Houston Dermatologists

Can Retin-A Clear Dark Marks and Even out Discoloration?

Can Retin-A Clear Dark Marks and Even out Discoloration?

Topical retinoids do provide some efficacy in treating hyperpigmentation of the skin.  Triluma is a cream that incorporates a retinoid with hydroquinone, a bleaching agent, and a topical steroid for the synergistic effect on treating melasma.

Anthony Perri, MD

Houston Dermatologist

Am I a Candidate for Ulthera in my Lower Face?

When I look at photos from a year and a half ago, I did not have those tiny little jowls, but I have them now. I would like to know if I look like a candidate for Ulthera for the Jawline. I do have some laxity on my neck, too. Are passes made directly on the throat? (Mine is sensitive.) I do not want to use numbing agents, as I can't stand that strange feeling. Have high tolerance for pain, just don't want to gag. Thanks.

You would appear to be a very good candidate for ulthera.  I think ulthera works best in people that have relatively good skin elasticity, but are beginning to see signs of aging. 

Melissa Chiang, MD

Houston Dermatologist

How Can Some Places Charge Up to a Thousand Less for Ulthera Than Others? Is There a Diff

I have seen ulthera for so much more (4000) in VA than in FLA or even Beverly Hills -- it costs like 2500 there -- all for the same thing!! How can this be? Please explain. I could easily drive or fly to get this done as I have time off, so I will -- as long as I am getting the same thing, which is what is seems like. (I found the docs all on this and other reputable sites.)

The cost to the practice depends on the number of pulses that are used.  Practices pass these costs on to the patient.  When comparing prices, make sure that you are comparing the same procedure.  Ulthera typically comes as 1) full-face, 2) upper face and 3) lower face/neck.  Full face is most expensive because it requires the most pulses and the most time to administer.  Upper face is cheapest because it requires the least pulses.  It typically costs less than 50% of full face.

The costs of the same treatment (eg full-face) will also differ by zipcode because there are differences in the costs of overhead and the amount of competition. 

Melissa Chiang, MD

Houston Dermatologist