As time passes, our skin shows the natural, inevitable signs of aging – wrinkles, sagging, sun damage. Cosmetic dermatology means that you don’t have to live with those effects anymore. Non-surgical cosmetic procedures available at our practice allow you to smooth lines and wrinkles, raise sunken areas, reduce blemishes and scarring, tighten sagging skin, treat spider and varicose veins, and generally produce fresh, glowing skin so you can look as young and rejuvenated as you feel.
Belotero®
Merz Pharmaceutical’s Belotero Balance is FDA approved to add volume to superficial facial wrinkles and folds. This hyaluronic acid-based soft tissue filler has been widely used in Europe and Canada for years. Hyaluronic acid is a naturally-occurring substance found in the body’s connective tissues.

Its supply dwindles with advancing age, but injections of Belotero or other hyaluronic acid-based fillers can increase volume, creating a more youthful appearance. Due to its ability to treat superficial wrinkles, Belotero holds an advantage over other dermal fillers since it can be administered close to the surface of the skin without causing a blue hue.
Belotero injections take 15 to 30 minutes and may involve some minor discomfort. It is common to experience some redness, swelling, and bruising that will typically resolve in a week. The results are immediate and last an average of 6 to 12 months. Treatment is safe, reliable and simple. Belotero offers high stability for cosmetic results that adapt perfectly to the skin, ensuring smooth transition between areas that have been treated and areas that are not. This means natural looking, beautiful results that last.
Botox® Cosmetic
BOTOX® Cosmetic is a highly purified protein injected into the skin to relax the muscles that cause some kinds of wrinkles. While BOTOX® can treat certain medical conditions, such as excessive sweating, it is most commonly used for cosmetic purposes, primarily to reduce wrinkles on the face and neck. BOTOX® injections are relatively painless, as the needle used is significantly smaller than those used for other injectable fillers.

The best candidates for BOTOX® are men and women seeking an enhanced appearance with fewer wrinkles. In addition, it is important that those seeking treatment are in good physical health, are not pregnant or nursing, and do not have a neuromuscular disorder. People seeking BOTOX® injections should have realistic expectations regarding this procedure’s abilities and should discuss their desired goals with their doctor beforehand.
Chemical Peels
Chemical peels remove damaged outer layers of skin on the face to smooth texture, reduce scarring, and remove blemishes to produce healthy, glowing skin. At Dr. Khorenian’s office we perform glycolic and salicylic peels. There are three types of chemical peels, ranging from mild to strong – alphahydroxy acids (AHAs), trichloroacetic acid (TCA) and phenol – and formula strengths are tailored to each patient. Peels can be combined with other procedures such as facelifts for a younger look.
Dysport®
Dysport is an FDA-approved injection used to reduce the appearance of fine lines and wrinkles by relaxing facial muscles in the forehead. Similar to BOTOX® Cosmetic, Dysport is injected directly into the site of wrinkles to prevent the underlying muscles from contracting. Dysport injections are made from the bacterium Clostridium botulinum, the same protein used in Botox injections.

Dysport injections are ideal for nearly anyone wishing to reduce the appearance of fine lines and wrinkles on the face and restore a younger, more refreshed appearance. The injections are administered directly into the facial muscles that cause frown lines and other wrinkles; these injections are generally painless, with no need for anesthesia. Treatment sessions typically take less 15 minutes, and are administered at six-week intervals. Three to five injections are usually required to achieve desired results.
Juvéderm® Collection
Juvéderm Injectable Gel is a safe, effective gel that restores volume to the skin and smoothes away moderate to severe facial wrinkles and folds. Juvéderm is the first FDA-approved dermal filler proven safe and effective for persons of color. The Juvéderm gel is made of hyaluronic acid with a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing needed for this procedure.

Juvéderm Voluma™ is an innovative injectable hyaluronic acid facial filler that delivers smooth, natural-looking fullness to sunken cheeks and firmness to a softening jawline.This creates a smoother contour and more youthful appearance. The Only FDA-approved filler to correct age-related volume loss in the midface that last up to 2 years with optimal treatment.
Juvéderm Volbella™ is the latest FDA-approved injectable added to the Juvéderm family of dermal fillers.This non-surgical lip augmentation treatment is designed to plump the lips and minimize the appearance of fine lines around the mouth.
Topical or injectable anesthesia may be used during this procedure to numb the treatment area and minimize any potential discomfort. The results of this procedure are available right away and can usually last for up to a year, the longest results available from any hyaluronic acid product.
Lip Enhancement
Rejuvenation of the lips by rehydrating, replacing volume loss, minimizing fine lines at border junction, correction of downturning corners with proper injectable filler selection and incorporation of other anti-aging treatments to produce a natural refreshed look.
Microdermabrasion
Microdermabrasion improves mild to moderate sun damage, scarring, wrinkles and other superficial skin problems. A gentle stream of tiny particles exfoliates the outer layer of skin and provides a fresh, glowing, younger appearance. Only a small amount of skin is removed, so sensitive areas such as the face, chest, neck, arms and hands can be treated. Results are comparable to a light chemical peel and should be immediately visible. Microdermabrasion is often performed in conjunction with other skin renewal procedures, such as laser treatment and chemical peels. Multiple treatments are recommended for full effect.
Radiesse®
Radiesse is a synthetic injectable filler that reduces wrinkles, creases and scars by augmenting the body’s natural collagen supply. Composed of microspheres in a biocompatible gel, Radiesse is made from the same minerals found in our bones, so it carries little risk of allergic reaction. Radiesse 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. Side effects such as swelling or bruising are minimal and should fade within a few days. Results are visible immediately after the injection and can last for months or years, although the procedure can be repeated as often as you wish.
RHA Collection®
RHA Redensity™ is indicated for injection into the dermis and superficial dermis of the face, for the correction of moderate to severe dynamic perioral rhytids in adults 22 or older.

RHA® 2 is indicated for injection into the mid-to-deep dermis for the correction of moderate to severe dynamic facial wrinkles and folds, such as nasolabial folds in adults 22 or older.
RHA® 3 is indicated for injection into the mid-to-deep dermis for the correction of moderate to severe dynamic facial wrinkles and folds, such as nasolabial folds and is also indicated for injection into the vermillion body, vermillion border and oral commissure to achieve lip augmentation and lip fullness in adults 22 or older.
RHA® 4 is indicated for injection in the deep dermis to superficial subcutaneous tissue for the correction of moderate to severe dynamic facial wrinkles and folds, such as nasolabial folds in adults 22 or older.
Restylane®
Restylane is an injectable filler, used for smoothing out facial wrinkles. It is a biodegradable gel composed of hyaluronic acid, a natural substance occurring within the body. In addition to adding fullness to the skin, Restylane attracts water molecules to the site of the injection, further enhancing its effectiveness. Restylane® Lyft with Lidocaine is indicated for implantation into the deep dermis to superficial subcutis for the correction of moderate to severe facial folds and wrinkles, such as nasolabial folds, for subcutaneous to supraperiosteal implantation for cheek augmentation, and for the correction of age-related midface contour deficiencies in patients over the age of 21.
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Restylane provides results that are noticeable immediately after injection, although it may take a few days for swelling to subside. Day-to-day activities can be resumed immediately afterwards, with no downtime necessary. To maintain its effects, additional Restylane injections should be administered about 4 to 8 months later.
Sculptra
Boost your natural collagen and improve skin quality with Sculptra Aesthetic.
Sculptra is a biostimulatory aesthetic injectable that helps stimulate your own natural collagen production to smooth facial wrinkles and improve skin tightness, revealing a refreshed-looking you.
Sculptra gradually helps restore your skin foundation and volume. On average, you will have 3 treatment sessions over the course of a few months. Most clinical study participants saw results as soon as 1 month, with sustained results for up to 2 years.
Secret™ RF
SK Dermatology is proud to offer Secret RF, a new microneedling treatment that improves signs of aging skin, fine lines, wrinkles and scars with little to no downtime. Secret RF uses microneedles to deliver fractional Radio Frequency (RF) energy into varying levels of the skin including the deeper layers where treatment is most beneficial.
This unique delivery of energy allows us to achieve optimal results on all skin types.
Secret RF is an easy, safe and effective procedure that can be performed in a quick, 20-minute treatment session. To achieve the optimal effect, 3-4 Secret RF treatments are recommended. You’ll start to notice results after your second treatment, but optimal results appear 3 months after the last treatment.
Your Secret RF treatment consultant can provide all the details you need to make an informed decision about the procedure. Contact us today to schedule a free consultation with our Secret RF treatment specialist!
Secret™ PRO Fractionated CO2
Secret PRO offers four aesthetic treatments that uniquely combine two proven technologies - fractional CO, and radio frequency microneedling
- to effectively treat all layers of the skin.
All four treatments promote collagen remodeling and elastin growth through coagulation and hemostasis. In other words: Secret PRO and its technology can improve the signs of aging', stretch marks', and scarring' all while enhancing skin tone, quality, and radiance. 1,3
Each treatment is customized to your unique skin needs whether you're looking for prejuvenation to keep your skin looking young, or for a more corrective treatment to reverse the signs of aging.
Selphyl-PRP®
The Selphyl® System is a patented technology for the safe and rapid preparation of autologous Platelet-rich Fibrin Matrix (PRFM), using a small amount of a patient’s own blood.
The Selphyl® System is safe to use and naturally reverses the aging process in a subtle yet stunning way. After all, nothing is more natural than you.

Procedure
During a short office visit (30 minutes), a small amount of a patient’s own blood is drawn into a vacuum collection tube containing a gel separator. The tube is then placed into a centrifuge and spun for six minutes to separate the blood into a supernatant plasma/platelet suspension, with the remaining cells located below the separator gel. The fibrin, platelets, and serum are then transferred in a closed system to a second vacuum tube containing a small amount of calcium chloride solution. Fibrin polymerization begins and there is approximately 10 minutes to inject the PRFM. Platelets are embedded into the fibrin matrix. Platelets have been shown to be viable and capable of a sustained release of growth factors over seven days, which is associated with tissue regeneration.
Treatment Areas
Platelets are known to promote tissue regeneration. Physicians have reported a natural, refreshed and youthful appearance lasting 12+ months. The Selphyl® System Technology is safe and requires zero patient down time. The reproducible 3-step system contains no animal or foreign components, so there is no risk of an allergic or adverse reaction. There have been zero reports of granulomas or nodules. In addition to these areas, physicians are using PRFM for facial contouring, dermal defects, divots, acne scars, stretch marks, cellulite and hair loss. PRFM has also been instrumental in restoring a more youthful look to hands, neck and décolleté. PRFM has yielded successful results when used in conjunction with fat transfer and when applied to post-surgical incisions.
Uses
Physicians worldwide have used the Selphyl® System to address the effects of skin aging, including lost volume, fine lines and wrinkles, and skin texture and tone. In addition, the system has been shown to be effective for wound healing and for use with autologous fat transfer procedures by increasing vascularization and viability.
Vistapen®
Vistapen™ uses clustered sterile needle cartridges that vertically penetrate the skin at depths and speeds set by the provider. This enhances rejuvenation and acne scars by stimulating collagen production as the skin repairs itself.

The device’s automatic adjustable vibrating mechanism is far safer and more effective than home use dermal rollers that do not penetrate as deep and may be contaminated. It can be used to increase absorption of PRP, growth factors and medications and as an alternative procedureto ablative treatments such as fractional laser, IPL, and chemical peels without the negative side effects and downtime. It is safe on all skin types.
Xeomin®
When you squint or frown, the muscles between your brows contract, causing the skin to furrow and fold. These lines that occur due to facial mimics are referred to as dynamic lines. Over time, as your skin ages and loses some of its elasticity, these repeated contractions can cause persistent frown lines.

Botulinum toxin type A – the active ingredient in XEOMIN® – is used in facial aesthetic treatment to treat dynamic lines like glabellar frown lines. It acts on nerve endings in muscles to prevent muscle fibers from contracting. By reducing these contractions, XEOMIN® can temporarily reduce the frown lines on your forehead between your eyes.