Services That Help You Love Your Reflection Again!
In addition to Clinical and Surgical Dermatology, Dr. Kirby also offers a number of Cosmetic Procedures to improve your appearance by eliminating wrinkles, remove aging spots, increase volume and more.
From a sun-damaged forehead and dull cheeks to excessive oil and pigmentary concerns, our goal is to correct past damage, improve current problems and prevent future skin mistakes…in essence, to make you glow! Dr. Kirby offers a number of skin care regimens based on the specific needs of a particular patient.
A plump pout is universally synonymous with youth, and an icon of sensuality. Full lips are considered the most youthful aspect of a face, especially when complimented by high cheeks. Since modern medicine has made it possible for us to be healthier, more active and younger-looking than we are, we aren't about to settle for less without a fight. Whether we pursue perfection through products (cosmetics) or procedures (injectables), the means exist to get us where we want to go.
Injectable Lip Plumpers
Some, but not all, available injectables can plump up the lips, adding
volume. At one point, collagen was considered the go-to injectable for lip
augmentation, but times are changing.
Today hyaluronic acid fillers such as Restylane and Juvederm are the gold standard for lip augmentation. These fillers tend to plump up the lips for six to twelve months. These results may vary. By contrast, collagen injections to the lips last only three to four months.
Lengthen, Thicken & Darken Lashes
Latisse® is the first and only FDA approved treatment for hypotrichosis of the eyelashes. Hypotrichosis is another name for having inadequate or not enough eyelashes. Latisse is a breakthrough treatment to enhance eyelash prominence by increasing length, thickness, and darkness. Available only through prescription, Latisse is a once-daily treatment applied to the base of the upper eyelashes. Patients using Latisse can expect to experience longer, fuller, and darker eyelashes in as little as four weeks, with full results in sixteen weeks. Latisse is available at Dr. Kirby’s office.
Facial/ Wrinkle Fillers
If you'd like to restore youthful fullness to your face, enjoy plump lips, enhance shallow contours or soften those facial creases and wrinkles, dermal fillers may be the answer. Dermal fillers have been called "liquid facelifts" because they offer many of the benefits of a surgical facelift without the downtime. Although they can't help with excess sagging skin, these soft tissue fillers can add more volume and provide immediate results at a lower cost than surgery. These treatments aren't permanent, however, and they must be repeated and maintained. Some dermal fillers are used in conjunction with other skin rejuvenation treatments such as injections of botulinum toxin. Dr. Kirby will assess your needs and recommend one or a combination of treatments to achieve your desired results.
During a chemical peel, chemical solutions of varying strengths are carefully brushed onto the skin. The chemicals remove skin cells on the surface of the skin and stimulate the production of new skin cells below. This leaves the skin smoother, less wrinkled, and more youthful in appearance.
Chemical peels can be used effectively for a wide range of skin conditions including:
- Age spots
- Fine lines and wrinkles
- Shallow acne scars
- Sun-damaged skin
- Uneven pigmentation
Chemical peeling can be performed on the face, neck, chest, hands, arms, or legs. It is most effective at changing the appearance on the surface of the skin.
Chemical peels are categorized by how deeply the chemicals penetrate the skin: superficial, medium, or deep. Superficial peels use mild chemicals, such as Glycolic Acid, which penetrate only the uppermost layer of the epidermis. Medium and deep peels use stronger agents.
A superficial chemical peel is usually sufficient to treat fine lines and wrinkles around the eyes and mouth. Patients with minimal skin damage often respond best to a series of superficial peels combined with a skin care regimen, including topical retinoids and daily sunscreen use.
A medium-depth peel is more effective for patients with moderate skin damage, including age spots, freckles, and actinic keratosis. It may be combined with another treatment such as topical retinoids and daily sunscreen use.
During treatment, most patients experience a warm sensation for about ten minutes, followed by some stinging.
In general, the deeper the peel, the longer the recovery. A superficial peel produces redness similar to mild sunburn and lasts 3 to 5 days. Medium or deep peels can make the skin look severely burned, sometimes with blistering and peeling for 7 to 14 days.
Following a treatment, treat your skin gently. Avoid sun exposure because the renewed skin will be tender and susceptible to injury.
Following a chemical peel, your new skin will be tighter, smoother, and perhaps slightly lighter in color than before the procedure.
Proper Skin Care Recommendations
Dr. Kirby can will analyze your skin and provide instruction on how to cleanse the skin using Clarisonic products. The Clarisonic Cleansing units are perfect for all skin types, including sensitive skin. In fact, sensitive skin responds well and often times the sensitivity subsides or becomes less prevalent over time. The Clarisonic machines were created for anti-aging, not for cleansing benefits. All of the Clarisonic machines are wonderful. You really cannot go wrong when choosing a unit to purchase. The biggest factor is speeds and price. That should aid in making the decision easier. Kirby Dermatology is an authorized retailer of the Clarisonic Pro. You receive the latest models in a variety of colors with a warranty in place. We also carry the replacement brush heads for the face and body for normal and sensitive skin. If requested Dr. Kirby will also make recommendations for skin care products that will be optimal for your skin type.
Hyperhidrosis is the medical term for excessive sweating. The problem may be limited to a few problem areas or may be all over. The armpits and the palms are the areas most often troublesome.
Excessive sweating, is a common disorder that produces a lot of unhappiness.
An estimated 2%-3% of Americans suffer from excessive sweating of the underarms
(axillary hyperhidrosis) or of the palms and soles of the feet (palmoplantar
hyperhidrosis). Underarm problems tend to start around puberty, while palm and
sole sweating may begin earlier, often during childhood. Untreated, these
problems may continue throughout life.
Our approach to treating hyperhidrosis generally proceeds from OTC antiperspirants to prescription antiperspirants to Botox® injections.
BOTOX® injections, a treatment popular for wrinkles, will also control excessive sweating for 4 to 6 months. Botox is a purified protein which has the ability to block the chemical which activates sweat glands. The FDA has approved this treatment for underarm hyperhidrosis. Many insurances are now covering the cost of Botox for this condition.
Candidates for BOTOX® hyperhidrosis treatment experience severe foot, palm or underarm sweating that impacts their quality of life. They are physically and emotionally healthy with realistic expectations for the outcome of treatment. They understand the procedure and recognize that, though fundamentally safe, there are some risks involved with using BOTOX® injections to treat their excessive sweating problems.
What to Expect After BOTOX® Treatment for Underarm Sweating
BOTOX ® treatments for hyperhidrosis take 20 to 30 minutes. Daily activities can be continued immediately after treatment (though intense exercise should be avoided for a few hours). Following the BOTOX® injections, a marked reduction in underarm sweating will be noticeable within several weeks.
Risks and Benefits of BOTOX® Treatment for Sweating Problems
The greatest benefit in receiving treatment with BOTOX® Cosmetic for hyperhidrosis is relief from excessive sweating problems. The risks involved in using BOTOX® to treat excessive sweating problems are minimal but real. Any treatment offers the potential for complications, and BOTOX® is no different. For most people, however, actual side effects do not occur or are tolerable.
The results of BOTOX® injections are temporary and treatments must be repeated every few months to maintain the effects.
Though BOTOX® Cosmetic can be used to treat palmar hyperhidrosis (palm sweating), it is often less effective and treatments can be quite painful. This, however, should not discourage individuals from seeking relief. There are effective ways to provide pain relief during the procedure (anesthesia, ice and pressure), and treatment with BOTOX® Cosmetic has provided some success in treating instances of severe palm sweating.
Facial Blood Vessel Treatment
Broken blood vessels in the face develop because of sun exposure, aging, inflammatory conditions such as rosacea, stress and certain foods. Broken blood vessels caused by rosacea appear on the nose, cheeks, chin and forehead and get worse without treatment. Treatment for broken blood vessels in the face includes topical ointments, oral antibiotics and laser treatments.
Ear Lobe Repair
Women and men wear ear jewelry to enhance their appearance. Rings, posts, and
other objects have adorned ears since ancient times. Various parts are pierced
to better hold these items in place. Unfortunately significant weight or trauma
can pull through tissue. A tear in the lobe or margin leaves a notch in the
otherwise smooth continuous edge. This defect is usually very visible and hard
to cover with hair or clothing.
What is actually torn?
The soft ear lobe has skin and fat. Other parts of the ear have cartilage adding structural strength. Since the tissue over the cartilage is thin, contour irregularities of the cartilage are easily seen. Reestablishing the delicate shape of the underlying cartilage adds complexity to a reconstruction.
Methods of reconstruction.
Most ear holes gradually enlarge over time. The final tear is usually just through a tiny piece of tissue at the bottom of the lobe. If only the bottom is actually torn, immediate repair will not take care of the skin covered slot. However if the tear starts from a tiny pierced hole, immediate repair is an option. Otherwise reconstruction is delayed after the wound has healed and tissues are not inflamed.Depending on the deformity, reconstruction can take different forms. In all methods, the skin lining the slot is removed creating a raw edge to rebuild.
Cortisone Shots for Acne Cysts
Intralesional Corticosteroid Therapy: If one or several painful acne cysts develop, fast relief is available with this relatively painless procedure. Each cyst is given a single injection of a dilute cortisone solution, using a very tiny needle.
Spider Vein Removal-Sclerotherapy
Sclerotherapy is a procedure used to treat spider veins by injecting a solution into the veins which causes them to gradually disappear. By injecting a solution, known as a sclerosing solution, the lining of the veins become irritated and eventually turns into scar tissue that then fades away. This method is the preferred treatment for spider veins and has been used since the 1930s.
This procedure usually takes no more than an hour. Most patients need 1 to 3
treatments in order to achieve desired results. There is no downtime other than
a 24 hr. compression wrap or stockings and avoiding strenuous activities for the
first 2 to 3 days.
While sclerotherapy is proven as an effective treatment for spider veins, it is not recommended for everybody. Pregnant women and those whose saphenous vein are affected are not typically eligible for this procedure. Sclerotherapy is not effective for large varicose veins and is only recommended for smaller, superficial veins. A consultation prior to treatment with Dr. Kirby will determine if you are a candidate for this procedure.
Keloid and Scar Treatment
Keloids are raised, reddish nodules that develop at the site of an injury.
After a wound has occurred to the skin both skin cells and connective tissue
cells (fibroblasts) begin multiplying to repair the damage. A scar is made up of
'connective tissue', gristle-like fibers deposited in the skin by the
fibroblasts to hold the wound closed. With keloids, the fibroblasts continue to
multiply even after the wound is filled in. Thus keloids project above the
surface of the skin and form large mounds of scar tissue.
Keloids may form on any part of the body, although the upper chest, shoulders and upper back are especially prone to keloid formation. Symptoms include pigmentation of the skin, itchiness, redness, unusual sensations and pain.
It is estimated that keloids occur in about 10% of people. While most people never form keloids, others develop them after minor injuries, even insect bites or pimples. Darkly pigmented people seem to be more prone to forming keloids. Men and women are equally affected.