Cosmetic Dermatology

Adult & Pediatric Dermatology, p.c. has created the APDerm® Center for Cosmetic Services to provide our patients with a comprehensive approach to skin care that incorporates both medical science and aesthetics in a private, relaxed setting.

Our Board-Certified physicians, licensed aestheticians, and nurse practitioners perform a variety of cosmetic services including laser therapy, skin rejuvenation, chemical peels, hair removal, and wrinkle reduction.

For our patient's convenience, we have three full-time offices in Concord, Westford, and Marlborough.

Our Skin Care Experts will consult with you to determine your skin type and degree of sun damage. We will educate you about the four levels of treatment to give your skin a more youthful appearance. We will then design a treatment plan specifically for you.

The four levels of treatment are: Home Therapy, Peels & Facials, Cosmetic Injectables, and Laser Treatments. These products and treatments are introduced inside and described in more detail on our website.

» Click here to view our Frequently Asked Questions - Cosmetic Dermatology

Let us advise you how to maintain better looking skin at home no matter what your skin needs. We offer an array of products that are scientifically formulated to effectively reduce and prevent signs of aging, sun damage, pigmentation, redness and acne. Our program has been developed under the supervision of experienced Board-Certified Dermatologists.

APDerm® always has the latest technology…

As one of Greater Boston’s largest dermatology practices, we have always prided ourselves on addressing the medical and cosmetic needs of our patients by combining a medical staff that is among the brightest and most experienced available with the latest in proven new technology based treatment systems.

Examples of our most recent investments in new technology-based treatment systems include:

Liposonix®: treatments using this new ultrasound-based system will for many patients reduce their waist/love handle size by up to an inch or more after just one noninvasive one-hour treatment.

Learn more about this exciting new treatment by simply clicking on the small Liposonix image to the right.

RevLite®: treatments using this new laser-based system address pigmented lesions and tattoos and are able to fade overall brown discolorations caused by sun damage and help stimulate collagen production helping with fine lines. For more information, see the “brown laser” write-up and web links below.

Ulthera®: treatments with this new noninvasive ultrasound-based system provide cosmetic improvements of the skin. This new treatment works deep below the surface—without harming the outer layer of skin—for firming, tightening and lifting. For more information, see the Ulthera® write-up and web links below.

LEVEL I Home Therapy

SUN PROTECTION: Choosing the correct sunscreen or sun block is the foundation to maintain healthy and youthful appearing skin.

Thanks in part to support from the Mass Academy of Dermatology and the American Academy of Dermatology, the Melanoma Foundation of New England produced this video:   http://mfne.org/prevent-melanoma/your-skin-is-in/watch-exposed/ --  please make time to view this informative video…

TARGETED SKIN GROWTH FACTORS: Both natural and bioengineered growth factors may stimulate skin cells to give the skin a firmer smoother more youthful appearance.

RETINOIDS: Higher potency retinoids stimulate the living layers of skin back to their youthful, less sun damaged state.

ANTIOXIDANT: Help protect and preserve skin from the daily stresses of the sun and the environment. Antioxidants enhance the net supportive collagen by preventing breakdown, enhance collagen synthesis and reduce skin inflammation. L-Ascorbic Acid (Vitamin C), Green Tea and Idebenone (Hydroxydecyl ubiquinone) are all effective antioxidants.

ALPHA HYDROXY (AHA): Glycolic and Lactic Acid encourage the removal of dull dead layers of skin to stimulate a plumper more translucent living layer of skin.

BETA HYDROXY ACID (BHA): Salicylic Acid, long known for its benefit for acne, exfoliates and stimulates cellular turnover to reveal softer and smoother skin.

SKIN LIGHTNER: Hydroquinones inhibit excess pigment in skin along with Hydroxysuccinimide and Chrysin to reduce the appearance of dark under eye circles.

Once your skin has been properly prepared with our tailored home therapy program, skin rejuvenation can continue though our superficial and medium depth chemical or mechanical peels. They provide controlled and predictable removal of damaged surface skin cells and stimulate skin renewal to dramatically improve the skins appearance. Facials may enhance skin appearance through extraction, exfoliation and hydration.

LEVEL II Peels and Facials

VITALIZE PEEL: This peel from SkinMedica brings the benefits of alpha hydroxy acid and other peeling agents in a unique blend to provide an effective, but gentle treatment that is appropriate for all skin types. This peel has been clinically proven to fight the effects of time, sun damage and environmental assaults. This powerful peel can take years off aging skin.

REFINITY PEEL: The next generations of Alpha Hydroxy Acid Peels (AHA), with the addition of Cosmoderm 7, are less likely to cause sting and irritation, allowing most skin types to tolerate this 70% glycolic acid peel stimulating the deeper layers of the skin.

BETA LIFT PEEL: This safe, self-neutralizing, 20% to 30% Beta Hydroxy Acid peel (BHA) is gentle enough for most skin types and is especially helpful for acne prone skin, but potent enough to improve and clarify fine lines.

MICRODERMABRASION: Utilizing a device powerful enough to be used only in a physicians office, microscopic crystals comfortably slough away the dead, dull layers revealing softer, smoother skin. At higher settings, a series of treatments will refine facial fine lines, skin coarseness, acne scars and stretch marks.

JESSNER PEEL: This peel is a combination of Salicylic Acid (BHA), Lactic Acid (AHA) and Resorcinol (peeling agent). This combination is helpful in treating excess pigmentation, caused by sun damage, mask of pregnancy (melasma) and acne staining and gives the skin a quick boost.

RETINOIC ACID PEEL: A 3% Retinoic Acid solution is applied to the skin after a Beta lift peel or Jessner peel to help enhance the peel potency and help with aging skin, acne, and pigmentation, which helps give the skin a softer smoother look.

TCA PEEL: A TCA Peel is a fast tract approach to creating a fresh natural appearing complexion. This medium depth peel works to remove fine lines, pre-cancerous skin lesions, pigmentation and refines superficial acne scars. This treatment requires a week at home to heal.

EXTRACTION: Once the skin has been properly exfoliated with chemical or mechanical peels extraction can be performed to help remove blackheads and milia that can become trapped under the skins surface.

FACIALS: We offer a wide variety of facials tailored for your skin type and condition. These facials all include deep cleansing, exfoliation, lymphatic massage of the face and neck to stimulate circulation and finishing mask. These facials include Karin Herzog Oxygen Glycolic Facial, Karin Herzog Thermal Hydrating Facial and Acne/ Clinical facial.

Cosmetic injectables are fast, safe and non-surgical ways to esthetically improve the appearance of facial lines, wrinkles and spider veins.

LEVEL III Cosmetic Injectables

SKIN FILLERS: Many new exciting options exist to help diminish and fill in smile line creases, marionette frown lines, thin and wrinkled lips, depressed scars, and hollowed out cheeks. Let us choose the appropriate injectable filler that may give temporary or long lasting improvement. Our new line of fillers -Restylane, Radiesse, ArteFill, Juvéderm, and Sculptra offer many advantages over the old generation Collagen.

BOTOX® COSMETIC (Botulinum Toxin Type A) : Most expression-related wrinkles are due to repeated contractions of small muscles beneath the skin. Botox temporarily weakens these muscles and the skin relaxes giving these areas a smoother, more rested appearance. Botox is the preferred treatment for worry lines (between brows), forehead lines and crow's feet. When appropriate, Botox® can lift the brows and diminish neck bands and smooth the upper lip and chin. You will see a noticeable improvement within 4 to 14 days.

SCLEROTHERAPY: (Saline Solutions or Sotradecol): Using a fine needle, these solutions are injected into unwanted spider veins or legs and thighs leading to resolution of these veins in two to four weeks. A series of treatments is necessary for ideal results.

For more information:

Our lasers and radiofrequency devices are designed to either target specific skin problems such as brown spots, spider veins, hair or give the skin overall rejuvenation through skin tightening, toning and turn over.

LEVEL IV Laser and Radiofrequency Treatments

AFFIRM MULTIPLEX: Reverse the signs of aging and sun-damaged skin and improve acne scars by stimulating collagen production and promoting tissue tightening through tissue coagulation.

For more information:

LASER HAIR REMOVAL: We offer three different lasers that have been FDA approved for permanent hair reduction. These lasers remove unwanted facial and body hair in a safe, efficient and comfortable way. The number of treatments depends upon skin type, hair coloring and coarseness of hair. Electrolysis: For patients that cannot use laser hair removal. (gray or blonde haired patients) We offer this time tested method for permanent hair removal.

For more information:

THE RED LASER: At higher levels this laser is used to treat facial spider veins, port wine stain birth marks, strawberry hemangiomas, warts and scars. At Laser Toning levels this laser is used to stimulate collagen production helping with fine lines, and stretch marks. It will also help to reduce redness and rosacea as well.

For more information:

THE BROWN LASER: At higher levels, this laser is used to treat pigmented lesions and tattoos. At Laser Toning levels (Laser pigment peel) we are able to fade overall brown discolorations caused by sun damage and help stimulate collagen production helping with fine lines. We do recommend a microdermabrasion 10 days after this treatment.

For more information:

GENTLELASE PIGMENT PEEL: This laser is used to treat brown discoloration/freckles and stimulate collagen growth. Used over large areas, such as back, chest arms and legs.

For more information:

THE PURPLE LASER: This laser is used at higher levels to treat facial and leg veins. At Laser Toning levels this laser can help stimulate collagen production. It penetrates deeply helping soften deeper wrinkles and acne scarring.

For more information:

PHOTODYNAMIC THERAPY: Narrow band blue light or red lasers work synergistically with a potent light activated medication Aminolevulinic Acid (ALA) to target sun damaged cells, precancerous spots and enlarged oil glands. A series of treatments can result in smoother more even skin with smaller appearing pores.

ULTHERAPY: Ultherapy™ is a new type of nonsurgical procedure that uses medical ultrasound for cosmetic improvement of the skin. Ultherapy works deep below the surface—without harming the outer layer of skin—for firming, tightening and lifting. Improvements include a sleeker, more defined jawline and tighter skin on the neck under the chin. Sagging skin on the cheeks can be tightened and lifted, which in turn can improve folds from the nose to mouth, folds from the mouth to jaw, and drooping corners of the mouth. Tightening of skin on the forehead can reduce the sagging skin on the eyelids and promote a more open, refreshed look in general. Overall improvements in skin texture and evenness of color -- as well as strengthening and adding more collagen “cushion” -- can be additional benefits.

Please call us and schedule your free Cosmetic Skin Care Consultation! The number is 978-610-3694.

Contact us at our Concord, Westford, Marlborough, or Wolfeboro office to learn more about Cosmetic Dermatology services or to make an appointment.

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