Allergan Corp., the makers of both BOTOX® COSMETIC and the facial filler, JUVEDERM™ awarded The Berman Skin Institute the coveted "Diamond" classification. Allergan can detail physician experience on the basis of amount of medication administered to all patients annually, and their Diamond classification for the Berman Skin Institute thus recognizes this center as one of the most experienced in the world for administering the combination of BOTOX® COSMETIC and JUVEDERM™ facial filler.
Botox is an injectable solution which reduces or eliminates wrinkles and lines due to hyperdynamic underlying facial muscles. Our center has been designated by Allergan Corporation an official Botox® Cosmetic "National Training Center," where we have trained physicians from around the world on this very effective therapy.
- Proven track record as the most popular cosmetic procedure in the world
- Reduces forehead wrinkles
- Reduces frown lines between brows
- Reduces crow's feet lines
- Reduces lip lines
- Reduces platysmal neck bands
- Reduces turned-down corners of the mouth
- Reduces excessive sweating of the palms and underarms
- Reduces migraine and tension headaches
- No down time
- Minimal risk
- Patients undergoing laser skin resurfacing may obtain an indirectly permanent benefit from Botox® Cosmetic; the administration of Botox® Cosmetic before and after laser resurfacing permits the underlying foundation of muscle to be more relaxed and flat. This results in the optimal alignment of the collagen fiber network into a permanent, horizontal pattern.
Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light (IPL), Radiesse, Restylane and Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
Hyper dynamic wrinkles are the most common indication for Botox® Cosmetic treatments, and are caused by repeated contractions of the delicate underlying facial muscles every time you smile, laugh, or frown. A very animated individual who contracts these facial muscles frequently will have greater facial muscle tone, and deepening of unwanted lines of the face.
Botox® Cosmetic is injected into the small facial muscles through a tiny needle, and it works in two ways. First, Botox® Cosmetic relaxes hyper dynamic muscles, dramatically softening or eliminating wrinkles within three to ten days. Second, over the ensuing months the relaxed muscle slowly thins down to a more normal state, providing further cosmetic benefit for unwanted wrinkles. This secondary effect has been seen in our center to last as long as two years.
All skin types may undergo Botox® Cosmetic treatments. Patients who are pregnant or have neuromuscular diseases such as myasthenia gravis should not undergo the therapy.
Reduction or complete elimination of wrinkles, excessive sweating and headaches with no down time associated with other conventional therapies. You will not see the full effect for three to ten days, and results last approximately five months.
With more than 2.0 million treatments performed last year and a superb safety track record, Botox® Cosmetic has rapidly become one of the most popular cosmetic procedures performed in the United States. Side effects are rare and temporary. Although a bruise is possible, it is seen in less than 5% of our patients and it wanes away in a few days. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. Minor complications that do not affect the outcome occur occasionally.
None. You can return to work the same day and resume most of your regular activities.
The needle is so small that 95% of patients do not require any anesthetic cream. For reduction of excessive sweating of the palms or soles, nerve blocks are usually performed.
Avoid blood thinners such as aspirin, Motrin, ibuprofen, naprosyn and other non-steroidal anti-inflammatory medications for one to two weeks before your procedures as these medicines increase the risk of a slight bruise.
We encourage patients to use the treated muscles for a few hours after the procedure as this permits the medication to bind better to its receptor. Otherwise, no other instructions.
Dr. Berman, Registered Nurses and Physician Assistants.
RN/PA Charge Only $395.00 Per Syringe
Since 1996, physicians outside the U.S. have used these agents to enhance the appearance and fullness of lips, to contour and restore volume to the skin, and to temporarily eliminate wrinkles and facial folds. These non-animal, biotechnology-produced, crystal-clear, biodegradable gels are hyaluronic acid substances normally found in the skin. Each is injected through a tiny needle to produce a long-lasting, safe and natural enhancement
- Reduces wrinkles and fine lines
- Reduces marionette lines-folds between the corners of the mouth and the nose
- Enhances lip size
- Long lasting, up to 15 months
- No allergy testing needed
- Not derived from animal sources
- Reduces acne scars
- Reduces depressions in the skin
- Reverses the loss of fullness in the face that one suffers with age
| Filler Agent |
Durability |
FDA Approved |
| Collagen |
2-4 months |
Yes |
| Cosmoplast,Cosmoderm |
2-4 months |
Yes |
| Fat Transfer |
1-2 years or more |
Not applicable to procedure |
| JUVEDERM™ |
6-15 months |
Yes |
| Perlane |
6-15 months |
Yes |
| Restylane |
6-15 months |
Yes |
| Radiesse |
up to 18 months |
Yes |
| Sculptra |
2 years |
Yes |
| UltraSoftForm |
Permanent |
Yes |
Restylane and Perlane are formulated as clear gels and use a dual mechanism of action. Upon being injected beneath the skin's surface, the gels add natural volume and lift the skin to smooth out wrinkles and folds. Each substance is integrated into dermal tissue which then attracts and binds water molecules to help maintain volume. Restylane and Perlane are gradually degraded by the body's own mechanisms.
No allergy testing is required and most individuals can undergo these procedures.
Results can be seen immediately following the treatment and can last six months or longer. Perlane is a larger molecule than Restylane and can result in even more enhancement for a longer duration of time.
These agents have a proven track record for long-lasting effects and safety in more than one million procedures worldwide. Side effects are seen in about 1 in 2000 cases, and consist of localized swelling at the site of injection, redness, tenderness, and even rarer is an acne-like formation at the injection site, lasting for a few days to weeks. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. Minor complications that do not affect the outcome occur occasionally.
Most patients have no down time. Others may be overcorrected for the first couple of days. Patients usually return to normal activity the same day as the treatment.
Many individuals will desire a local anesthetic prior to the treatment.
None.
If swelling occurs, take either an antihistamine pill such as Benadryl, or Motrin/Advil.
Dr. Berman, Physician Assistants and Registered Nurses.
The one-pass CO2 laser resurfacing approach is ideal for patients with minimal to moderate facial wrinkles, discoloration of the skin, and dark circles under the eyes. Patients who have undergone other procedures such as standard laser resurfacing or deep chemical peels may still undergo this procedure as long as 12 to 18 months have passed since the prior treatment. One-pass laser resurfacing is an ideal option for patients who desire the benefits of laser resurfacing, yet cannot afford the recovery time from their busy schedules for standard laser resurfacing.
- Fast healing
- Minimal risk
- Minimal side effects
- Reduces or eliminates wrinkles
- Reduces or eliminates brown spots and discoloration
- Reduces or eliminates aged and sun damaged skin
- Reduces acne scars
- Reduces the risk of skin cancer
- Improves skin tone
- Regenerates new collagen
Botox, Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Radiesse, Restylane and Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
In order to remove wrinkled, aged and scarred skin, a laser beam is passed over the surface of the skin, gently and precisely painting away unwanted cells. Unlike standard laser resurfacing where two or three passes may be performed, this procedure entails just one pass of the CO2 laser.
Clinical investigations have consistently proven that laser skin resurfacing induces new collagen formation in the skin, resulting in the reduction of scars and wrinkles. Importantly, the process of eliminating sun-damaged cells greatly reduces the chance of developing precancers and skin cancers in later years.
The length of the procedure depends on the amount of the surface area treated. Small areas may take ten minutes, while the entire face may be completed in approximately 25 minutes. After a short recovery period, patients return home.
Most individuals except those with the darkest skin tones can undergo this treatment.
Patients note a refreshed, tighter skin tone and a more youthful glow.
Risks include scarring, infection, increase or decrease of the color of the skin. In experienced hands, these risks are minimal. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
After the first 24 hours, the recovery rapidly accelerates and the skin heals. Most patients can apply makeup by the seventh day after surgery and can easily return to normal activities. Although the recovery and post-op period is dramatically less than with standard laser resurfacing, one-pass laser resurfacing patients will still continue to see clinical improvement and collagen remodeling for several months after the procedure.
This 30-minute procedure is usually done under intravenous (i.v.) twilight sedation, administered by one of our board-certified anesthetists. Many patients choose no i.v. sedation however, opting for topical anesthetic creams, local injections and possibly oral pain medication. This latter approach is preferred by some patients who do not want heavy sedation and it eliminates yet another part of the recovery process. All procedures are performed within our state-accredited outpatient surgery center.
Avoid excessive sunlight for two weeks before treatment.
For the first couple of days after surgery the patient applies topical ointments and ice packs, in addition to taking prescribed oral medication. Any pink areas may then be covered up with a powder or makeup. We encourage all patients to use a sunscreen and avoid excessive, direct sun exposure for many weeks following this procedure.
Dr. Berman and Physician Assistants.
The PhotoFacial Intense Pulsed Light (IPL) is a treatment breakthrough that can correct many skin conditions without down time. It creates clearer, more vibrant and youthful skin through a process called Photo-Rejuvenation. One to five sessions are recommended. Most commonly treated areas are the face, neck and chest followed the back of the hands, arms, legs and even the back.
- No down time
- Minimal risk
- Reduces wrinkles
- Reduces aged and sun-damaged skin
- Reduces brown age and liver spots, discoloration and freckles
- Reduces the redness of rosacea
- Reduces acne scars
- Tightens skin and stimulates new collagen growth to improve skin tone
- Removes broken capillaries and redness of the face, neck and chest
- Permanent reduction of unwanted hair
Botox, Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, Radiesse, Restylane and Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
A chilled sapphire cooling tip is applied to the skin's surface. The PhotoFacial device produces a bright beam of light which is gently absorbed into the underlying layers of the skin where new collagen is stimulated to grow. As new collagen fibers form, lines and imperfections diminish. No tissue is removed and no bandages are required. This treatment also coagulates and removes dilated capillaries and brown spots on the skin without the bruising associated with other laser treatments.
All patients should undergo a series of such treatments. Treatments are normally spaced three weeks apart in the beginning, then every four months as a maintenance program.
Most skin types can undergo this procedure.
Reduction of fine lines, redness, brown spots, and the permanent reduction in hair is astounding.
This treatment has a very strong track record for safety and precision. Side effects are rare and generally temporary. Redness or flushing usually goes away in a few hours. Brown spots may turn slightly darker for a few days and then flake off. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally.
You can return to work the same day and resume most of your regular activities. By dividing the full program into several treatments, the procedure provides gradual improvement with very low risk. It preserves the wonderful "no down time" feature that people appreciate so much.
The PhotoFacial device has a contact cooling crystal which is applied close to the skin's surface to eliminate discomfort for most patients. Anesthetics are not needed, though patients with very sensitive skin may apply a numbing cream 30 minutes before the procedure if desired.
Avoid excessive sun exposure. Avoid tanning for one month before your treatment.
Wash the area with a mild soap and gently pat dry, then apply a soothing moisturizer to the skin. Avoid excessive sun exposure and tanning for one week after your treatment. Consider the use of sunscreens. Patients who undergo the treatment to remove brown discoloration should consider the use of fading creams and sunscreen after the procedure.
Physicians, Physician Assistants and Registered Nurses.
Microdermabrasion is a revolutionary, non-invasive treatment invented in Italy for skin rejuvenation. Multiple articles in dermatologic medical journals have proven that microdermabrasion exfoliates the outer dead layers of the skin and stimulates new collagen formation in the deeper dermal layers, revealing younger, fresher skin.
This procedure utilizes crystals to finely resurface superficial layers of the skin. Microdermabrasion is right for all skin types and for anyone interested in improving the appearance of fine lines and wrinkles, acne prone skin, black heads and white heads, mild acne scarring, pigmentation problems, uneven skin tones, and dull, lifeless sun-damaged skin. Microdermabrasion can even treat the neck, chest, and the hands. During your consultation, you may request a sample of the treatment on the back or your hand to sample its benefits and painlessness
- Minimal risk
- No down time
- Reduces wrinkles and fine lines
- Reduces aged skin
- Reduces sun-damaged skin
- Reduces brown age and liver spots (lentigines)
- Reduces melasma, freckles and hyperpigmentation
- Reduces acne, acne scars, traumatic scars, enlarged pores
- Stimulates new collagen growth for improvement of skin tone
Botox, Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Radiesse, Restylane and Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
Patients relax lying down. A fine mist of crystals is sprayed onto the skin's surface and gently suctioned away. The dual action of mechanical exfoliation combined with dynamic stimulatory effects of the vacuum-suction result in new collagen production and skin rejuvenation.
Microdermabrasion can be used in all skin colors and types and is useful in treating pigment disturbances related to hormones and sun exposure. Microdermabrasion is an ideal solution for people who cannot afford to take time off for healing from laser resurfacing or strong chemical peels.
More even, glowing and smoother skin tones which convey a more rested, youthful appearance without the down time of other therapies.
We use safe sodium bicarbonate crystals, not aluminum oxide crystals, for all treatments. This treatment has a very strong track record for safety and precision. Side effects are rare and generally temporary. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally.
There is no down time and individuals return to regular activities the same day.
Usually a painless procedure.
Avoid excessive sun exposure and retinoic acid creams (Retin-A, Differin, Avita) for two to three days before your treatment.
Avoid excessive sun exposure and retinoic acid creams (Retin-A, Differin, Avita) for two to three days after your treatment.
Licensed Aesthetician, Registered Nurses.
Alpha-hydroxy glycolic acid and beta-hydroxy salicylic acid are natural substances derived from fruit and sugar cane which were used by Cleopatra for beautification purposes. These agents help turn back the clock through a series of no down time procedures.
Not all such peeling agents are the same, and it is important for patients to undergo such procedures by an experienced skin care professional to achieve optimal effects. Factors to consider when choosing the appropriate peeling agent for a specific patient include:
- Patient's skin type
- Class of peeling agent
- Concentration of acid
- pH (measure of acidity/alkalinity)
- Application time
- Buffering agent used for final neutralizing rinse
Our medical aestheticians consider all variables when selecting the most appropriate peel for a given patient.
- No down time
- Minimal risk
- Reduces wrinkles and fine lines
- Reduces sun damage and enlarged pores
- Reduces brown age and liver spots (lentigines)
- Reduces freckles, hyperpigmentation, and melasma (mask of pregnancy)
- Reduces acne
- Reduces acne scars
- Stimulates new collagen production, resulting in improvement of general skin tone
Botox, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light (IPL), Radiesse, Restylane and Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
The skin is usually prepared with a cleansing agent followed by the application of medication to the skin's surface. Glycolic acid peels are rinsed away with a buffering agent after a defined amount of time. Peels are often followed by moisturizers or hydrating masks.
Most skin types can undergo these procedures.
Patients observe smoother, more even skin tones which convey a more rested, youthful appearance without the down time of other therapies.
This treatment has a very strong track record for safety and precision. Side effects are rare and generally temporary. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally.
Alpha and beta-hydroxy acid peel patients usually require no down time. TCA is a stronger peeling agent that can deliver excellent results, though down time is possible, depending on the strength of acid used.
Alpha-hydroxy glycolic acid and beta-hydroxy salicylic acid peels are painless. Minor to moderate stinging sensation is noted for light TCA peels. More stinging is noted for heavier TCA peels, depending on the acid concentration applied.
Avoid excessive sun exposure and retinoic acid creams (Retin-A, Differin, Avita) for two to three days before treatment.
Avoid excessive sun exposure and retinoic acid creams (Retin-A, Differin, Avita) for two to three days after treatment.
Our state-licensed Medical Aestheticians.
Fat transfer or "micro-lipo-injection" is a century-old technique of transferring fat from one body area to another. Fat transfer is helpful for both cosmetic and reconstructive purposes. Often referred to as surgical "sculpting," the process is used to replace the loss of fat which occurs underneath the skin in association with the aging process. The duration of the contour correction varies from patient to patient. While improvement is most often long lasting and permanent, follow-up injections may be necessary. Dr. Berman is able to freeze the harvested fat for up to one year so that patients may return on their lunch hour for a quick touch up, if required.
- Reduction of marionette lines-folds between the corners of the mouth and nose
- Filling in hollow cheeks, temples and eye area to give a more youthful fullness to the face
- Enhancement of lip size
- More youthful face and hands
- Reduction of scars and depression deformities in the skin
- Enhancement of lip size
- Natural
- One's own fat is used, not from a cadaver or other animal
- Long-term and even permanent results
- Ability to correct large defects
- No allergic reactions
| Filler Agent |
Durability |
FDA Approved |
| Collagen |
2-4 months |
Yes |
| Cosmoplast,Cosmoderm |
2-4 months |
Yes |
| Fat Transfer |
1-2 years or more |
Not applicable to procedure |
| JUVEDERM™ |
6-15 months |
Yes |
| Perlane |
6-15 months |
Yes |
| Restylane |
6-15 months |
Yes |
| Radiesse |
up to 18 months |
Yes |
| Sculptra |
2 years |
Yes |
| UltraSoftForm |
Permanent |
Yes |
Chemical Peels, Collagen, Cosmoderm & Cosmoplast, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One Pass CO
2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Radiesse, Restylane & Perlane, Retinoic acid creams, and UltraSoftForm Lip Implants
The areas from which fat is to be removed and injected are cleansed and numbed with a local anesthetic. Using a tiny needle and syringe, the fat is extracted through a small 1-2 mm incision from the abdomen, buttocks or thigh areas. After centrifugation and separation, the purified fat is injected into the lips or other areas.
No allergy testing needed. Almost anyone can undergo these procedures.
Immediate results that last one to 2 years or longer.
Fat transfer is considered a safe and effective procedure as one's own fat is used, eliminating the risk of allergic reactions.
Patients usually resume normal activity the day of surgery. Some patients will have minor swelling depending upon the amount of fat transferred.
Swelling, soreness and bruising is possible, but unusual.
Avoid blood thinners such as aspirin, Motrin, ibuprofen, naprosyn for 2 weeks before the procedure.
Avoid blood thinners for a few days after the procedure
Dr. Berman.
Soft, tube-shaped UltraSoftform lip implants are made of a biocompatible polymer called ePTFE, similar to Gore-Tex though softer. They have been safely used for more than 20 years in a variety of medical applications including blood vessel replacement and hernia repair.
Placing this permanent UltraSoftform implant beneath the skin can dramatically enhance one's appearance by providing structure and support. The implant provides a very natural and long-lasting result because it is not absorbed or broken down by the body over time, yet it can be removed if desired. The tubular shape of the UltraSoftform implant allows for tissue in-growth which helps it remain in place.
- Permanent
- Enhances thin, atrophic lips
- Improves and defines aged lips
- Reduces marionette lines, nasolabial folds
- Minimizes fine vertical lines around the lips
- Can be removed, if desired
Botox, Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Radiesse, Restylane and Perlane, and Retinoic Acid Creams.
The procedure is performed in a simple in-office procedure done under local anesthetic during which the UltraSoftform implant is inserted beneath the skin via two tiny incisions. The procedure usually takes about 30 minutes.
Most patients with moderately deep marionette lines, atrophic, thin and aged lips can benefit from this treatment.
Enhanced, fuller lips, more youthful lower face and smile.
UltraSoftform facial implant is a safe and effective treatment. The risk of infection or extrusion is very small. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
You may experience some swelling or bruising which may last for a few days to a week following treatment. Many patients return to normal activities a day or two after treatment. Five to seven days after the implantation, most of the swelling will have subsided.
Lidocaine is used to numb the treated area.
Avoid blood thinners for two weeks before treatment.
A stitch is placed at each incision site and is removed in three to five days. Icing of the treated areas helps to reduce swelling.
Dr. Berman.
Lunchtime Laser Toning turns back the clock and reverses the aging process in a softer, gentler way. This revolutionary technique delivers the laser energy to the underlying layers of the skin, gently stimulating the production of new collagen, while protecting the outer layer of the skin.
The new collagen that is formed improves the appearance of the aging skin. This procedure tightens your skin to diminish the appearance of wrinkles and enlarged pores, compared to more aggressive lasers and chemical peels that resurface both the outer and deeper layers of the skin. Lunchtime Laser Toning is an ideal option for patients who desire more youthful skin without any down time.
- No down time
- Minimal risk
- Reduces finer lines and wrinkles
- Reduces enlarged pores
- Reduces aged and sun damaged skin
- Reduces acne
- Reduces acne scars
- Improves skin tone
- Stimulates new collagen growth within the dermis
Botox, Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Microdermabrasion, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light (IPL), Radiesse, Restylane and Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
A cooling spray is immediately followed in milliseconds by a laser beam which passes over the chilled and protected skin. The light is absorbed into the underlying layers of the skin where new collagen is stimulated to grow. As new collagen fibers form, lines and imperfections diminish. No tissue is removed and no bandages are required. All patients should undergo a series of such treatments. Treatments are normally spaced two to three weeks apart in the beginning, then eight to twelve weeks in a maintenance program.
Most individuals except those with the darkest skin tones can undergo this treatment.
Most patients understand that a series of treatments are recommended for best results. Fine lines improve, pores are tightened as new collagen is deposited in the dermis. Skin tone and luster become more vibrant with each treatment.
Risks are minimal. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally.
None.
No. The cooling device and low energy output result in a virtually painless procedure.
Avoidance of excessive sunlight for two weeks before treatment.
We encourage all patients to use a sunscreen and avoid excessive, direct sun exposure for many weeks following this procedure.
Dr. Berman, Physician Assistants and Registered Nurses.
Photodynamic Therapy (PDT) involves the use of photochemical reactions mediated through the interaction of photosensitizing agents, light, and oxygen for the treatment of sun-damaged skin, precancers, acne, malignancies and other skin diseases.
- One session required for improvement
- More comprehensive, widespread treatment field
- Avoidance of both oral and topical medications
- Reduction of sun damaged and wrinkled skin
- Reduction of precancerous lesions and actinic keratoses
- Reduction of the incidence of skin cancer formation
- Reduction of acne
- Reduction in sebaceous gland hyperplasia and
- Reduction of rhinophyma
- Minimal risk
Botox, Chemical Peels, Collagen, Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One-Pass CO2 Laser Resurfacing, PhotoFacial Intense Pulsed Light (IPL), Radiesse, Restylane & Perlane, Retinoic Acid Creams, and UltraSoftForm Lip Implants.
PDT involves two steps. First, the photo-sensitizer, Levulinic acid, is topically applied to the surface of the skin to be absorbed by the hyperproliferating cells. The next step involves the activation of the photo-sensitizer in the presence of oxygen with a specific wavelength of light directed toward the precancerous lesions.
The photo-sensitizer is absorbed by sun-damaged cells, and the light source is directly targeted on the lesional tissue. PDT achieves dual selectivity, minimizing damage to adjacent healthy structures. PDT is mediated by oxygen-dependent photochemical reactions, resulting in improvement of the skin.
The purpose of lasers in PDT is to initiate photochemical reactions, and not to heat or mechanically change tissue as seen in other dermatologic uses. For large areas encompassing the face, back or chest, arms or hands, non-coherent light sources such as our Blu-U light or Quantum IPL device are superior to laser systems because of their large illumination fields. Interestingly, given the right dose of drug and light, such non-coherent light sources appear to be as effective as laser sources.
Anyone who is suffering from sun-damaged, wrinkled skin or skin with precancerous lesions may consider these treatments.
More even, glowing and smoother skin tones which convey a more rested, youthful appearance without the down time of other therapies. Reduction of precancerous lesions and actinic keratoses. Reduced incidence of skin cancer formation.
These treatments are considered very safe. However a temporary pigmentation change, pinkness, swelling, and discomfort in the treated area may be expected. A thorough evaluation by your medical provider is necessary. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally.
Most patients have a mild irritation to the skin which can last for days.
Usually a painless procedure.
Avoid excessive sunlight for three days before the procedure.
Avoid excessive sunlight for three days after procedure. Avoid excessively drying topical medications for three days after the procedure.
Dr. Berman, Physician Assistants and Registered Nurses.
RN/PA Charge Only $580 Per 1.3cc Syringe
Radiesse is a long-term, non-surgical
lip augmentation method that lasts for approximately up to three years, making
it an impressive approach for lip augmentation. Radiesse is made from calcium
hydroxylapatite, a constituent of tooth and bone, and is formulated into microspheres
suspended in an aqueous polysaccharide gel which has been FDA approved for soft
tissue augmentation and other medical uses. This 10 minute treatment is reasonably
comfortable, and offers no downtime with immediate results.
- Reduces wrinkles
- Reduces marionette lines-folds between the corners of the mouth and the nose
- Enhances lip size
- Reduces acne scars
- Reduces depressions in the skin
- Reverses the loss of fullness in the face that one suffers with age
| Filler Agent |
Durability |
FDA Approved |
| Collagen |
2-4 months |
Yes |
| Cosmoplast,Cosmoderm |
2-4 months |
Yes |
| Fat Transfer |
1-2 years or more |
Not applicable to procedure |
| JUVEDERM™ |
6-15 months |
Yes |
| Perlane |
6-15 months |
Yes |
| Restylane |
6-15 months |
Yes |
| Radiesse |
up to 3 years |
Yes |
| Sculptra |
2 years |
Yes |
| UltraSoftForm |
Permanent |
Yes |
Chemical Peels, Collagen, Cosmoderm & Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One Pass CO
2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Restylane & Perlane, Retinoic acid creams, and UltraSoftForm Lip Implants
Radiesse comes in a small syringe, similar to collagen. It injected below the surface of the skin in the fatty layer, adding fullness lips, depressed scars, wrinkles and marionette lines or folds. Calcium hydroxylapatite creates a lattice scaffolding which supports the in-growth of soft tissue, resulting in tissue augmentation and enhancement.
Anyone desiring an augmentation procedure.
Immediate effects, lasting up
to three years.
In general, calcium hydroxylapatite has safely been used in the body for many applications including dental applications (where bone build-up is needed for reconstruction), as well as for cosmetic implant procedures for the chin, cheeks, and jaw areas. Radiesse is manufactured to be similar to the body's own tissue, and thus there is no need for allergy testing. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. Minor complications that do not affect the outcome occur occasionally.
It is normal for some patients to experience some pinkness or swelling at the injection site, lasting 2 to 3 hours.
Some individuals will require an anesthetic injection to prevent pain.
You should tell your doctor about all the medicines you are taking, even over the counter medicines or treatments. If you are taking blood thinners or medications that may interfere with clotting of the blood, such as aspirin, motrin, advil, naprosyn, please stop if possible for 10-14 days prior to your treatment to reduce the chance of getting a bruise. Vitamin E also thins the blood, so we advise that you stop taking vitamin supplements containing vitamin E three days before your treatment.
None.
Dr. Berman, Physician Assistants and Registered Nurses.
RN/PA Charge Only $395.00 Per Syringe
Cosmoplast and Cosmoderm are human
based collagen filler agents which improve the aging face by lessening wrinkles
and furrows with immediate results.
- Reduces wrinkles and fine lines
- Reduces marionette lines-folds between the corners of the mouth and the nose
- Enhances lip size
- No allergy testing needed
- Reduces acne scars and depressions in the skin
- Reverses the loss of fullness in the face that one suffers with age
- The only FDA-approved, commercially available dermal fillers made from human collagen
- Formulated with an anesthetic for comfort
- Treatment in 20 minute office visit
| Filler Agent |
Durability |
FDA Approved |
| Collagen |
2-4 months |
Yes |
| Cosmoplast,Cosmoderm |
2-4 months |
Yes |
| Fat Transfer |
1-2 years or more |
Not applicable to procedure |
| JUVEDERM™ |
6-15 months |
Yes |
| Perlane |
6-15 months |
Yes |
| Restylane |
6-15 months |
Yes |
| Radiesse |
up to 18 months |
Yes |
| Sculptra |
2 years |
Yes |
| UltraSoftForm |
Permanent |
Yes |
These filler agents are injected through a tiny needle and are deposited into the dermal layer of the skin. As these human collagen implants occupy space in the skin, depressions, wrinkles and thin lips are greatly improved.
Most individuals may consider this option.
Immediate results with no downtime.
Swelling, redness, allergic reactions, inflammation and scarring are extremely rare. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
Patients usually return to normal activity the same day as the treatment.
The anesthetic in these agents help alleviate pain on injection. Most patients have no discomfort after the procedure.
You should tell your doctor about all the medicines you are taking, even over the counter medicines or treatments. If you are taking blood thinners or medications that may interfere with clotting of the blood, such as aspirin, motrin, advil, naprosyn, please stop if possible for 10-14 days prior to your treatment to reduce the chance of getting a bruise. Vitamin E also thins the blood, so we advise that you stop taking vitamin supplements containing vitamin E three days before your treatment.
None.
Dr. Berman, Physician Assistants and Registered Nurses.
RN/PA Charge Only $395.00 Per Syringe
Zyderm® and Zyplast® collagen implants have been available in the U.S. since 1981 and 1985, respectively. Both products are implanted intradermally through a fine gauge needle into the facial areas to enhance lip size, reduce marionette lines (depressions between the corners of the mouth and nose), reduce wrinkles, and scars. This 20 minute in-office procedure can be performed at the lunch hour with most patients returning to their normal routine immediately following the procedure. Treatments add to the skin's natural collagen, and more than one million people in 40 countries have been treated with Zyderm® or Zyplast® collagen implants
- Zyderm® 1 implant is used to treat fine lines, wrinkles, shallow scars and thin-skinned areas.
- Zyderm® 2 implant is used to treat moderate lines, wrinkles and scars.
| Filler Agent |
Durability |
FDA Approved |
| Collagen |
2-4 months |
Yes |
| Cosmoplast,Cosmoderm |
2-4 months |
Yes |
| Fat Transfer |
1-2 years or more |
Not applicable to procedure |
| JUVEDERM™ |
6-15 months |
Yes |
| Perlane |
6-15 months |
Yes |
| Restylane |
6-15 months |
Yes |
| Radiesse |
up to 18 months |
Yes |
| Sculptra |
2 years |
Yes |
| UltraSoftForm |
Permanent |
Yes |
Botox, Chemical Peels, Cosmoderm & Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing, Lunchtime Laser Toning, Microdermabrasion, One Pass CO
2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Radiesse, Restylane & Perlane, Retinoic acid creams, and UltraSoftForm Lip Implants.
Zyderm® and Zyplast® implants are composed of highly purified bovine dermal collagen that is dispersed in phosphate buffered physiological saline containing 0.3% lidocaine. One month before the procedure, a test implant is placed into the forearm area to determine if a patient has sensitivity to the implants. Ninety-seven percent (97%) of men and women tested can be treated with Zyderm® and Zyplast® implants. Most patients choose treatments twice a year to preserve the look that is desired. Zyderm® and Zyplast® implants are produced in various formulations, which are appropriate for different facial areas and conditions.
Collagen requires allergy testing one month before treatment. As long a no allergy exists, almost anyone can undergo these procedures.
Immediate results, lasting from two to four months.
Swelling, redness, allergic reactions, inflammation and scarring are extremely rare. The specific risks and the suitability of these procedures for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
None usually.
Lidocaine anesthetic is already mixed into the Collagen implant, alleviating most pain on injection.
Avoid blood thinners such as aspirin, Motrin, Advil, and other non-steroidal anti-inflammatory drugs for two weeks before the procedure.
None.
Dr. Berman, Physician Assistants and Registered Nurses.
In the mid 90's, a Palo Alto, California company pioneered the process of laser skin resurfacing by developing the first laser used for this purpose, the Ultrapulse CO2 laser. Although this laser was initially intended to remove sun damage and pre-cancerous growths of the skin, the inventors were happily surprised that it a?so reduced or eliminated wrinkles and scars! The CO2 laser treatments however were often associated with longer than desired healing times, and some patients noted a skin lightening effect from the laser. To overcome some of these disadvantages, a cooler Erbium laser was developed. Most Erbium lasers however were limited by their depth of penetration into the skin and by their insufficient skin-tightening effect. Another Palo Alto, California- based company responded to this issue by developing a more advanced Erbium laser, the "Sciton Contour" laser, with its proprietary "Optical DiaThermy Technology." With this laser, the surgeon could precisely "dial-in" the desired depth of penetration of laser light in microns (millionths of a meter), while at the same time dial-in the amount of heat necessary to tighten skin. With this technology, healing time is reduced and side effects are rare. In order to satisfy patients' various requirements, Dr. Berman will often combine the Ultrapulse laser and the Sciton Contour laser on the same patient during one treatment, delivering the most state-of-the-art, individualized laser procedure possible.
- Reduces wrinkles
- Reduces acne scars
- Reduces aged and sun damaged skin
- Tightens skin
- Usually one time procedure
- Usually more dramatic benefits compared to other procedures
- Reduces the risk of skin cancer formation
- Improves skin tone
- Stimulates new collagen growth for improved skin tone
- Reduces brown spots and discoloration
Botox, Chemical Peels, Collagen, Cosmoderm & Cosmoplast, Fat Transfer Micro-lipo-injection, Full dermabrasion, Lunchtime Laser Toning, Microdermabrasion, One Pass CO2 Laser Resurfacing, PhotoDynamic Therapy, PhotoFacial Intense Pulsed Light IPL, Radiesse, Restylane & Perlane, Retinoic acid creams, and UltraSoftForm Lip Implants
In order to remove wrinkled, aged and sun-damaged skin, a laser beam is passed over the surface of the skin, gently and precisely painting away unwanted cells, one layer at a time. Clinical investigations have consistently proven that laser skin resurfacing induces new collagen formation in the skin, resulting in the reduction or complete elimination of wrinkles. Importantly, the process of eliminating sun-damaged cells greatly reduces the chance of developing pre-cancers and skin cancers in later years. The length of the procedure depends on the amount of the surface area treated. Small areas may take 15 minutes, while the entire face is completed in approximately 40 minutes. After a short recovery period, patients return home.
Most individuals except those with the darkest skin tones can undergo this treatment. Because this is often done under twilight sedation, patients' medical history will be a factor in determining their candidacy for sedation.
Dramatic reduction of wrinkles and sun damage is possible with this procedure. Not only are fine lines improved, but heavy lines can also be significantly reduced or removed. Skin tone is tighter and many years are often removed from one's appearance.
Risks include scarring, infection, increase or decrease of the color of the skin. In experienced hands, these risks are minimal. The specific risks and the suitability of these procedures for a given i?dividual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
Approximately one week.
All procedures are performed within our state-accredited outpatient surgery center. A topical anesthetic cream may be applied to the treatment areas prior to the procedure. Small regional areas are easily numbed up, while a full face procedure would require twilight local sedation, administered by our board-certified anesthetists.
Avoidance of excessive sunlight for 2 weeks before treatment.
For full face resurfacing, a soothing facial mask is often applied which remains on the skin for 3 days, enhancing the healing process. After 3 days, patients return to our center. At that time, a clear dressing is usually applied to the skin, which remains on for 2 more days. With our latest techniques, most patients are healed in 5-6 days. Any pink areas may then be covered up with a powder or makeup. We encourage all patients to use a sunscreen and avoid excessive, direct sun exposure for many weeks following this procedure.
Dr. Berman.
The new Fraxel™ Laser Treatment offers a "fractional" approach to laser skin resurfacing. This treatment represents a novel way to improve sun-damaged, wrinkled, discolored and scarred skin by offering patients the positive results of CO2 and Erbium:YAG laser treatments with no to minimal downtime. Aggressive treatments may make patients somewhat pink and swollen for a day or more. This innovative approach is specially designed to alter only fractional volumes of the skin. Similar to digital alteration of photographs and paintings, the clinical effect of this treatment technique is to alter the appearance of aging, sun-damaged and scarred skin. The creation of tiny micro-wounds results in a microscopic wound healing process and the resultant formation of new collagen fibers.
- All areas of the face, neck, hands and body can be treated
- Fraxel™ laser treatments represents an innovative approach to repairing
aging and sun damaged skin
- Replaces and rebuilds damaged skin like digital modification –
pixel by pixel and spot by spot
- Little to no downtime, depending on depth of treatment.
- Minimal risk
- Reduces wrinkles, sun-damaged and scarred skin
- Reduces brown discoloration (freckles, melasma, brown age spots)
- Reduces precancerous lesions
- No painful or lengthy recover
- No general anesthesia
- Fraxel™ laser treatment is specially designed to affect “fractional”
volumes of skin tissue, providing the benefits of rapid healing without
negative side effects
- Creates new epidermis in treatment zones within 24 hours in significant
contrast to “non-ablative” techniques
Botox, Chemical Peels, Collagen,
Cosmoderm and Cosmoplast, Fat Transfer Micro-lipo-injection, Laser Skin Resurfacing,
MicroLaserPeel™, One-Pass CO2 Laser Resurfacing, PhotoDynamic Therapy,
PhotoFacial Intense Pulsed Light (IPL), Radiesse, Restylane, Perlane, Sculptra,
Retinoic Acid Creams, V Beam Laser Toning, and UltraSoftform Implants.
The skin is treated fractionally
with patterns of microscopic laser spots, each of which is 70-100 microns in
diameter, resulting in a unique wound healing process. Each laser spot or “MicroThermal
Zone,” is surrounded by untreated tissue. Fractional wound healing results
in both rapid replacement of the sun-damaged, surface layer of the skin, as
well as collagen remodeling in the deeper dermis, to depths of 400-700 microns.
An analogy to Fraxel™ Laser Treatments is pixels in a newspaper photograph.
If one looks at a newsprint photo closely, one will see that the image is
actually comprised of thousands of tiny spots of ink. Similarly, this laser
treatment produces thousands of tiny MicroThermal Zones. These zones not only
penetrate deep into the dermis rejuvenating collagen and reducing wrinkles,
but also resurface the uppermost portion of the skin, resulting in the formation
of new epidermal cells with reduction or complete elimination of uneven pigment.
Further, the intervening areas of untouched skin between these MicroThermal
Zones allow the skin to heal much faster compared to conventional laser skin
resurfacing.
Most skin types can undergo this
treatment; however individuals with darker complexions may have an increased
risk of hyperpigmentation after the procedure.
Patients should expect to see
a steady improvement in the color and contour of the skin. The skin appears
healthier and younger with each treatment.
Infection, scarring, increase
or decrease coloration of the skin is possible with almost any laser treatment.
The Fraxel™ Laser Treatment however provides unprecedented control in
laser skin rejuvenation. Risks are minimal, though the specific risks and the
suitability of these procedures for a given individual can be determined only
at the time of the consultation. All procedures have some degree of risk. Minor
complications that do not affect the outcome occur occasionally.
The Fraxel™ Laser Treatment
will leave pinkness on the skin for a few days. Most patients can go back to
their regular activity the next day, while some patients return the very same
day. To completely cover the entire skin’s surface, multiple sessions
will be required to achieve the best aesthetic result.
Fraxel™ treatments require
that the patient apply a topical anesthetic cream to the skin prior to the procedure
to make this a comfortable procedure.
Avoid tanning for one month before the procedure. Apply a topical anesthetic cream to the proposed treatment area for 60-90 minutes prior to the procedure.
Avoid tanning for one month after
the procedure.
Physicians, Physician Assistants
and Registered Nurses
Sculptra is intended for the restoration and/or correction of the signs
of facial fat loss (lipoatrophy). Sculptra has been clinically proven to
be an effective, well tolerated, and long lasting treatment for signs of
facial lipoatrophy. Sculptra, also known as the liquid facelift, works by
both filling in lines and wrinkles, as well as stimulating the body to produce
new collagen in the underlying tissue, thereby creating a fuller more youthful
appearance.
Sculptra, a new FDA approved filler, is an injectable form of poly-L-lactic
acid, a biodegradable, biocompitable synthetic polymer from the alpha-hydroxy-acid
family that has been widely used for many years in dissolvable sutures, bone
screws, and facial implants.
- Restores fullness of the face, creating a more natural appearance
- Treats the deepest wrinkles
- Provides a 3-fold increase in skin thickness
- Increases the dermal thickness, with persistence throughout a 2 year study
- Clinically proven safe and well tolerated
- Synthetic “Man made” molecule that is not derived from an animal model
- Requires no skin test
Restylane, Perlane, Radiesse, Cosmoplast, Cosmoderm, Collagen as well as
Laser Skin Resurfacing Fraxel Laser Treatments, Dermal Grafts, Lunchtime
Laser Toning, One-Pass CO2 Resurfacing
Using a very fine needle, Sculptra
is injected below the surface of the skin in the areas of fat loss, providing
a gradual increase in skin thickness.
No allergy testing needed.
Almost anyone can undergo these procedures.
Immediately after an injection, the depression or defect appears markedly
improved due to the fact that much of what is injected is actually water. Once
the water is absorbed in a few days, patients unfortunately then note a reduction
of the improvement. During the following four to six weeks however,
patients again see an improvement of their condition as collagen is stimulated
to grow in and around the injected Sculptra particles. Most patients
should expect 3-4 sessions, depending on the depth of initial defect. (Patients
who suffer fat loss from HIV-associated lipodystophy should expect 4-6 sessions
for their deeper defects). Once the desired look is achieved the semi-permanent
treatment lasts up to two years.
Sculptra does not require skin
testing prior to use, however patients should inform their doctor of any known
allergies to the injected material. As with most injections, side effects,
though minimal, can occur. The most common side effects are redness,
swelling, bruising, and pain around the treated area. Thorough massage and
ice packs after the procedure can minimize these effects.
Usually none. Patients usually return to normal activity on the treatment day.
Many individuals will desire an anesthetic injection to prevent pain.
Avoid blood thinners such as aspirin, Motrin, Advil, and Excedrin for 10-14 days prior to the procedure to help prevent bruising.
Patients should massage the treated areas with their fingers five times a day, five minutes each time for five days (5-5-5).
Dr. Berman, Physician Assistants and Registered Nurses.
