• Fine lines
• Weathered skin
• Acne
• Acne scarring
• Brown spots and enlarged pores
• Freckles
• Sun spots
• Age spots

• Melasma.

Each treatment takes approximately 20 minutes. There may be temporary redness or discolouration which can easily be covered by make up. You will be able to immediately return to your everyday activities.

If you had a Vitalize® Peel, over the next few days mild flaking of the skin may develop, which can be concealed by the application of moisturizer. The amount of peeling depends on your skin type and may vary from treatment to treatment. A Vitalize® Peel will deliver a deeper longer lasting effect.

If you had a Medique® peel, all of the "peeling" has taken place and you may appear slightly bronzed after treatment.

If you had a Dermaceutic rejuvenation peel there may be some down time dependent on the type of peel that you select.

During the treatment you may experience a mild tingling and warmth for 1 to 3 minutes and this is minimized through the use of cooling.

The number of peels required depends on the condition of your skin and the nature of the problems being treated. For maximum benefit we may recommend a series of 6 peels at intervals of approximately 3 weeks. However, some people notice a dramatic improvement after only 1 treatment.

The best results are achieved by combining peels with Laser Genesis®, IPL, TITAN® and our customized skin care program.

Before Chemical Peel

After Chemical Peel

Before Chemical Peel

After Chemical Peel

Before Chemical Peel

After Chemical Peel

Chemical Peel treatments

It takes about an hour after the topical anaesthetic is put on.

All eCO2 Fractional Laser treatments are done by Dr. Gillian Rosenthal with the assistance of a laser technician.

Prior to the treatment we will take every step to ensure that you are comfortable during the procedure. We take extra care to ensure that you will be comfortable during the treatment and afterwards. We will provide you with post-treatment care instructions.

We do not give these treatments without a consultation with Dr.Rosenthal. She will carefully examine your skin to determine if this is the best treatment to achieve your goals. Alternative treatment options will be outlined. If you decide to have the eCO2 treatment you will then be given pre-treatment instructions and also be made aware of the post-treatment procedures.

You will look red and swollen. By the 5th day post treatment the swelling will have diminished and the redness minimized. After 72 hours you can apply makeup to minimize the redness. Many clients arrange their eCO2 treatment for a Thursday or Friday to minimize the potential of time off work. The post-treatment care that we advise will help to minimize the symptoms and as part of the treatment we will book an appointment for you to return after a few days so that we may monitor your progress.

After about a week you will see changes that will continue to be enhanced over the next 6 months. You should within a week feel that your facial skin is tighter, that the surface is smoother and that wrinkles and sun damage have either gone or been minimized. The timing and extent of the results is totally dependent on the individual being treated, the extent of the treatment that was done and the following of our after care instructions.

http://www.youtube.com/watch?v=Xaq2omkqNNQ
or for acne sufferers
http://www.youtube.com/user/lasermania8

Photos courtesy of J. David Holcomb, M.D.

eco2 single treatment
Photos courtesy of J. David Holcomb, M.D.

Before and after eco2

Rejuvenation using eco2 Laser

Photos courtesy of J. David Holcomb, M.D.

Before eCO2 acne treatment

after eCO2 acne treatment

Before eCO2 and Soft Lift treatment

after eCO2 and Soft Lift treatment

Before MOSAIC and eCO2 treatment

after MOSAIC and eCO2 treatment

Before eCO2 treatment

after eCO2 treatment

On average, each treatment takes about 45 minutes.

Previously the Injection of fillers required the use of either a topical numbing cream or injection of a local anaesthetic to make the procedure more comfortable. Now the filler is pre-mixed with anaesthetic (freezing) to ensure that the procedure is comfortable. Filler is injected, using a tiny needle, into each target area.

The side effects can include localized temporary bruising and swelling, both of which can be reduced by the use of cooling before and after treatment. Prior to the procedure, Dr. Rosenthal will discuss the process and side effects. At that time you may ask any questions that you may have.

Studies have shown that hyaluronic acid fillers can last 9 – 12 months. They tend to last longer when they are injected deeper into the skin to restore volume. In these situations, although a small “top up” may be needed after one year but the treatment can be very durable- lasting several years. For lip rejuvenation and enhancement and in the treatment of areas subject to considerable movement of muscles the effect lasts for a shorter period but can be enhanced by combining the filler with a BOTOX treatment.

Sculptra^® can last more than 2 years, and Radiesse^® can last over 1 year.

You will be able to immediately appreciate the effect of the filler. There may be mild redness and minor bruising but this should quickly resolve.

Results are instantaneous.

Hyaluronic acid (HA) is made in the laboratory by a bacterial fermentation process. It is highly purified material and hence allergic reactions rarely occur. Pre-testing is not required. As HA represents a durable form of a natural constituent of the skin and other parts of our body, it is very well tolerated and readily incorporated into the surrounding tissues. HA can provide a very natural smooth appearance to the skin. Radiesse^® has been used medically for many years and is extremely safe and biocompatible.

Mild bruising which can be minimized through the use of cooling before and after the procedure. There can be transient redness, swelling, itching or discomfort and with lip injections the swelling can last for longer periods. If you have suffered from cold sores, antiviral medication will be provided to prevent cold sores from breaking out in the treatment area. The use of fillers should be deferred if your skin is actively infected, or if you are pregnant or breast feeding.

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Filler treatment

After Filler treatment

Before Non-Surgical Lift and eCO2

After Non-Surgical Lift and eCO2

Before Botox and Filler

After Botox and Filler

Before Botox and Filler

2 Weeks After Botox and Filler

Before Botox and Filler

After Botox and Filler

Before Lip Enhancement and Non-Surgical Face Lift

After Lip Enhancement and Non-Surgical Face Lift

Before Non-Surgical Lift

After Non-Surgical Lift

Before Lip Enhancement and Non-Surgical Lift

After Lip Enhancement and Non-Surgical Lift

HydraFacial features on the ABC 7 LA News channel
view the clip on youtube

All microderm abrasion systems work like using sandpaper on your face. HydraFacial is the only system that gently defoliates your skin while at the same time infusing into the skin serums that will improve the texture and tone of your skin.

You will immediately see that the appearance of fine lines and pores will be minimized. Unwanted facial pigmentation will be reduced and there will be a restoration of that youthful glow to your skin. There can be benefits for aging skin with the infusion of anti-oxidants and collagen stimulating TNS serum during the HydraFacial treatment.

Before Hydrafacial treatment

After Hydrafacial treatment

Before Hydrafacial treatment

After Hydrafacial treatment

It takes about an hour after the topical anaesthetic is put on.

Prior to the treatment you will receive treatment to ensure that you are not uncomfortable during the laser procedure. Typically all that is needed is topical numbing crème and ibuprofen. We take extra care to ensure that you will be comfortable during the treatment and afterwards. We will provide you with post-treatment care instructions and will also schedule a follow up visit to chart your progress.

After your first treatment you may see a very positive change, but for best longer lasting results you will require about 3 treatments. In the case of deep acne scarring you may require 5 treatments.

You can have treatment on the face, neck, décolleté, hands, arms, abdomen and scars – on most places.

Your facial appearance will be red and swollen – somewhat like sunburn. This can be covered with make-up. You can return to you regular routine or work the next day. Within 48 hours your skin will undergo ‘bronzing’ and there will be shedding of flakes. When this is completed your skin will be smooth and glowing. The changes are completely natural and while you may receive remarks about how good your skin looks, there will be no evidence that a laser procedure has been done other than an improvement in your appearance. The collagen production that is stimulated by the treatment continues for 6 -12 months, so you will continue to see additional subtle changes.

Before Mosaic to treat surgical scars

After Mosaic to treat surgical scars

Before Mosaic treatment

After 4 Mosaic treatments

Before Mosaic treatment

After Mosaic treatment for skin tightening

Before Mosaic treatment

After Mosaic to improve skin texture

Pearl will smooth the skin’s texture, as well as soften fine lines and wrinkles, on the face, neck, upper chest and hands.

The treatment takes approximately 10-15 minutes for a full face. The treatment feels like a series of brief pinches.

Downtime is the time spent recovering from a procedure. With “social” downtime, you can continue your normal daily activities. However, you may not wish to attend important social events because after a Pearl treatment your face will appear pink/red for 3-4 days.

Patients of any age with sun damage, uneven skin texture and fine lines and wrinkles can benefit from Pearl treatments; however, the most common age group seeking treatment is 25-60.

After treatment, the skin will look like it is sunburned. Ointment will be applied on the skin to keep it moist. The skin will need to be kept moist for 3–4 days. Since you cannot wear sunscreen during this time, you will need to wear protective clothing and limit sun exposure for a few days following the treatment. You are free to wear make-up starting on day 3. After 3-4 days, the top layer of skin peels off revealing new, healthy, vibrant skin underneath.

Many patients experience excellent results after one treatment. Others may want a second treatment for best results.

You will see noticeable results on day 3 or 4, when the superficial tissue has peeled off, leaving fresh, new, healthy skin underneath.

Pearl offers the most effective treatment to address fine lines & wrinkles, sun damaged skin and uneven texture without wound care and the extended downtime required with traditional Erbium and CO2 laser procedures.

Today’s fractionated technologies treat only small portions of the face during each treatment. Typically, 3 treatments, each with 4-6 days of downtime and spaced a month apart, are required to treat the face.

Yes, FDA clearance was received in March 2007 for Pearl for skin resurfacing and the treatment of wrinkles. Pearl is used primarily on the face but has also been used on the neck, upper chest and hands.

Before Pearl^® procedure
Photos courtesy of Maritza Perez, MD<

After Pearl^® procedure
Photos courtesy of Maritza Perez, MD

Before Pearl^® procedure
Photos courtesy of Maritza Perez, MD

After Pearl^® procedure
Photos courtesy of Maritza Perez, MD

Before Pearl^® procedure
Photos courtesy of Maritza Perez, MD

After Pearl^® procedure
Photos courtesy of Maritza Perez, MD

Before Pearl^® procedure
Photos courtesy of Leonardo Rasi, MD

After Pearl^® procedure
Photos courtesy of Leonardo Rasi, MD

Before Pearl^® procedure
Photos courtesy of Amy Foreman Taub, MD

After Pearl^® procedure
Photos courtesy of Amy Foreman Taub, MD

Before Pearl^® procedure

After Pearl^® procedure

The treatment consists of using a light source – either the Blu-U^® or Intelligent Pulsed Light (IPL) - to activate Levulan^® (ALA) which has previously been applied to the skin. This kills the bacteria, dries up the oil glands and unplugs the pores.

Antibiotics can be used to treat severe acne; however, the response to the drug is usually delayed by 2 – 3 months. Another problem in using antibiotics is the increased resistance of the acne-causing bacteria so that the treatment may be unsuccessful. Even when the acne seems to improve with the use of an antibiotic, the effect may be short lived. Antibiotic therapy for acne needs to be used for months or years, which can raise oncerns among both doctors and patients.

This drug is a derivative of vitamin A and can be an effective treatment for acne. Accutane^® is well known to produce undesirable side effects including: severe dryness of the skin and eyes, nasal passages and mouth, moodiness, sometimes amounting to severe depression, abnormal liver function and lipid profile and deformities in babies born to mothers who took Accutane^® during pregnancy.

A series of 3 treatments 2 – 4 weeks apart is usually most effective. Some people may be satisfied with the results of one treatment. The PDT system can also produce excellent cosmetic benefits by reducing sun damage, improving skin tone, colour and texture.

Before Photodynamic Therapy for acne

After Photodynamic Therapy for acne

IPL is an innovative way to quickly, safely and comfortably improve your skin's texture, tone and colour. It can be used to treat your face, chest, arms and hands, without gel or topical anesthetics. Signs of sun damage and age spots will usually flake off after one or two treatments, leaving clearer, younger-looking skin.

The treatment results are often subtle. On average, you may require four to six treatments in order to achieve optimal results. Every patient's condition and needs vary. The results and number of treatments you can expect will be assessed at your consultation.

When the handpiece is placed on your skin, it will feel cool and comfortable. When the pulse of light is delivered, you may feel a mild, brief pinching sensation.

Many patients see significant improvement within two to three weeks of treatment. Your complexion will be clearer and younger-looking. However, your final result may not be apparent for a month or more.

Typically, one or two treatments are sufficient to see dramatic improvement in skin colour. Additional treatments may be required for very large or dark spots, densely freckled areas, or excessively sun-damaged skin. We recommend 5 treatments for the reduction of fine lines and wrinkles and a marked improvement in skin texture.

Over time due to sun exposure new spots may appear. These can be removed with further treatments. We recommend the liberal application of full spectrum sunscreen of SPF 30 or greater and reducing sun exposure.

While IPL by itself is effective in reducing overall sun damage, by combining the IPL treatment with Levulan^® there is an increased level of improvement. You will see an even greater cosmetic benefit with each treatment – reduced pore size, more even coloured tone, smoother texture and restoration of a youthful, rejuvenated look.

As we grow older, minor imperfections can turn into multi-layered problems. We use the latest XEO^® laser system, which takes a 3 dimensional approach to skin rejuvenation – resulting in noticeably improved skin tone, texture, and tightness. We can treat the skin at 3 different depths using 3 different techniques – IPL, Laser Genesis^® and TITAN^®. Each type of treatment is available on an individual basis; however, when used together the treatments can achieve outstanding results including firmer, glowing skin.

This is an exciting new approach to non-ablative skin rejuvenation.

Before treatment for Rosacea
Photo courtesy of David Goldberg, MD

After treatment for Rosacea
Photo courtesy of David Goldberg, MD

Before Photorejuvenation treatment
Photo courtesy of Maurice Adatto, MD

5 weeks after 1 treatment
Photo courtesy of Maurice Adatto, MD

Before Photorejuvenation treatment
Photo courtesy of Maurice Adatto, MD

2 weeks after 1 treatment
Photo courtesy of Maurice Adatto, MD

Brown Spots
Before Photorejuvenation treatment

Brown Spots
After Photorejuvenation treatment