Preston Ridge Dermatology

Non-Surgical Facial Rejuvenation

Non-Surgical Facial Rejuvenation

One of Dr. Niren’s special areas of interest is rejuvenating the face. When you come to our office unsure of how to begin to improve and reverse the undesirable changes that genetics, sun-damage and aging trigger, many patients start with a cosmetic consultation. We first listen to our patient’s goals and desires and then plan a strategy that makes the best sense for the individual. Just as our logo signifies “the whole,” we review the plan and work together over time to rejuvenate the “whole” face using multiple modalities.

We use the acronym, “RAGE,” to classify our key products, borrowed from the famous poem by Dylan Thomas, in his rant against old age:

“Do not go gentle into that good night,
Rage, Rage against the dying of the light.”

We carry an extensive variety of products. Our selection and some prescriptions are described in the following educational “RAGE against AGE” overview. We tailor a regimen for each patient that includes the 4 major categories of products:

Retinoids: Improve natural collagen and help regulate healthier cell cycle; diminish splotchy color, wrinkles and large pores; reverse some sun damage (solar elastosis). Retin-A, Renova, Refissa, Retinols, Rejuvenating Lotion
A Antioxidants: Help to diminish wrinkles, redness, blotchy tone; aid in battle against damage from sun, free radicals and environmental toxins. SkinMedica C + E Complex (15% Vitamin C blend),  Vivité SPF 30, Journee SPF 30 (both of these sunscreens have a blend of antioxidants)
Growth Factors: Human Growth Factors are proteins/peptides that directly stimulate collagen and elastin production for thicker, firmer skin. Neocutis PSP (Processed Skin Proteins)-Bio Cream, Bio Serum, Lumiere Eye Cream & Lumiere Riche Eye Cream, Journee SPF 30, TNS Recovery Complex (Tissue Nutrient Solution), TNS Essential Serum
E Exfoliators: Peel and refresh dead, epidermal layers of skin to thicken and stimulate dermal collagen; improve tone, texture, wrinkles and pore size. Vivite Night Renewal Facial Cream, Vivité Exfoliating Facial Cleanser,  Vivite Vibrance Therapy , Vivité SPF 30 Moisturizer

Cosmetic/Aesthetic Procedures:

  • Peels – Illuminize and Vitalize peels are gentle, superficial peels to improve texture, discoloration (hyperpigmentation and melasma), and acne. TCA or Tri-Chloracetic Acid is a more aggressive Medium-Depth Peel and improves texture, severe sun damage that may be causing precancerous growths (actinic keratoses), and discoloration.
  • IPL – Intense Pulsed Light Our Palomar StarLux system is used for hyperpigmentation, “sun spots” (solar lentigines), redness (often due to rosacea), hair reduction (face and other body areas), and acne. It can be combined with Peels or Vibraderm for enhanced results.
  • Vibraderm – Microdermabrasion This is a treatment in which the skin is mechanically exfoliated by vibration with personalized paddles to give a smooth, polished appearance. No crystal chemicals are used in our advanced professional grade system. Vibrainfusion of a specific topical immediately enhances the absorption into the skin. This improves the texture and tone of the skin, and is especially helpful in acne with small blemishes (blackheads and whiteheads, known as comedones). We often combine a series with light peels and refer to it as a “Vibra-Peel.”
  • Vascular Laser Quick procedure to erase or diminish fine red vessels on the face.

Dr. Niren has special expertise as an injector and she provides:

  • Restylane/Juvederm These are wrinkle fillers made of hyaluronic acid, which typically last in the skin for 6 months up to 1 year.
  • Botox/Dysport – Botulinum Toxin A is an excellent wrinkle relaxer for the forehead and crow’s feet areas near the eyes. The relaxed-looking effect lasts between 4-6 months.
  • Sculptra Known as the “liquid face-lift,” this dissolvable polylactic acid stimulates collagen and helps create significant new volume in the face. Ideal when the aging face becomes more gaunt or hollow, and cheeks are flattened or dropped. The results are very natural with a softened appearance as your OWN collagen grows and the treatments often last 2 years!

Other Common Cosmetic Procedures

  • Mole, “Skin tag” and Cyst removal – Many people desire the cosmetic removal of these skin growths and both Namita and Dr. Niren perform these procedures. If there is any medical concern or if a growth appears infected, it becomes medically necessary and the office can submit such a claim to the patient’s health insurance.
  • Removal of “crusty growths – barnacles,” known as seborrheic keratoses, either by surgical excision or liquid nitrogen cryotherapy.
  • Leg Vein Injections for “spider veins” – Sclerotherapy.