Maragh Dermatology, Surgery, & Vein Institute

Products And Services

• Medical Dermatology

  Skin Cancer Screening/Mole Exam Full-body skin exams are an important tool in screening patients for benign or cancerous lesions that they may not have been able to see or recognize on their own. From head to toe and back to front, we inspect the skin for any suspicious growths. This quick and painless preventive measure is an invaluable tool in the early detection of skin cancer as well as many other dermatological conditions. Moles and other birthmarks are benign pigmented spots or patches of skin that range in color from tan, brown and black (moles) to red, pink or purple (vascular lesions, such as strawberry hemangiomas or port wine stains). Though most birthmarks are harmless, they may develop into cancer. Moles exhibiting any of the following warning signs should be examined by a professional immediately: Larger than six millimeters Itches or bleeds Rapidly changes in color, size or shape Has multiple colors Is located where it can’t be easily monitored, such as on the scalp Depending on their depth, location and color, as well as the patient’s skin type, age and other factors, treatment for benign but unattractive birthmarks may take the form of laser or pulsed light therapy, microdermabrasion or surgical excision. MOHS Skin Cancer Surgery Mohs micrographic surgery is the most advanced technique for the treatment of skin cancer offering the highest cure rate for basal and squamous cell carcinomas. It can also be used for the treatment of malignant melanoma. It involves the systematic removal and analysis of thin layers of skin at the location of the skin cancer until the last traces of cancerous tissue have been eliminated. The immediate and complete microscopic examination and evaluation of excised tissue is what differentiates Mohs surgery from other cancer removal procedures. Only cancerous tissue is removed, minimizing both post-operative wound size and the chance of regrowth. This allows for the best cosmetic surgical reconstruction with minimal scarring or change in your appearance. High precision makes Mohs surgery ideal for the elimination of cancers in cosmetically important areas such as the face (nose, eyelids, lips, hairline), hands, feet and genitals. The procedure is performed by Dr. Maragh in the office based Surgery Center on an outpatient basis under local anesthesia. Acne & Rash Evaluations Acne is the term for the blocked pores (blackheads and whiteheads), pimples, and deeper lumps (cysts or nodules) that can appear typically on the face, neck, chest, back, shoulders and upper arms. Seventeen million Americans currently have acne, making it the most common skin disease in the country. The Center offers a variety of treatments for acne and acne scarring including prescription medications, microdermabrasion, chemical peels, IPL, and laser. A rash is a change in the skin’s color or texture. Simple rashes are called dermatitis, which means the skin is inflamed or swollen. Other common rashes include eczema, psoriasis, impetigo, shingles, chicken pox, measles, scarlet fever, insect bites and those caused by medical conditions such as lupus or rheumatoid arthritis. Dr. Maragh will examine your skin condition and recommend the proper treatments available. Scar Revision Scarring can be treated in a variety of ways including chemical peels, microdermabrasion, soft tissue fillers and laser/pulsed light treatments.

  Link: Medical Dermatology

• Laser Services

  LASER TREATMENTS Laser Age Spot/Sun Spot Removal You can reverse the signs of sun damage and aging with cosmetic laser treatment. The laser penetrates the skin to destroy the underlying pigment and vessels that are the cause of the problem while leaving the outer layer of the skin undamaged. Collagen production is stimulated in the process to tighten surrounding tissue and improve the skin’s overall texture and appearance. The procedure involves very minimal discomfort and you will be able to return to your normal activities immediately. Laser Skin Resurfacing Laser skin resurfacing, commonly called a laser peel, removes the outer, damaged layer of skin to reveal a smoother, younger look. Laser resurfacing can reduce the appearance of sun damage, wrinkles, fine lines, uneven pigmentation and superficial scarring. A laser beam of precisely focused light vaporizes the surface skin and reveals the undamaged layer beneath. Procedure time varies depending on the size and condition of the area being treated. Laser skin resurfacing is commonly performed with either a carbon dioxide (CO2) or an erbium laser. Although the process for these procedures is very similar, the erbium laser is typically used to treat deeper lines and wrinkles within the face, hands, neck and chest. It is also better for darker skin tones. Laser Skin Tightening Whether for hygienic or cosmetic reasons, women and men who are tired of temporary, often painful methods of removing unwanted hair on the face, back, legs or other body areas may welcome laser hair removal with relief. Lasers produce highly focused, intense beams of light. Dark pigments in the hair follicles beneath the skin’s surface absorb this light and convert it to heat, destroying the follicles and preventing hair growth for up to two years. Laser Hair Removal Whether for hygienic or cosmetic reasons, women and men who are tired of temporary, often painful methods of removing unwanted hair on the face, back, legs or other body areas may welcome laser hair removal with relief. Lasers produce highly focused, intense beams of light. Dark pigments in the hair follicles beneath the skin’s surface absorb this light and convert it to heat, destroying the follicles and preventing hair growth for up to two years. IPL Photofacial Photofacial is a non-abrasive and non-invasive rejuvenation of your skin using the remarkable technology of Intense Pulsed Light (IPL). IPL Photofacials can improve the signs of sun damage, rosacea and brown spots on the face, hands and body. It has also been used to reduce the appearance of mild acne scars, dark circles around the eyes and fine lines around the eyes and mouth. Laser For Vascular Lesions Vascular lesions are abnormally tangled veins or arteries. They can be treated with a special laser, which is absorbed by the blood while leaving surrounding tissue intact. Laser treatment effectively cauterizes the affected vessel and resolves the lesion. LASERS Pearl™ Fractional Skin Resurfacing Laser The Pearl™ Fractional Skin Resurfacing Laser by Cutera has created a new frontier in fractional skin resurfacing for the treatment of moderate to severe aging and photo-damage. The Pearl’s technology addresses both the dermal (inner) and epidermal (outer) layers of the skin to combat wrinkles, pigment irregularities, skin texture and tone. The Pearl delivers fractional resurfacing with a new wave length that improves on the “traditional” fractional devices with much less downtime and recovery. Cynosure Elite Mpx The Elite MPX is the latest multi-treatment technology for all-in-one improvement of a variety of conditions. The appearance of facial veins, pigmented lesions, freckles and photodamaged skin can be effectively reduced. The Elite MPX also offers effective laser hair removal options, as well as integration of intense pulsed light (IPL) Fotofacial™ technology for complete facial rejuvenation. Elite MPX treats skin and hair by supplying optimized dual-wavelength laser light to the nominated area. Intense laser pulses are delivered one after the other to achieve excellent results on a wide range of skin types. Fine vellus hair can also be effectively removed. All procedures require minimal downtime. Palomar Icon The Icon™ Aesthetic System is the next generation of platform technology. Offering multiple devices in one machine, it provides a comprehensive suite of the most popular treatments, from hair removal to wrinkle reduction to scar and stretch mark treatment. Treatments provided by the Palomar Icon™ include: Wrinkle Treatment Hair Removal Fractional Skin Resurfacing Stretch Marks Treatment Skin Rejuvenation Candela Vbeam Vbeam Perfecta® is the gold standard and the world’s best selling pulsed-dye laser. Time and again it proves itself as the safe, easy-to-use tool for the treatment of vascular, pigmented and certain non-pigmented lesions with a low incidence of side effects.

  Link: Laser Services

• Cosmetic Dermatology

  Nonsurgical Facelift The Non-surgical Facelift is a safe and effective way to achieve a fresh, more youthful appearance with less downtime and expense than undergoing surgery. The Non-surgical Facelift uses a combination of small procedures including dermal fillers, BOTOX® and lasers to improve sagging skin, fine lines, wrinkles and age spots. There is no cutting involved. Dermal fillers such as Radiesse™, Restylane® and Juvéderm™ are used to restore volume and fill facial lines and wrinkles. BOTOX® is used to smooth lines of facial expression including frown lines, forehead lines and crow’s feet around the eyes. Laser or IPL is used for removal of age spots and skin tightening. The Non-surgical Facelift is a safe and effective in-office procedure that takes approximately one hour. It does not require general anesthesia and there is no extended recovery time. Dr. Maragh will tailor your treatment to your individual needs. BOTOX® Cosmetic is commonly used to reduce or eliminate the appearance of facial wrinkles. It is injected under the skin into areas surrounding the eyes, forehead and mouth to smooth crow’s feet, frown and worry lines, and lines on the neck. Made from a purified protein, BOTOX® relaxes wrinkles and gives the face a rejuvenated look. BOTOX® may also be useful for migraine headaches, excessive sweating, and eye and neck muscle spasms. www.BrilliantDistinctionsProgram.com Restylane-L® Restylane-L® is a clear gel formulation of hyaluronic acid that is specifically formulated to act like your body’s own hyaluronic acid, adding volume and fullness to the skin. The product can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane-L may also be used for lip enhancement. Restylane®-L is designed to smooth wrinkles, sculpt lips and shape facial contours. With its unique ability to bind with water, Restylane-L remains in your skin for many months, giving long-lasting rejuvenating results. Restylane-L is combined with lidocaine, (a numbing agent) which has made the treatment experience much more comfortable for our patients. Radiesse® Radiesse® is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body’s natural collagen supply. It can be used on many areas of the body, including the lips, nasolabial folds, peri-oral lines, depressed scars and oral commissures. Treatments typically take 15 minutes and require only local anesthetic. Results are visible immediately after the injection and can last for 12 to 18 months in most patients.* * Individual results may vary. Juvéderm® Ultra Plus XC & Juvéderm® Voluma XC Touted as the “next generation” of facial fillers, Juvéderm® injectable gels gently smooth wrinkles and folds around the mouth and nose and restore a youthful volume to the face. Juvéderm®XC is made with hyaluronic acid, a natural substance found in the body that works with collagen and elastin to provide volume and support to the skin. It is manufactured using HYLACROSS™ technology, creating a smooth-consistency gel. It is infused with lidocaine to improve comfort during treatment. Juvéderm® is especially effective on smile lines and “parentheses” (nasolabial folds) that run from the bottom of the nose to the sides of the mouth. Treatment takes only 15 minutes with immediate results and no downtime. Results typically last about 9 months or more .* JUVÉDERM VOLUMA™ XC injectable gel is the first and only filler FDA-approved to instantly add volume to the midface cheek area. It provides a lift to the central face restoring a youthful contour and profile. JUVÉDERM VOLUMA™ XC is clinically proven to last for up to 2 years.* It’s different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA™ XC, however, adds volume to the cheek area. Brilliant Distinctions® is a rewards program offered by Allergan, the makers of Botox, Juvederm, Latisse and Vivite that offers patients points towards instant savings on their products. Click the link below to learn more and enroll now! Our office will assist you with earning your savings. www.BrilliantDistinctionsProgram.com * Individual results may vary. Ultherapy Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow. Now also FDA-cleared to improve the appearance of lines and wrinkles on the décolletage, Ultherapy can help you achieve a fresher look from your brow to your chest! Belotero Belotero is the latest, most advanced form of dermal filler available today. It has a unique ability to integrate with the tissues of your skin, providing volume and a

  Link: Cosmetic Dermatology

• Vein Center Services

  CoolTouch® Endovenous Laser Ablation The CoolTouch® CTEV laser has a 1320 nm wavelength, which has been found to be the most comfortable and EFFECTIVE laser treatment for varicose veins. With the CoolTouch CTEV, a small single needle incision is made in the leg and the fibre is inserted into the varicose vein. The laser is activated and as the fibre is moved through the vein it gently heats and safely closes the vein. Once the vein is closed, the blood that was circulating through this vein is simply re-routed to other healthy veins and the varicose vein essentially vanishes. You will experience minimal, if any, pain, bruising or post-op complications and the success rate is 98-100%.* * Individual results may vary. Sclerotherapy Sclerotherapy is the standard treatment for varicose and spider veins. A special sclerosing solution is injected into the vein, which then collapses and is gradually absorbed by the body. Sclerotherapy also relieves symptoms associated with enlarged veins such as aching and throbbing of the legs and prevents further complications. Ambulatory Phlebectomy Microphlebectomy, sometimes called ambulatory phlebectomy, is a minimally invasive method of treating small varicose veins. A special hook is used to remove the vein through multiple tiny incisions that do not usually require stitches and leave minimal scarring. Recent advances have made it possible to perform the procedure using only local anesthesia and light sedation in a doctor’s office as an outpatient. After the microphlebectomy you will be asked to wear compression garments temporarily. The incisions typically heal within two weeks.

  Link: Vein Center Services

• Surgery Center Services

  Tumescent Liposuction Tumescent liposuction, also called liposculpture, is a vast improvement over traditional liposuction. The physician “inflates” the patient’s fat with a diluted local anesthetic before he/she vacuums it out in a process called suction aspiration. This eliminates risks associated with the general anesthesia used in traditional liposuction. Another major advantage of the anesthesia used in the tumescent procedure is that it practically eliminates blood loss by constricting (tightening) blood vessels. In traditional liposuction, no such agents are used, with patients sometimes experiencing significant bleeding and even needing blood transfusions. Using the tumescent method, all liposuction cases can be performed entirely with local anesthesia. The treated area can remain numb for up to 24 hours, greatly reducing post-operative discomfort. SmartLipo™ Triplex Laser Liposculpture The Cynosure Smartlipo Triplex laser is the newest generation of laser lipolysis (fat destruction) device that combines 3 lasers into 1 device and into 1 treatment. 1064 nm Smartlipo Wavelength offers increased efficiency of minimizing bleeding while destroying unwanted fat cells 1320 nm Smartlipo Wavelength offers optimal skin tightening while destroying unwanted fat cells 1440 nm Smartlipo Wavelength offers 40 times greater absoprtion and destruction of unwanted fat cells While previous technology only incorporated one wavelength for good results the new Smartlipo Triplex offers three combined wavelengths for optimal results in the removal of unwanted fat and skin tightening in one procedure while the patient is still awake. This minimally invasive procedure is performed in office under light sedation with local anesthesia eliminating the risks associated with being put to sleep with general anesthesia for an elective, cosmetic procedure. Small incisions are made 1 to 2 small incision holes about the size of the tip of a pen are made in the treatment areas to insert the laser for treatment. The suction device to remove the lasered fat is inserted through the same holes so scarring is minimal. The procedure may take 1 to 2 hours depending on the size of the treatment area. Patients return to work in 2 days and can resume exercise in 10 to 14 days. Results are seen within one week and continue to improve over 3 to 6 months.* Smartlipo Triplex is the ideal system for safe and effective fat removal and body sculpting with optimal results. * Individual results may vary. Cellulaze Laser Cellulite Removal Finally, our dreams have come true! Now we can get rid of your cellulite for good!!* The Cellulaze Laser reduces the appearance of cellulite in just one treatment. Cellulite is not a fat problem. Women of all shapes and sizes suffer from this unsightly dimpling of the skin. No matter how many pounds you lose or how often you exercise, cellulite can still be a problem. Cellulite is a structural problem below the surface of the skin created by brittle structural bands that pull down creating dimpling and puckering. Diet and exercise cannot address the fibrous bands that pull down on the skin causing the dimpled appearance of cellulite. Cellulaze is a unique treatment that uses laser energy to disrupt the trapped pockets of fat and release the fibrous band that pull down on the skin. The laser energy stimulates collagen growth that creates thicker, more elastic, healthier skin. Cellulaze treatment does not require you to be put to sleep. The treatment is performed under local anesthesia with a very small cannula (a tube that is about the size of the tip of a pen) that is inserted underneath the skin. The laser fiber inside the tube delivers energy directly under the skin. This increases the depth and quality of your skin while releasing the fibrous bands that cause the orange peel look of cellulite. The laser is then used to diminish the lumpy pockets of fat the puff up through the fibrous bands under the skin. There is minimal discomfort during the procedure. Most patients describe a feeling of light pressure or nothing at all. After the treatment, you can experience some soreness. Almost all patients can return to work the very next day. Results are visible right away with optimal results in 3 to 6 months.* Only one treatment is needed. The results of the treatment are long lasting with maintenance of a normal healthy diet and exercise regimen. * Individual results may vary. Minimal Incision Facelifts An alternative for some patients to the traditional facelift is the “S-Lift” or “weekend facelift.” Named for the S-shaped incision hidden in front of the ear, the S-Lift provides an overall lift to the lower third of a patient’s face and cheeks. Compared to a facelift it is a quicker operation with a shorter recovery, allowing patients to get back to normal life sooner.

  Link: Surgery Center Services