their growth or shape. Other conditions affecting nails can include infections and allergic reactions. Dermatologists are trained to use clues gathered in the examination of a patient’s nails to determine the cause of the changes and the most appropriate treatment.

Moles

Moles are usually brown or flesh toned colored raised bumps that people can be born with or that can develop during someone’s lifetime. Although we don’t understand all the factors that can lead to mole development, moles seem to run in families and sometimes are brought on by increased sun exposure. Most moles are harmless, but Melanoma is a dangerous skin cancer that can initially look like a mole. The suspicious elements in a mole include A for asymmetry (not perfectly round or oval), B for borders (feathery or irregular), C for color (more than one color and in an unusual or unpredictable configuration), D for diameter (larger than 6mm or a pencil eraser size) and E for evolution (recently appeared or changed). If you or someone you know has a suspicious mole, it is extremely important to get to a dermatologist right away as Malignant Melanoma (the type of skin cancer that looks like a mole) can be a life threatening condition if left to develop but can be easily cured if found and treated early.

Psoriasis

Psoriasis is a common skin condition seen in a dermatologist’s office. It affects approximately 3% of the population. It usually consists of red bumps or patches on the skin with thick, silvery scaling that usually arises on prominent areas like the elbows or the knees. Psoriasis can also commonly affects the scalp and the umbilicus (belly button) but can come up in other areas such as the genitals, the hands or the feet. It is usually a lifelong condition that goes through periods of improvement and worsening. Treatments can include topical creams and ointments, ultraviolet treatments and oral or inject-able medications.

Rashes

Rashes are common skin conditions that are frequently seen in a dermatologist’s office. They vary widely in appearance and can be raised, flat, blistery, red, purple, or brown. Dermatologists are the detectives of the skin and usually can come up with the diagnosis for the rash based on the history, location and morphology (shape and form) of the spots. An initial evaluation of a rash usually includes taking a thorough history of the development of the problem in the context of the patient’s general health and performing a thorough physical exam. It can also include taking a biopsy (sample of the skin) and sometimes lab work. Treatments are tailored to the patient’s specific problems and can include topical creams and ointments and oral medications.

Rosacea

Rosacea is an adult-onset acne that usually occurs in light complected individuals. It is a disorder that affects the skin’s barrier function and the skin’s oil glands. There are typically variables that define each case of rosacea. Some patients have vascular rosacea – they tend to blush, flush, and can ultimately develop prominent broken blood vessels (telangiectasias). Occasionally, patients have inflammatory rosacea – red to violaceous pimples, without a head, breakout on the central facial area. Rarely, patients with rosacea will develop abnormal growth and thickening of the oil glands that can even more rarely distort the facial features (especially the nose).

Treatments for rosacea are tailored to the individual patient’s needs but typically include topical cleansers, gels or creams. Some patients may need oral medications such as antibiotics. Other treatments that have been shown to be helpful include special cosmetics, moisturizers, chemical peels, photodynamic therapy with blue light and laser treatments.

Warts

Warts are growths caused by viruses. They can grow at any age and in any location. They are usually raised spots with small finger-like projections. They can grow in size and in number. Warts can be disfiguring and can interfere with daily activities such as walking.

Many treatments are available for warts but none of they have a one hundred percent cure rate. Effective treatments therefore require frequent follow-up and sometimes adjustments to the treatment plan. Possible treatment of warts includes use of prescription creams, destruction of warts by freezing, cutting off, laser and injections.