San Diego Dermatologic Surgeons

	Mitchel Goldman, MD San Diego Dermatologic Surgeon 9339 Genesee Avenue Suite 300, San Diego		150 answers
	Melanie D. Palm, MD San Diego Dermatologic Surgeon 320 Santa Fe Drive Suite 310, Encinitas		96 answers
	Jason R. Lupton, MD San Diego Dermatologist 12395 El Camino Real Suite 117, San Diego		77 answers
	Arnold W. Klein, MD Beverly Hills Dermatologic Surgeon 9415 Brighton Way M110, Beverly Hills		67 answers
	Monika Kiripolsky, MD San Diego Dermatologic Surgeon 6221 Metropolitan Street Suite 100, Carlsbad		38 answers
	Richard Fitzpatrick, MD San Diego Dermatologic Surgeon 9339 Genesee Ave Suite 300, San Diego		15 answers
	Kimberly Butterwick, MD San Diego Dermatologic Surgeon 9339 Genesee Avenue Suite 125, San Diego		13 answers
	Darrell W. Gonzales, MD San Diego Dermatologic Surgeon 9850 Genesee Avenue Suite 500, La Jolla		7 answers
	E. Victor Ross, MD San Diego Dermatologic Surgeon 3811 Valley Center Dr Ste 4B Laser & Cosmetic Dermatology, San Diego		3 answers
	Christopher Crosby, MD, PhD San Diego Dermatologic Surgeon 8860 Center Dr Suite 300, La Mesa		2 answers
	Douglas M. Keel, DO San Diego Dermatologic Surgeon 8899 University Center Lane Suite 150, San Diego		1 answer

Recent Answers

Which Do You Think is Better to Combat the Dreaded Frown Line...botox or Juvederm?

I am going to have either or done next week for my frown line between my eyes. I can't stand it! I had a conservative amount of Botox done for this last year and it worked fine, but I still was able to see a faint line still. Do you think that getting Juvederm this time around would be a better option, or should I just ask for more Botox?

A: Botox and Juvederm for frown lines

I would continue using Botox in this area since you have had a good result in the past. I think adding a filling agent such as Juvederm or Restylane is appropriate if there is still a line present after Botox. I regularly place toxins and fillers in the frown area for patients with more well demarcated lines. The cosmetic result with this combined treatment is usually excellent. I also agree with the others here that there is inherently more risk in this area so be sure to only see an experienced and board certified dermatologist or plastic surgeon for treatment. Good luck

Jason R. Lupton, MD

San Diego Dermatologist

Safest Treatment for Sun Damage and Broken Capillaries in Sensitive Skin?

I was diagnosed with mild Rosacea 3 years ago. After being on a low-dosage Isotretinoin for 9 months my skin stabilised. I have some sun damage and brown spots/patches, I have several broken capillaries around my nose, my pores are enlarged and skin looks rough. I am currently using Obagi Nu derm with Tretinoin 0.05 which seems to even out the skin tone but I would like to get treatment for the redness and roughness. Which is safest: Sciton BBL or Pulsed Dye Laser?

A: Pulsed dye laser for rosacea

I prefer the pulsed dye laser for redness and roughness on the skin. You can consider combining an IPL device witht the pulsed dye laser so that the brown patches could be eradicated along with the facial redness. I usually find 3-5 treatments are necessary for optimal results. Good luck.

Jason R. Lupton, MD

San Diego Dermatologist

I Had a Botox Treatment in Mid Dec. Will Ulthera Still Be Just As Effective?

Would waiting give a better outcome to the Ulthera treatment. It has been 2 months since receiving the box. If the muscle is paralyzed from the Botox how would the muscle be able to lift from the Ulthera?

A: Ulthera and Botox

These treatments are complimentary and I often combine them in the same treatment session. If you had Botox two months ago then that should actually enhance your results with the Ulthera procedure. Good luck!

Jason R. Lupton, MD

San Diego Dermatologist