San Antonio Dermatologist
18540 Sigma Rd
San Antonio, Texas 78258 US
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3K profile views
16 years experience
55 expert answers
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Board Certifications

Board-certified by the American Board of Dermatology

Consultation Fee

$50. Applied to Procedure


  • Undergraduate & Medical School

    Medical: MD, University of Texas Health Science Center San Antonio
  • Post-Medical School Training

    Internship: General Surgery, Lackland Air Force Base
    Residency: Dermatology, University of Pennsylvania

Treatments offered at Dermatology Associates of San Antonio

Most popular answers from Chad M. Hivnor, MD

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I have a black tattoo covering a white tattoo. Can it still be removed? (Photo)

Certainly when there is a white component to the tattoo then caution should be used. This is because when exposed to the laser, the white can turn... READ MORE

Does the Picoway laser remove 100% of all ink and traces of a tattoo?

I have found that the picoway removes more of the pigmentation that anything I have seen before.With earlier lasers you were often left with a shadow... READ MORE

What can I do to remove old scar tissue from my lip? Is it safe to use Juvederm for augmentation? (Photo)

In person consultation is the key. The most important thing is the determination of how thick and deep the scars are as that will determine what the... READ MORE

Is Picoway better than Revlite?

The picoway is a picosecond pulse duration versus a nanosecond pulse duration.I have used them both and without a doubt I have had much more success... READ MORE

Best method for black tattoo removal? (Photo)

So I think what you need to do is first find an experienced physician in tattoo removal.  Second: find someone with a laser with the wavelength at ... READ MORE

When do dermatologists use CO2 laser to treat hypertrophic scar?

The short answer to your question is that a scar is an ever changing entity and that it takes multiple ways over multiple weeks to months to... READ MORE

I got a rose tattoo last June it started swelling a couple months later. Now it's scabbed and painful. (Photo)

Red tattoo ink is notorious for causing a granulomatous response. Due to the amount of response and an increase in infections seen with tattoos I... READ MORE

How many sessions (est) will it take for a tattoo to be totally removed? (photo)

With the more widespread use of picosecond lasers the time to removal should be around 5-6 treatments especially because of the uniform black... READ MORE

Interested to know more about the new PicoWay Picosecond Laser?

The picoway is a picosecond pulse duration versus a nanosecond pulse duration. The faster pulse duration theoretically breaks up the ink into smaller... READ MORE

What are the advantages of the new PicoWay?

In short, Picoway in my experience is quicker and likely to achieve complete resolution of tattoos over traditional tattoo lasers.The picoway is a... READ MORE

Before and After Photos by Dr. Hivnor

Chad M. Hivnor, MD has shared 5 before and after pictures with 12 helpful votes from the RealSelf community.

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Videos by Chad M. Hivnor, MD

Chad M. Hivnor, MD has shared 6 videos.

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What Is "Ghosting" In Tattoo Removal?

Dr. Chad M. Hivnor explains what ghosting is, why it occurs, and how PicoWay laser can help. WATCH VIDEO

Is PicoWay Less Painful Than Other Tattoo Removal Lasers?

Dr. Chad M. Hivnor explains methods to manage pain during tattoo removal and how a new laser might be less painful for you. WATCH VIDEO

How to Choose the Right Doctor for Tattoo Removal and Questions to Ask

Dr. Chad M. Hivnor explains what you should know about your laser practitioner in order to select the best doctor for your tattoo removal. WATCH VIDEO

Learn How PicoWay Laser Is Different From Traditional Tattoo Removal

Dr. Chad M. Hivnor shows us how laser tattoo removal works and explains the benefits of PicoWay. WATCH VIDEO

Learn How Long It Takes to Remove a Tattoo

Dr. Chad M. Hivnor discusses treatment time and factors that determine how long it takes to remove a tattoo. WATCH VIDEO

Factors That Determine Tattoo Removal Costs — The Doctor Explains

Dr. Chad M. Hinvor discusses a variety of factors that contribute to the cost of removing a tattoo. WATCH VIDEO

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*Your results may vary. Any specific claims or permanence length of results vary for each patient and are not guaranteed.