Generally, VBeam after a microlaser peel is safe; however, it is recommended to wait 4-6  weeks after the laser treatment since your skin will be more sensitive.  A micro laser peel is still an ablative resurfacing treatment - it deliberately removes a controlled layer of skin to improve texture, tone and pigmentation. After this kind of procedure, the skin barrier is disrupted and needs time to fully re-epithelialize (heal over with new skin). The exact timing depends on the depth of treatment, how quickly you recover and how much redness/irritation is still present.  Given that 10 days out you are still red, I recommend waiting the full 6 weeks.  Skin should always be intact and free of crusting, peeling or raw areas before considering a laser such as the V Beam. Treat your skin like new baby skin after the microlaser peel - keep it well hydrated and protected. The heat from lasers, such as VBeam, can result in more inflammation than anticipated resulting in a damaged skin barrier and higher risk of pigmentation changes. It is not safe to use on skin that’s still healing from an ablative procedure because it increases the risk of scarring, pigment changes, and it can also cause delays in healing from the microlaser peel.  Remember safety first!  Schedule a consultation with the physician performing the procedure to see what they recommend based on your skin type, goals, and lifestyle.


How long after a microlaser peel should you wait before getting a Vbeam to help w/ redness? I am about 10 days out and my cheeks are very red. The clinic suggested Vbeam.

Vbeam for redness following laser peel?

Vbeam

Congratulations on the weight loss journey!  Since you are trying to avoid surgery, the best options are usually a combination of radiofrequency and laser. Devices such as the Venus Freeze (6 weekly treatments), the Viva MD (usually 3-4 monthly treatments and UltraClear Laser (3-4 treatments every 4-6 weeks) deliver the best results. The combination of RF with RF microneedling and laser work synergistically to provide natural looking results. Not all technologies are created equal though and this is something to consider.  For example, I would not recommend Morpheus 8 or Ultherapy in your particular case. Another important thing to remember when embarking on non or minimally invasive skin tightening options is that results take time - 6 to 9 months or longer for final results. The treatment itself works by waking up your skin’s own repair system - it tells your body to make fresh collagen and elastin. And that’s fantastic, because it’s natural and keeps your skin structure healthier long-term.  But we are at the mercy of human physiology. Collagen and elastin don’t pop up overnight. They remodel slowly, over weeks to months. Think of it like planting seeds - you can water and fertilize, but you can’t make the plant grow faster than biology allows. So results are real, but they’re gradual. There are many options to consider and I always recommend you speak with your physician to curate a treatment plan that works best for you, your lifestyle, and your desired goals. Best of luck on your self improvement journey!

You can look at my profile for some great results I had with this treatment approach

I'm a 58 year old woman looking for non-surgical options for neck and jowl tightening. I recently lost 40 pounds. I go to different offices and they push what service they have, I am looking for the best options for me.

58, 40 pound weight loss. Best non-surgical procedure for neck and jowls? (Photos)

Nonsurgical Neck Lift

Thank you for the question and the photos! There are many laser options for you to look at if you want to avoid steroid injections. While BBL targets browns and reds, it is not a laser.  Lasers, such as the Vbeam/PDL, use very specific wavelengths that target redness/vessels. For scars, usually a combination of different technologies result in the best outcome.  An example would be combining the Vbeam with UltraClear Laser and/or VivaMD (a radiofrequency technology).  Such combinations treatments, help by breaking down the scar tissue itself and helping with collagen reformation to create natural looking results.  One of the most important things to remember about scars is that it typically takes 6 treatments - it's a long process but well worth the results.  Consult with your doctor to see what would work best for you and your goals. 


Very light skin female who had temporal brow lift less then 6 months ago but the redness has not decreased. Only skin removed so there was tension with the incisions. Using steroid cream for 2.5 weeks but doesn’t seem to lighten redness- broken capillaries. Will BBL laser help without damaging hair follicles ? Steroid injection was brought up but I already have such thin skin.

Treatment options for redness and scar after temporal brow lift? (Photos)

Scar Removal

Thank you for the great question! There are actually studies that show at the very low doses, meaning 10mg every 1 to 3 times a week, has such reduced side effects while still getting the same benefits of Accutane at the high doses long term. In some countries, such as Brazil, women and men often take Accutane at low doses long term just for beautification purposes too! That being said, it does not guarantee that you won't purge, but just that it may not be as intense as it would be if you took a high dose. I would recommend that you speak with your dermatologist to see what they can do to help you.

I've been on dianette for acne for a very long time but due to my age my GP has said I've got less than a year left on it. I still get cystic acne but it's not too bad. Every time I've tried coming off it my skin has been terrible with cystic acne and I've had some bad scarring as a result. I think I'll have to give in and take accutane but as I've spend 1000s on treatments for my indented scars I really don't want to purge. Would a very low dose over a long period of time eliminate the risk?.

Would a low dose of Accutane eliminate the risk of purging?

Accutane

Thank you for your question and the photo.  You're in luck because even a few years ago we didn't have technology that could help.  Now we have different devices that can help tighten things back up on the inside and externally.  I suggest looking into radiofrequency based technologies such as ThermiVa.  It's typically 1 treatment once a month for 3 months.  I would stay away from laser based technologies though.  You get much better results with RF.  You can check out some of our before and after technologies on our website and we have a couple of youtube videos where I explain all the ways to improve form and function with minimal to no downtime.  I hope this helps!  Dr. Dima

46 y.o. 6 kids, going through hormonal changes. I’d like to improve things in this area, like lighten and tighten. Fuller labia is ok for me I just don’t want saggy! what am I do minimally as possible. Thanks, Kiera

46, 6 kids & hormonal changes - need advice on improving appearance of labia (Photo)

Vaginal Rejuvenation

Bellafill

Botox

Dermal Fillers

Dysport

Emsculpt

Clear + Brilliant Badge

Dima Ali, MD

WellMedica

Accent Prime

Affirm Laser

ArteFill

Asclera

Belotero

Blue Peel

BodyTite

Botox for Gummy Smile

Botox for Hyperhidrosis

Botox for Migraines

Botox for TMJ

Botox for Vaginismus

BroadBand Light (BBL)

Cellfina

Cellulaze

Chemical Peel

Chin Filler

Clear and Brilliant

CO2 Laser

CO2RE Intima

Collagen Injection

Contour Thread Lift

Coolaser

CoolMini

CoolSculpting

Cosmelan

Neveskin

DeepFX

DefenAge

Derma Roller

Dermabrasion

Dermapen

Dermaplaning

diVa Vaginal Laser

eMatrix

Emsella

Endermologie

Exilis

FaceTite

Facial

FemTouch

Fractional Laser

Fractora RF

Fraxel Laser

Fraxel Repair

FUE Hair Transplant

G-Shot

GentleLase

Glycolic Peel

Green Peel

Hair Loss Treatment

Halo Laser

Hand Rejuvenation

Hyaluronidase

Infini RF

Jessner Peel

Jet Peel

Jeuveau

Juvederm

Kybella

Laser Hair Removal

Laser Liposuction

Laser Peel

Laser Resurfacing

Lash Lift

Latisse

LED Light Therapy

Lightsheer Laser

Lip Fillers

Lip Threading

Lipodissolve

Liposonix

Liquid Facelift

Low-Level Laser Therapy

Lymphatic Massage

Meaningful Beauty

Mesotherapy

Micro Botox

Microdermabrasion

Microneedling

Microneedling RF

MiraDry

Mole Removal

MonaLisa Touch

Morpheus8

Neo Laser

Nonsurgical Breast Lift

Nonsurgical Butt Lift

Nonsurgical Facelift

Nonsurgical Nose Job

NovaThreads

O-Shot

Dr Dima has a wealth of knowledge and tests everything on herself before applying to patients. Her thoroughness is amazing. Amazingly skilled hands. Cutting edge procedures and stays on top of industry best in practices. The fact that she routinely presents at industry conferences worldwide is reassuring

This Doctor Knows Her Stuff

First of all, Dr. Dima and her staff are kind, fun, and make what could be a rather, um, fraught experience very comfortable and relaxing.  Now then. I'd heard about the P-shot for quite a while, and since I don't have ED, I figured it wasn't for me. But I am a fellow with a few miles on the odometer, and as time passes things just aren't quite the way they were when I was 25. I accepted with my usual Zen attitude as just a fact of life and of the passage of time. HOW WRONG I WAS. I decided to try the shot, just to see if it could spice things up a big. JIMINY CRICKET IN A CHICKEN BASKET, how wrong I was! The shot was no big deal, and then after a couple weeks I didn't feel much different. Everything was still going on as it had, not bad, not age 25. Then, like a thunderbolt the stuff kicked in and I am NOT going to bore you with the, um, clinical details, but age 25 has got nothing on me anymore. In fact I wouldn't trade this stuff to BE 25 again. Absolutely off-the-hook amazing. I'm not kidding and I'm not rewarded or compensated in any way. In fact, I think this is the first time I've left a review for anything. My message to all the dudes out there who, like me, just figured that getting older made things less whatever they used to be need to give this 'time machine' a try.

Like a Time Machine, but for the Penis.

P-Shot

Overall very good experience. 
 
Dr. Ali was able to provide a variety of unique treatments for ED, beyond the traditional oral medications (Cialis, Levitra, Viagra and their generics). Oral medications had become less effective for me into my early 50's, and I'd begun using injectables (TriMix, QuadMix). While injectables are effective and available, they add a layer of complexity and logistics to sexual intercourse that isn't always ideal. 
 
Dr. Ali provides additional options to restore normal function, including injecting Botox into the Penis. I found this to be an effective treatment that really works, to include a slight increase in flaccid size as blood flow is consistently improved. 
 
This allowed sexual intercourse, sometimes with the addition of an oral medication to supplement, to occur, minus the use of any injectable, a significant overall lifestyle improvement. 
 
The treatment is every 4-6 months, and I'll be returning for a second round within that timeframe to continue to evaluate overall effectiveness. 
 
Dr. Ali also solicited feedback, and will work with you to increase the dose as needed, or even switch to Xeomin to determine if that's more effective. 
 
In summary, she'll work with you to find the most effective option, and I recommend trying this to determine if it provides a better, more convenient solution for this common and frustrating condition.

Botox for erectile dysfunction - effective treatment that really works

Dr. Dima is a professional with excellent and extensive knowledge on beauty. She was confident and knew exactly what I needed. I did not feel any pressure to add more sessions. I felt comfortable and secure. 
 
Sedi was the staff member who took care of me. Sedi has a joyful disposition but she never lost her focus from the task at hand. She made every session a great experience!

Pleased Patient - I felt comfortable and secure.

Venus Legacy

Simply the best. Dr. Dima went above and beyond. Her assistant Rosalinda was just as wonderful. I had a botched body tight procedure on my stomach, I was a bit nervous, they changed that and made me feel so comfortable. Once I’m healed I’ll post pics. Client for life.

4 days post-op skin tightening - they made me so comfortable, book her!

Skin Tightening

Sedi is very professional made me feel comfortable throughout the facial her hands are magical my face is glowing, everyone is telling me that my skin is so beautiful thanks to sedi I’m hooked for life … try it you won’t regret it you will love it and look amazing

Magical hands - everyone is telling me that my skin is so beautiful

I had an amazing experience with Dr. Dima, she is very knowledgeable, respectful and good listener. 
She is very helpful also recommend treatment that works for your need and concerns. 
I definitely go back to her for more.

Botox for vaginismus - very helpful, I'll definitely go back to her for more!

Some individuals are ideally suited for the careers they have chosen.  Dr. Dima is such a person.  Not only is she an outstanding dermatologist and a highly skilled practitioner, she is also possess the demeanor that makes her a great doctor.  A caring and understanding person by nature, Dr. Dima makes a point of understanding your concerns before ever recommending or embarking on a course of treatment.  Last but definitely not least, her treatment recommendations are rooted in sound medical science and her years of personal experience.

Simply the Best

Excellent experience all around with incredible knowledge and expertise to correct a scar on my face, you can’t even see where it was on my face!!! Dr. Dima fixed another aesthetic doctor’s mistake and was very thorough and precise using lasers and scar filler! I also get my facials done there by the aestheticians and love the relaxing experience each visit! Will definitely come back for any other cosmetic concern, highly recommend her clinic!! Absolutely worth every penny for Dr. Dima’s knowledge and expertise!

She corrected a scar - you can’t even see where it was on my face

Laser Scar Removal

Dr. Dima and her staff are AMAZING! I have been going to this practice for years for everything from annual skin checks to cosmetic procedures (let me also mention that her product line is the best!!).I’m an anxious patient and Dr. Dima’s bedside manner is extremely calming. She absolutely makes sure you are very comfortable. I highly recommend this practice!

Extremely calming bedside manner for an anxious patient! Very comfortable

Skin Rejuvenation