Neurotoxin Injections with Botox and Dysport

Botox and Dysport are chemicals that are selectively injected into muscles of the face. Repeated contractions of these specific muscles cause wrinkles and lines. Botox and Dysport work to help weaken those muscles so the lines are lessened. The treatment is most commonly used for the frown lines in between the eyebrows, lines across the forehead, and the crow’s feet lines at the eyes. The treatment is not permanent.

Filler Injections

As our skin ages, there is a normal, gradual loss of certain components of the skin that manifest as an increase of folds and lines. Fillers are products that give this volume back to the skin by injection into the superficial dermal layer of the skin, thereby giving the skin a smoother and more youthful appearance. The effects are not permanent.

Ultraviolet light therapy

UVB phototherapy refers to irradiation with shortwave ultraviolet radiation or B type rays. This type of ultraviolet light is different than the type of ultraviolet light administered in a retail tanning bed. To treat the whole body, the patient undresses and stands in a specially designed cabinet containing fluorescent light tubes. Traditionally, in the past, broadband UVB was used, but increasingly, narrowband UVB phototherapy (311nm) is provided as it is more effective. Increasing doses of UVB are given at each exposure (three times weekly until the skin condition has improved or has failed to respond). The treatments are administered in a very controlled fashion to minimize the risk for burning. Psoriasis, vitiligo, dermatitis, and many other skin conditions have been effectively treated using UVB light.

Excessive sweating (Hyperhidrosis)

Hyperhidrosis refers to a condition of abnormally excessive sweating. This can be generalized (all over) or localized to specific areas, most commonly the axilla (armpits). In most cases, localized hyperhidrosis is a condition that occurs without a known cause. In rare cases, it may be related to internal problems. Consultation with a physician is recommended before considering medical treatments for hyperhidrosis to evaluate this condition. Treatment options for localized hyperhidrosis vary depending on the area to be treated. Persistent axillary hyperhidrosis that does not respond to topical antiperspirants like Drysol® or Certain Dri ® may be treated with Botox® injections.

Photodynamic therapy (PDT)

Photodynamic therapy (PDT) uses a drug that is activated by light to kill precancerous cells. This is most often used as a local treatment, usually on the scalp or the face. The FDA has approved photodynamic therapy to treat actinic keratoses (precancerous skin lesions). When the precancerous cells that have absorbed a photosensitizer are exposed to a blue light, the photosensitizer produces a form of oxygen called an oxygen radical, that kills them. Photodynamic therapy limits damage to healthy cells because the photosensitizer tends to build up in abnormal cells and the light is focused directly on them. Photodynamic therapy does not cause scarring and can treat a wide area of involvement, which makes it a good alternative for people with a history of skin cancers and precancers.

Allergen Patch Tests

Allergen patch tests are diagnostic tests applied to the surface of the skin. Patch tests are used by healthcare providers to determine the specific cause of contact dermatitis and are manufactured from natural substances or chemicals (such as nickel, rubber, and fragrance mixes) that are known to cause contact dermatitis. Your provider will determine when patch testing is appropriate for your assessment and treatment.