D. Scott Karempelis, MD

I have severe rosacea with rhinophyma and ocular rosacea (and smoked for 20 years). Now random people tell me I have beautiful skin. Seriously that's amazing. He's also the only doctor who was recommended to treat rhinophyma which I'm getting done soon and will post before and after. If you have rosacea this guy can fix it for you. Pills and creams didnt work for me.

Dr. K has been treating me for tattoo removal over a few years. I have had an excellent result. He also did perfecta on my chest and I could not be happier! This is the best practice in the state for any laser treatment. They have over 12 lasers. I like the fact they use the proper laser for your condition rather than trying to use 1 laser for everything.

Just had my first laser treatment tattoo removal! My husband and I are seriously shocked at how much of my tattoo is gone. I was hoping for the best but I'm super happy! I'm the palest you can get on the pale scale and my tattoo is 17 years old so I have that in my favor. I went to this doctor because of another review I found on here so I wanted to help others who are looking to do this. Your results may not be like mine.. please keep that in mind. I opted to do the first treatment after the consultation without numbing. (I didn't want to hang around for hours) I drove an hour to get there. It was about 45 seconds of zapping. YES! IT IS PAINFUL. I focused on my breath and squeezed the ball and made it through. Mine is on my left back near the shoulder so I'm sure there are more sensitive areas where it's much more painful. We can get through anything for 45 seconds right? The doctor used the two lasers on me. The second one didn't hurt that much. Keep in mind.. I'm pale. I've had very bad sunburns with blisters in my life. I'm used to the burn feeling afterwards. After it was sore for awhile. Felt like a really bad sunburn. Later that night I was sleeping on that side which I normally do with no pain. Today is the day after. No pain at all. No huge blisters so far. Just looks very red and sore. No pain at all. Excited to see what it does while healing! Updated on 6 Jan 2017: The day after. Feels a little swollen to touch. No pain. you could slap it and it wouldn't hurt. No blisters! I'm a pale girl and I've had sunburns before with blisters so I was sure I would get them. None yet.

Because my stupid mistake made in my much-younger years was filled with tons of green and blue, I've had to wait for many years to even attempt removal. Even in Atlanta there aren't many places that offer the PicoSure and/or PicoWay lasers. I chose Dermatology Associates of Atlanta because they not only have PicoSure and PicoWay, but also the Q-Switched Nd: YAG Laser for tattoo removal. I was able to begin my first treatment immediately following my initial evaluation, which was awesome, and the $100 consult fee went toward my first treatment. I was lucky enough to have Dr. Karempelis perform the procedure. Because everyone is different and every tattoo artist is different, it's very difficult to accurately predict how long it will take to eradicate a tattoo. He did tell me I had the best chance of success because I am so pale-skinned. Yay. My tattoo artist decided to give me plenty of beautiful greens and blues, so I was told to expect plenty of blistering. Yay. First round was to start on all the black. The second round was with the PicoSure for the greens and blues. One word: OUCH! And oh boy was it ouchy. The whole "popping with a rubberband" analogy is complete b.s. It felt to me like someone was slowly burning me with a hot coal. The doc did point out that because it was so painful, that told him the laser was "seeing" the greens and blues really well. Yay. He went to the PicoWay for the orange and yellow. Long story short, I squeezed a foam ball and moaned internally for about 20 ish minutes. Directly afterward the whole sordid spot was that familiar white/icy looking scene we've all looked at on here. After slapping some antibacterial-coated saran wrap on top and then large white bandages I was good to go with some instructions: (1) keep covered until tomorrow morning; (2) elevate as needed; (3) don't touch it; (4) showering is ok; (5) regarding the inevitable blisters - it was suggested that I let mother nature take care of them unless they were causing such distress and disability that I am forced to pop them, in which case I must take great care to keep coated in antibacterial salve; (6) keep moist with Aquaphor or something similar until the itchy healing phase passes; (7) see you in 6 weeks for round 2; (8) NEVER feed after midnight - wait, that's another instruction booklet. LOL I kill me. I'm happy to post photos later. I'll post the before later, and when the wrapping comes off I'll post a nasty tat-selfie so everyone can ooh and ahh and ask themselves if they really want to do this. Updated on 17 Sep 2016: Updated on 18 Sep 2016: I've lanced and drained the giant blister 5 times and it keeps inflating. Also, smaller blisters have enlarged. Blisters everywhere. Pretty gross. Hope a long skirt will be doable for work tomorrow. No bandage today. It's very tender when I coat it in Aquaphor and bacitracin zinc. Updated on 21 Sep 2016: Even less pain today, though still quite tender. As long as nothing touches it I'm fine. I do still have blisters everywhere and tons of the red (blood blisters?) left, though the red has darkened to a maroon. That pesky ugly large blister just refuses to die. I caved in and lanced it again on the 3rd day and it stayed pretty flat until last night when I had to stand for hours - it re-inflated. But ... even through all the blisters and such I can DEFINITELY see that the ink has lightened everywhere and a great deal of the green is already gone in several places - yeehaw !! No more Bacitracin at this point - only Aquaphor three times a day. I've been *very* gently massaging it in just to avoid globs of the stuff on my clothing. I have had some itching, but not much yet (knocking on wood because I can feel it around the corner). Updated on 21 Sep 2016: Updated on 2 Oct 2016: Still peeling where blisters were, but check out the difference ! Updated on 29 Oct 2016: Updated on 29 Oct 2016: This treatment was much more painful than the first - and I even used numbing cream and was given a pain pill beforehand. The lasers were increased, and I honestly think this was the most excruciating thing I've ever experienced ... and I've gone through natural childbirth .... being honest. BUT - take a look at the fading already !! Updated on 15 Dec 2016: Updated on 19 Dec 2016: A bajillian blood blisters. Updated on 2 Feb 2017: I feel butterflies because last treatment was so excruciating. But look at the progress !! Updated on 23 Mar 2017: It's really happening. I can see it slowly disappearing. Updated on 26 Mar 2017: For the first time since my initial treatment I awoke on day 2 to blisters everywhere and deep purple bruising in spots. I haven't commented on treatments 3-4 because they were unremarkable, albeit painful. On each of those day 2s I awoke to red bruising everywhere, but no blisters. Hopefully it won't take long to recover. Updated on 12 May 2017: It's fading nicely, but it feels like it's taking ages. I want this monstrosity gone yesterday ! Today was treatment 6. As always, it was the longest 15 minutes of my life, and as always I made it through shuddering and whimpering the whole time. I'll post updates only if I blister again. Updated on 30 Jun 2017: I swear it's more painful each time !! Take a look at how it's fading. This is right before the treatment today. I'll post an update before #8. Bottom line: it's going away !! Updated on 25 Aug 2017: Day before 8th treatment. It's really fading !!! Updated on 20 Oct 2017: There is zero doubt that it is disappearing. I've come a long way, baby. Updated on 8 Dec 2017: I didn’t think I could make it through this treatment - it hurts more each time. Somehow I did. The motivation is my “just before” photo. It’s clearly disappearing, which I want more than anything. So still worth it. But excruciating. Seriously. Updated on 26 Jan 2018: I am so pleased with the progress. Of course I wish I were done ... and of course it hurts like nothing else. But there is no denying it’s going away. Updated on 26 Mar 2018: The good news is that it’s fading. The bad news is that it’s still there... Updated on 11 May 2018: This is an agonizingly slow process. Updated on 29 Jun 2018: It hurt much worse during the treatment this time, but much less afterward and less swelling. I’m interested to see if there is a lot of bruising tomorrow. Updated on 30 Oct 2019: Just before treatment no. 24. I haven’t updated in a long time, but my treatments have continued. I keep hoping they will get easier, but my tattoo artist used an incredible amount of ink. Lucky me! Because the remaining ink is now so near my nerve endings, per the doc, it’s excruciating. But it IS going disappearing. One day I will look down at my left calf and see nothing but a ghostly white leg - this awful tattoo will be gone.

Just had the Dot Laser treatment done on my entire face today and holy sh*t did it hurt! I've had other laser treatments done before such as fraxel (sp?) and other high tech laser treatments but know one prepared me for how this was going to feel. In fact, everyone told me it would hurt less. With the other treatments it could get pretty uncomfortable but not nearly to where I was cursing the doctor:-) I squeezed the poor nurse’s hand much harder then she probably would have liked. The appointment started with the doctor looking at what areas of my face needed the most attention. After photos for the "before" pictures I then went into a room so a nurse could apply a topical numbing lotion to my face. The lotion was applied around my eyes but only up to the socket bones underneath and not on any part of the eye lid. I sat with the lotion on my face for an hour to an hour and a half waiting while it worked its magic. I was then brought into the laser treatment room. With the dot laser compared to the others I felt the heat of the laser more. It felt like hot repeated pinpoint zaps on my face, I could feel the heat of the laser penetrating my skin. The doctor started by doing one pass over of my entire face witch consisted of starting at the upper corner of my forehead and working in one inch sections across from the one corner to the other, dropping an inch down and working across again. He then did the sides, cheeks, nose, chin and earlobes. My earlobes are not something I expected but hey, he's the doctor. He repeated the process but with a different laser tip and as he explained in-between the areas he had just lasered so that it mixed it up instead of having the same dot pattern done twice all over my face. The second time over definitely hurt worse then the first. The first was tolerable but it hurt in the areas the numbing cream didn't quite reach around my hairline and earlobes. Then he upped the amount of laser amount and went over my cheeks and chin again where I have some older acne scarring. The increased amount hurt like a son of a gun! Still manageable but definitely a lot more painful. The laser pulses were longer then the first set of pulses and hotter. The next part though about had me out of my chair and running for the door. Evidently they can't put the numbing cream too close to the eye but they still laser this portion of the eye. So when the doctor lasered under my eyes, on my eye lids and in the inside crease of my eyes, the curse words started flying. He finished as quickly as he could but not quickly enough. After he was finished the nurse applied a lotion to my entire face with the consistency of Vaseline and let me hold a cool fan to soothe my skin. I checked out, got in the car, and had the air conditioning on full blast pointed at my face the entire way home. It's been a few hours now since I've gotten home and the numbing lotion has almost worn off and my face doesn't really hurt that bad. It feels like a bad sun burn and has that tight sensation that makes you not want to make any facial expressions. Right now it's really not bad and I don't expect it to hurt any more. I'm supposed to take an antibiotic and some other medication for the next few days. The doctor prescribed it one day before the treatment and I guess it's supposed to reduce the risk of infection. I'm also supposed to keep an ointment on my face for the next few days to keep it moist then switch to a different type of lotion once it starts to heal. I'll keep everyone posted and try to take pictures on each day so you know what to expect in the week after. Hope this helps and feel free to ask questions. Updated on Jan 12, 2010

I wanted to try a non invasive technique first to remove my belly fat. Did large upper and lower abdomen and 2 med flanks (sides). Took about 3 hours. It didnt really hurt. It just felt like frozen bricks of butter but when it melted, the fat did not seem to melt. It was uncomfortable for the next few weeks but I felt as though it was a waste of my money so I went and got real lipo.

Horrible outcome under lips. have had two Hyaluronidase injections as a follow-up and it left my under lip area extremely lumpy. 14 months later I still have the lumpiness and the doctor, a board certified dermatologist, said "oh well, some patients it can take up to 3 years for the granular filler to get out"