Barbara Padilla, MD

Thank you for your question. At our practice we use Juliet resurfacing for vaginal tightening. This non-invasive laser tightens and tones vaginal tissue by creating controlled microinjuries deep in the skin, which stimulates the body's natural wound repair process. It also creates thermal injury that produces new collagen.

Thank you for your question. Smartlipo and Trusculpt are two options to reduce fat in arms. Smartlipo is a minimally invasive procedure where you melt the fat and tighten the skin with a laser then the melted fat is suctioned out. Trusculpt is non-invasive and targets up to an inch of fat through heating of the subcutaneous fat. Final results are not seen until around 12 weeks as your body needs to break down and dispose of the fall cells. The radiofrequency technology promotes skin tightening.

Thank you for your question. We recommend Juliet laser resurfacing in regard to acne scars. The Juliet handpiece delivers energy in a small grid to the treatment area, treating both the top and deeper layers of the skin, while stimulating your body’s natural creation of new collagen. The superficial layer of your skin will slough off in 3 or 4 days after the procedure and continued collagen production will occur. Micro-needling is another effective treatment to diminish acne scars. This procedure creates micro injuries to the skin to stimulate the natural healing process and increase collagen.

Thank you for your question. At our practice we use Smartlipo and Trusculpt to address concerns of submental fat. Smartlipo is minimally invasive with the laser melting the fat that is subsequently suctioned out. The laser also works to tighten the skin. Trusculpt is a non-invasive option requiring zero downtime. During this quick 15-minute procedure, the fat cells are heated and destroyed. However, with anything non-invasive, you will get around 25% fat reduction. Trusculpt uses radio frequency which provides skin tightening.

Thank you for your question! We do not suggest getting a chemical peel until you are off of Accutane for at least 6 months.

Thank you for your question! Chemical peels are a great option for improving skin tone and texture. Chemical peels exfoliate the top layers of the epidermis and stimulate collagen production. Laser Genesis can also improve skin tone and texture and does not cause your skin to peel. The laser heats up the epidermis to stimulate collagen production to improve skin tone and texture.

Thank you for your question! It can take 6-9 treatments for removal of tattoos using the Enlighten 3. Tattoo age, depth, and color can play a factor in determining the amount of time it can take for removal.

Thank you for your question! Yes, that tattoo can be removed. At our practice we use the latest Enlighten 3 laser for tattoo removal. With this technology on average it can take 6-9 treatments for removal of a tattoo. Our laser has three wavelengths to target colors such as the black and red in your tattoo.

Thank you for your question! At our practice we suggest TruSculpt ID for non-invasive fat reduction and skin tightening. This technology uses heat to destroy fat cells and radio frequency to tighten the skin. Unlike Cool Sculpt which just destroys fat cell, this has an added benefit of skin tightening. Lipo shots are an option for reducing fat, however they do not play a role in skin tightening concerns.

Thank you for your question! At our practice we recommend chemical peels, laser genesis, or microneedling for reducing the appearance of pores. Our chemical peels contain salicylic acid which is essential in cleaning pores and minimizing their appearance. Chemical peels can also help with overall tone and texture of skin. Laser genesis is a gentile laser that heats up the dermis to promote collagen and elastin. Laser genesis can minimize the appearance of pores and redness of skin. Microneedling causes micro injuries to the skin to stimulate the body's natural healing process. This helps with fine lines and wrinkles, skin tone and texture, and reducing pore size.