Advanced Dermatology and Cosmetic Surgery

The largest dermatology practice in America, Advanced Dermatology provides complete clinical and cosmetic skin care. Immediate appointments available at one of our 180+ locations.

Spotlight on Aesthetic Assessments for Dermal Filler Patients

Cosmetic dermatologists can inject dermal fillers directly into the tissue underneath a line or wrinkle. These products work by plumping up the tissue, which temporarily eliminates the appearance of the wrinkle. If you're interested in looking years younger with dermal fillers, your dermatologist will perform an aesthetic assessment to ensure it's the right choice for you. He or she will question you about your expectations for the outcome, and about your anesthetic preferences. Usually, all that's needed is a light topical anesthesia to take away the sting of the needle.

Your aesthetic assessment will involve a thorough evaluation of your face. The dermatologist will check for signs of asymmetry, and he or she may take a photograph for closer study. Before you receive the injections, your provider will ask a few appearance-related questions, such as whether you would like to restore your own youthful look, or whether you'd like to achieve a different look.

You'll find a full menu of cosmetic dermatology options at Advanced Dermatology and Cosmetic Surgery. Call (866) 400-3376 or browse our website for more information about our skin care services, which include dermal fillers.

Botox, Xeomin, and Dysport: What's the Difference?

All muscle relaxers based on botulinum toxin use this purified protein to relax the activity of specific muscles. It's common to hear all of these products referred to as Botox, but there are actually three different types: Xeomin, Dysport, and Botox. Although all of these products contain the same purified protein, there are some differences among them. Talk to a dermatologist to find out which option is best for you.

Formulation of the Products

Botox, Xeomin, and Dysport are all manufactured a little bit differently. Xeomin stands out because of its lack of additives. The only ingredient in this injectable is purified botulinum toxin A. Additionally, Xeomin is produced so that the complexing proteins are taken out, producing a more pure form of botulinum toxin.

Response in the Body

Most people won't notice any particular response to these three products, beyond the improvement in the appearance of wrinkles. However, some people who have gotten in the habit of receiving Botox or Dysport injections might eventually develop botulinum toxin resistance. Because Xeomin lacks additives, and because it uses a purer form of botulinum toxin, Xeomin is often the product of choice for patients who have developed this resistance.

Onset of Cosmetic Improvements

Cosmetic injectables work quickly, but the results aren't immediate. Most patients will find that Dysport starts producing results more quickly than the other two—within one to two days. Botox usually takes two to three days to start working. Xeomin starts working in one to three days, however, the observable improvements tend to be more gradual.

Duration of the Results

Individual results vary, but generally, Botox lasts about three to six months. At this point, patients can return to the dermatologist's office for another treatment. Dysport and Xeomin both usually last for three to four months.

Botox, Xeomin, and Dysport are just a few of the cosmetic dermatology products available at Advanced Dermatology and Cosmetic Surgery. Our providers offer a wide range of expert services, including dermal fillers, laser therapy, and topical applications. You can reach our office at (866) 400-3376.

Say Goodbye to Acne Scars

Active acne is temporarily distressing, but the scars it can leave behind can cause long-term damage to a person's self-esteem and appearance. People who are troubled by their acne scars should find out about their treatment options. A dermatologist will evaluate your skin and recommend the best options for scar management, based on your preferences and the type of scar you have. Your provider can also recommend effective methods of treating active acne and preventing future breakouts. Otherwise, you'll be at risk of developing additional acne scars.

Cosmetic Injectables

Some acne scars are deep depressions in the skin. You might hear them referred to as icepick scars. These are treatable with cosmetic injectables called dermal fillers or soft tissue fillers. There are many types of fillers available, but they all generally work by plumping up the underlying tissue to raise the depressed area of skin. Dermal fillers produce long-lasting, but not permanent results. You'll need to periodically repeat the injections.

Laser Treatments

If cosmetic injectables aren't a good option for you, consider laser treatments. Laser skin resurfacing and intense pulsed light (IPL) therapy can minimize the appearance of scarring, especially if the scarring involves discoloration. Laser therapies are safe for all skin types. As an added perk, laser treatment can simultaneously address other skin concerns you might have, such as age spots and poor skin tone.

Chemical Peels

Chemical peels may be a good choice if your acne scars are shallow and have post-inflammatory hyperpigmentation. For this treatment, your provider will apply a topical solution to your skin, and allow it to stay there for a set time before removing it. Chemical peels vary in intensity and recovery time. The deeper a chemical peel works, the more dramatic the results are and the longer the recovery time is.

Your personalized acne scar treatment plan is awaiting you at Advanced Dermatology and Cosmetic Surgery. Our dermatologists combine their extensive expertise with state-of-the-art laser technology to produce enviable results. Call us at (866) 400-3376 to find a location close to you.

Scalp Melanomas: The Less Visible, Yet Deadlier Cancer

The most common type of cancer is skin cancer. Of the different types of skin cancer, melanoma is the deadliest. Even if you regularly check your skin for abnormalities, it's entirely possible to miss the signs of melanoma—especially because it can develop on the scalp. This is one reason why every adult should visit a dermatologist annually for a skin cancer screening.

Risks of Scalp Melanomas

Each time you go outdoors, the top of your head is exposed to ultraviolet (UV) radiation from the sun. Your hair doesn't provide sufficient protection, and neither does cloudy or cold weather. Since most people don't apply sunscreen to their scalp, the top of the head is a prime location for cancer development. And since most people don't regularly see the top of their head, melanoma that develops here can go undetected for a long time. Additionally, some dermatologists think that scalp melanomas can be more aggressive than other melanomas, due to the proximity to the brain and the high concentration of blood vessels in the area.

Signs and Symptoms of Scalp Melanomas

When melanoma develops on the scalp, it looks much the same as melanoma that develops anywhere else. Clinical dermatologists recommend comparing the appearance of an abnormality to the ABCDE guidelines.

  • A: Asymmetry. The abnormality doesn't have a uniform shape.
  • B: Border. It has indistinct or poorly defined borders.
  • C: Color. It isn't one consistent color, but rather has multiple colors.
  • D: Diameter. The area is larger than the diameter of a pencil eraser.
  • E: Evolving. The abnormality grows or otherwise looks different over time.

Detection of Scalp Melanomas

It isn't easy to check your entire body for skin abnormalities, although you should try your best once each month. If possible, ask a family member or close friend to check your scalp and back for you. You can also ask your hair stylist to let you know if he or she notices anything unusual. Lastly, remember to schedule a professional skin exam.

If you've never had a skin cancer screening, or it's been longer than a year since your last appointment, it's time to call a dermatologist. Advanced Dermatology and Cosmetic Surgery has multiple locations nationwide to connect patients to high-quality care delivered by friendly and knowledgeable clinical dermatologists. Get in touch at (866) 400-3376.

Here's Why Your Cleanser Should Contain Salicylic Acid

Salicylic acid is a compound originally derived from wintergreen leaves and white willow bark. It's a beta hydroxyl acid that's prized by dermatologists for its numerous beneficial properties for skin health and cosmetic improvements. You'll find salicylic acid in cleansers, ointments, patches, creams, and even shampoos. Despite its prevalence, it can be tricky to find a cleanser that contains exactly the right concentration of salicylic acid and the ideal balance of other active ingredients. Consider talking to your dermatologist about professional-grade, salicylic acid-based cleaners.


Dermatologists classify salicylic acid as a keratolytic medication. These products work by softening the top layer of skin, and causing the old skin cells on top to slough off. Salicylic acid accomplishes this by acting on the desmosomes. These are the connections between skin cells in the top layer of skin. The desmolytic effect also effectively clears pores. Most skin care experts recommend exfoliating the skin two to three times weekly for normal to combination skin, or no more than once weekly for sensitive skin.

Deep Cleansing

Salicylic acid is lipophilic. This is due to its chemical structure. Alpha hydroxy acid (AHA)—another common ingredient found in skin care products—is related to salicylic acid. However, with AHA, just one carbon atom separates the acid part from the hydroxyl part. Salicylic acid has two carbon atoms here. This minute difference means that salicylic acid is oil soluble, and can penetrate the pores in the skin. Once it's inside the pores, salicylic acid gets to work unclogging pores for a deep cleaning.

Acne Treatment

Salicylic acid is a common ingredient in acne medications, thanks in part to its lipophilic properties. When this compound penetrates into the pores, it can reduce the production of sebum, or oil. This helps prevent breakouts. Additionally, it acts as an anti-inflammatory, which helps to calm breakouts. Salicylic acid is most effective at treating blackheads and whiteheads because it dissolves the keratin plugs in the pores. It's less effective against cystic acne.

For customized skin care recommendations tailored to your skin type, visit a cosmetic dermatologist at Advanced Dermatology and Cosmetic Surgery. Be sure to check out our expertly designed skin care products online, including cleansers with salicylic acid. A friendly staff member is available to take your call at (866) 400-3376.

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