Design Dermatology and Aesthetics

Ultherapy

About Ultherapy

What is it?

Ultherapy is an FDA-approved skin tightening treatment that uses ultrasound energy to rejuvenate, tone, and refresh the skin. This ultrasound energy strengthens your skin’s framework and stimulates new collagen, providing you with a refreshed and brightened appearance. And since ultrasound technology gives a precise visualization of the targeted area, treatment is precise and efficient.

What to expect

Ultherapy tightens skin on your face, brow, neck, and even chest (breast) for a lifted rejuvenated appearance. Our expert practitioners are skilled and experienced at performing this non-invasive therapy for loose, sagging skin. A single treatment session typically takes about a half hour, while a combination treatment (e.g., face and neck) could take 90 minutes. One session is often enough, but depending on the laxity of your skin as well as your specific aesthetic goals, you may need several sessions.

After the procedure

The results from Ultherapy are gradual and natural-looking. Though there is a possibility of side effects, they are often mild and temporary, ranging from swelling and redness to tenderness or tingling for 5-7 days. Furthermore, results can vary from patient to patient, but most individuals notice an improvement within 1-3 months after treatment, with full effects being noticeable after 5-6 months. We recommend treatment sessions every 12-18 months to keep your skin looking healthy and refreshed!

Our approach & expertise

We know that saggy skin on your face or neck can have a negative impact on your appearance and self-esteem, so our skin experts are here to provide treatment options. Our compassionate staff will tailor a treatment plan unique to your particular condition, address any concerns you may have, and answer all of your questions throughout the treatment process. Here at Design Derm, we take all of your skincare concerns as a priority, and we will stop at nothing to provide the expert care that you deserve.

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Skin Care Treatment

Microneedling / PRP

Skin care treatments, such as Microneedling with PRP (platelet rich plasma), also known as Collagen Induction Therapy, is ideal for the treatment of acne scars, surgical scars, stretch marks, fine lines and wrinkles, enlarged pores, sun damage, and uneven skin texture. This therapy stimulates your cells to make collagen- the building blocks of the skin that give it strength and smoothness.

Ultherapy

Ultrasound technology delivers heat to shrink skin collagen to lift and tighten skin in many body areas such as the forehead, jawline, lower face, neck, and jowls. Ulthera will also improve wrinkles on the chest.

Visia Imaging System

The Visia Imaging System is a high definition camera system that uses high polarized and UV lighting to scan, measure, and record skin texture, wrinkles, pore size, deep and superficial spots, sun damage, underlying inflammation, and porphyrins, which show levels of acne bacteria. This allows us to keep a photographic record of your progress over time. We also can compare your skin to a peer group and rank your results on a scale.

Our Approach & Expertise in Skin Care Treatments

At our practice, skin care is more than just a routine—it’s a personalized journey rooted in science, experience, and compassion. Our board-certified dermatologists and licensed providers combine clinical expertise with a deep understanding of skin biology to create customized treatment plans for every patient. Whether you’re managing acne, pigmentation, signs of aging, or simply looking to enhance your glow, we utilize advanced diagnostic tools and medical-grade products to deliver effective, lasting results. We stay at the forefront of dermatologic research and aesthetics to offer innovative treatments, from chemical peels and laser therapies to personalized skin care regimens. Each consultation is designed to educate and empower you, ensuring you feel confident in every step of your skin health journey. With our team, you can trust that your skin is in expert hands—treated with precision, backed by knowledge, and cared for with integrity.

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Lasers

CO2RE Intima Laser

The CO2RE Intima Laser is a non-surgical procedure delivered intravaginally to stimulates the growth of new collagen using fractional CO2 laser technology. This laser restores vaginal tone and tightness and has been shown to improve urinary incontinence and painful intercourse.

CO2RE Resurfacing Laser

Treats age spots, sun damage, fine lines and wrinkles, discoloration, and acne scars. This uses fractional laser technology, where treatment zones are smaller than a human hair while the surrounding tissue is left intact to aid in healing, leading to decreased downtime. The treatments are customizable with visible and long-lasting results. Revealing smoother, younger looking skin.

Gentle Max Pro Laser

The gentle Max is the latest technology used to remove pigmented hair, brown spots, and brown birthmarks. It is faster and more effective than previous lasers.

Cool Glide Laser

This laser was specially developed for the safe removal in darker your skin types. Our office is one of the few offices in Miami that specializes in hair removal in darker your skin types.

IPL

This treatment of Intense Pulse Light is used to remove brown age spots and red vessels. Works best in light your skin types.

Laser Hair Removal

Is the process of hair removal by means of exposure to pulses of laser light that destroy the hair follicle, along with reducing the appearance of bumps and ingrown hairs. The Gentle Max laser or Cool Glide lasers are used depending on your skin color and Fitzpatrick your skin type.

Tattoo Removal

The Alex TriVantage laser was developed to remove all colors of tattoo pigment.

Vascular Laser

The V beam laser is an effective way to treat issues related to the body’s network of blood vessels, such as broken capillaries, rosacea, port wine stains, spider veins, strawberry hemangiomas, and poikiloderma (sun damage). It can also be used on scars, stretch marks, leg veins, warts, and acne lesions.

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Injectables

Botox / Dysport / Xeomin /Jeuveau

Are muscle relaxers that are injected into specific muscles such as the forehead, frown lines, and crow’s feet to improve and prevent wrinkles. These injectables are offered at Design Dermatology.

Fillers

Injectables that contain the naturally occurring sugar hyaluronic acid may be used to correct a variety of cosmetic concerns, such as wrinkles, thin lips, acne scars, sagging skin, loss of face or hand volume and facial asymmetry. There are over 20 different types of HA fillers on the market. Examples of HA fillers are Juvederm, Voluma and Restylane.

Hyaluronidase

Hyaluronidase is an enzyme that can be injected to dissolve hyaluronic acid dermal fillers. It can be used to remove unwanted filler or to correct previous hyaluronic acid filler asymmetries or complications in most cases.

Kybella

Is the only FDA-approved injectable treatment (deoxycholic acid injection) that destroys fat cells. It is FDA-approved for submental fat under the chin to improve your profile.

Our Approach and Expertise

At Design Dermatology, our approach to injectables is centered on achieving natural, balanced results that enhance your unique features without compromising expression. We offer a full range of advanced injectable treatments, including neuromodulators like Botox® and Dysport® to smooth dynamic lines, and dermal fillers such as Juvederm®, Restylane®, and RHA® to restore volume, define contours, and soften wrinkles. Our experienced providers take the time to understand your aesthetic goals, facial anatomy, and skin condition before customizing a treatment plan tailored to you. With a focus on precision, artistry, and safety, we ensure subtle yet noticeable improvements that maintain your natural look. Every procedure is performed with expert technique and the highest quality products to deliver long-lasting, beautiful results with minimal discomfort or downtime. Whether you’re looking to refresh tired eyes, lift sagging skin, or plump aging lips, Design Dermatology offers injectable solutions that enhance your confidence while preserving your individuality.

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MicroPeel

A MicroPeel is a light, non-invasive skin rejuvenation treatment that combines mechanical exfoliation, often with chemical exfoliation and/or cryotherapy, to improve skin texture, clarity, and radiance. It’s frequently performed as part of a medical facial in dermatology or aesthetic clinics.

Key Components of a MicroPeel:

Depending on the provider, a MicroPeel may include some or all of the following steps:

  1. Dermaplaning or Microdermabrasion
    • Removes dead skin cells and fine facial hair (vellus hair)
    • Leaves skin smoother and better able to absorb products
  2. Chemical Peel (usually mild acids like glycolic, lactic, or salicylic acid)
    • Further exfoliates the skin
    • Helps with acne, pigmentation, and dullness
  3. Cryotherapy (optional)
    • Uses a blast of cold (liquid COâ‚‚ or other methods) to calm inflammation and kill bacteria
    • Often used to soothe acne-prone skin

What It Treats:

  • Dull or rough skin
  • Fine lines
  • Mild acne or acne scarring
  • Uneven pigmentation
  • Congested pores

Benefits:

  • Gentle and customizable
  • Little to no downtime
  • Immediate improvement in glow and texture
  • Safe for most skin types

At Design Dermatology, we offer the MicroPeel, a gentle yet effective three-step exfoliating treatment designed to improve skin clarity, texture, and overall radiance. Ideal for all skin types, the MicroPeel combines dermaplaning, a light chemical peel, and cryogenic therapy to remove dead skin cells, smooth surface imperfections, and promote healthy cell turnover. This treatment addresses fine lines, dullness, rough texture, and mild discoloration without significant downtime, making it a perfect option for those seeking a refreshed, polished glow.

Our providers customize each MicroPeel based on your skin’s unique needs and sensitivity, ensuring optimal results with minimal irritation. The process enhances skin hydration, reduces the appearance of pores, and allows for better absorption of skincare products. Whether as a one-time refresh or part of an ongoing regimen, the MicroPeel delivers noticeable improvement after just one session.

Experience a smoother, more radiant complexion with expert MicroPeel treatments at Design Dermatology.

Schedule your appointment now.

Seborrheic Keratosis

About Seborrheic Keratosis

What is it?

Also known as seborrheic verruca, most people will develop at least one seborrheic keratosis during a lifetime. Seborrheic keratosis is a common skin growth. It may seem worrisome because it can look like a wart, pre-cancerous skin growth (actinic keratosis), or skin cancer. Despite their appearance, they are harmless, benign, and don’t become cancerous. They are characterized as brown, black or yellow growths that grow singly or in groups and are flat or slightly elevated. Often they are mistaken for warts and generally no treatment is required unless the growth becomes irritated. However, because it looks similar in appearance to precancerous growths, your dermatologist might biopsy the tissue to confirm the diagnosis.

What causes it?

People who are prone to develop these harmless growths tend to have fair skin, and they can also be hereditary, so check with family members if you are worried. These growths also develop in people with medium to dark skin and tend to be smaller and around the eye area. If you are pregnant or had estrogen replacement therapy, people have been known to develop these. Most people develop seborrheic keratoses later in life. People who have had a lot of sun exposure tend to develop more of these. These are not contagious, and if you are getting more of them, it’s usually due to age.

Common treatments

Trust your dermatologist to tell if your skin growth is a seborrheic keratosis or skin cancer. If there is any question we will remove the growth and do a biopsy. Most seborrheic keratoses are harmless like skin tags, and might not need treatment. Talk with your dermatologist if you have any concerns, or if they are getting irritated from rubbing or clothing. A common way of treating these is with cryotherapy, your dermatologist will apply liquid nitrogen to the growth, and will tend to fall off in a few days. There are other ways as well, and depending on your skin type your dermatologist will recommend the best solution for you. After removal, it usually does not return. We offer treatment options tailored to your needs and aesthetic goals, and we’re here to address your concerns and provide support throughout the process. Call an office today and make an appointment if you are concerned you have seborrheic keratosis.

Schedule your appointment now.

Benign Lesions

Benign lesions are non-cancerous growths or abnormalities that appear on the skin or other body surfaces. These lesions are generally harmless and do not spread to other parts of the body. However, they can sometimes cause cosmetic concerns or discomfort depending on their size, location, or growth pattern. Here’s an overview of common benign lesions, their characteristics, and treatment options:

Common Types of Benign Lesions
Moles (Nevi)

Description: Brown, black, or flesh-colored spots or growths on the skin. They are usually round or oval with defined borders.
Treatment: Moles are typically harmless but should be monitored for changes (e.g., asymmetry, color change, or bleeding). Removal may be done for cosmetic reasons or if there are concerns about skin cancer.

Seborrheic Keratosis

Description: Raised, wart-like growths with a scaly, often dark appearance. They commonly occur on the chest, back, or face as people age.
Treatment: Removal via cryotherapy, laser therapy, or excision if they become irritated or cosmetically concerning.

Lipomas

Description: Soft, movable lumps under the skin made up of fat tissue. They are usually painless but can grow large.
Treatment: Surgery or liposuction to remove the lipoma if it causes discomfort or for cosmetic reasons.
Skin Tags (Acrochordons)

Description: Small, soft, flesh-colored growths that often appear in areas where skin rubs together (e.g., neck, armpits, under the breasts).
Treatment: Skin tags can be removed through excision, cryotherapy (freezing), or cauterization.

Cherry Angiomas

Description: Small, bright red or purple growths formed by clusters of blood vessels. They are common in adults and tend to appear as we age.
Treatment: Laser treatment, electrosurgery, or cryotherapy can be used for removal if needed.

Cysts (Epidermoid Cysts)

Description: Closed sacs beneath the skin filled with keratin or other substances. They are typically round, firm, and can become infected or inflamed.
Treatment: Cysts may be drained or surgically excised, especially if they become painful or infected.

Keloids

Description: Thick, raised scars that grow beyond the boundaries of the original injury. They are more common in people with darker skin tones.
Treatment: Treatment options include corticosteroid injections, silicone sheets, laser therapy, or excision. However, keloids may recur after treatment.


Actinic Keratosis (AK)

Description: Rough, dry patches or scaly growths that develop from sun-damaged skin. They are considered precancerous but typically benign.
Treatment: Cryotherapy (freezing), topical treatments (e.g., imiquimod or fluorouracil), or laser therapy.

Dermatofibromas

Description: Small, brown or pink, firm growths on the skin that are usually found on the legs or arms. They are often harmless and may become more prominent after minor trauma.
Treatment: Surgical removal if necessary for cosmetic reasons or if they become irritated.

Fibromas

Description: Benign tumors made up of fibrous or connective tissue. These can occur on the skin or in internal organs but are most often seen as soft lumps under the skin.
Treatment: Surgical excision if required for discomfort or cosmetic reasons.

Pilar Cysts

Description: Cysts that develop from hair follicles, typically on the scalp. They are firm, round, and can be filled with a yellowish, cheesy substance.
Treatment: Removal via surgery, especially if the cyst becomes painful or infected.

Diagnosis
Most benign lesions are diagnosed through a physical examination. In some cases, further testing, such as a biopsy, may be performed to confirm whether a lesion is benign or malignant (cancerous). Imaging tests (e.g., ultrasound or MRI) may be used for deeper lesions.

Treatment Options
Monitoring: Many benign lesions do not require treatment unless they cause symptoms, discomfort, or cosmetic concerns. Regular check-ups help track any changes.
Excision: Lesions like moles, lipomas, and cysts can be surgically removed, typically under local anesthesia.
Laser Therapy: Used to treat conditions like cherry angiomas, seborrheic keratosis, or certain types of skin tags.
Cryotherapy: Freezing treatment used for warts, seborrheic keratosis, and actinic keratosis.
Electrosurgery or Radiofrequency: Used for skin tags, seborrheic keratosis, and other lesions to remove them with minimal scarring.


When to Seek Medical Attention
While benign lesions are usually harmless, it’s important to consult a healthcare provider if:

  • A lesion changes in size, color, shape, or texture.
  • The lesion becomes painful or bleeds.
  • A new growth develops quickly or in unusual locations.
  • You are unsure whether a lesion could be malignant.

Prevention
Most benign lesions cannot be prevented, especially those linked to aging or genetic factors. However, taking precautions like avoiding excessive sun exposure, using sunscreen, and protecting the skin from injury can help reduce the risk of certain skin conditions, including some benign lesions like actinic keratosis.

Schedule your appointment now.

Lipomas

Lipomas are benign (non-cancerous) growths of fatty tissue that develop under the skin. They are usually soft, slow-growing, and painless, and can appear anywhere on the body, but they are most common on the shoulders, back, neck, arms, or thighs. Here’s a detailed guide to understanding and managing lipomas:

Characteristics of Lipomas

  • Texture: Soft, doughy, and easily movable under the skin.
  • Size: Usually small (2 to 3 cm), but they can grow larger in some cases.
  • Pain: Typically painless, though they may cause discomfort if they press on nerves or are near joints.
  • Shape: Usually round or oval.
  • Growth: Slow-growing and generally stable over time.

Causes and Risk Factors

  1. Genetics:
    • Family history of lipomas increases the likelihood of developing them.
    • Associated with certain genetic conditions (e.g., familial multiple lipomatosis).
  2. Age:
    • Commonly appears in middle age (40 to 60 years old).
  3. Injuries:
    • Trauma to an area might trigger lipoma formation, though this is rare.
  4. Medical Conditions:
    • Linked to conditions like Madelung’s disease, Gardner syndrome, or Dercum’s disease in rare cases.

When to Seek Medical Attention

While lipomas are benign, consult a doctor if:

  • The lump grows rapidly.
  • It becomes painful or tender.
  • It feels hard, immovable, or irregular.
  • There are associated symptoms like redness, warmth, or drainage.
  • The lump interferes with movement or daily activities.

Diagnosis

A dermatologist may use the following to confirm a lipoma:

  1. Physical Examination:
    • Assess size, texture, and mobility.
  2. Imaging Tests:
    • Ultrasound: To determine the lump’s composition.
    • MRI or CT Scan: For deeper or larger lipomas.
  3. Biopsy:
    • To rule out other conditions, such as liposarcoma (a rare cancer).

Treatment Options

Most lipomas do not require treatment unless they cause discomfort or cosmetic concerns. Treatment options include:

  1. Observation
  • If the lipoma is small, painless, and not growing, regular monitoring is often sufficient.

2. Surgical Removal

  • Procedure: The lipoma is excised under local or general anesthesia.
  • Indications:
    • Large or growing lipomas.
    • Painful or symptomatic lipomas.
    • Cosmetic concerns.

3. Steroid Injections

  • Reduce the size of the lipoma temporarily, but they do not remove it completely.

We have various treatments to help remove the lipomas, contact our office today! Trust your skin to the experts at Design Dermatology & Aesthetics—book your appointment now.

Schedule your appointment now.

Basal Cell Carcinoma

What is it?

Basal cell carcinoma (BCC) is non-melanoma skin cancer caused by mutations in the DNA of skin cells, which then spread to adjacent cells. BCC occurs in the deepest (basal) layer of the skin’s outer layer, the epidermis. BCC is the most common form of skin cancer in the country. It often appears as a flat lesion with a waxy, yet scar-like appearance and usually forms in areas frequently exposed to the sun, such as the nose, neck, ears, and scalp.

What causes it?

Though rarely dangerous, basal cell carcinoma should not be ignored. Contact your neighborhood skin health care provider if you notice unusual skin bumps, lesions, discolorations, or other irregularities. Although chronic sun exposure is a leading cause of BCC, other common risk factors include fair skin, a history of sunburns, a history of skin cancer in your family, sunny climates, and high-altitude locations.

Common treatments?

We understand that a diagnosis of basal cell carcinoma can cause apprehension and even be physically and emotionally traumatic. As your community skin cancer experts, we’re here to provide advice and solutions if you ever receive such a diagnosis. We provide a range of customizable treatment options to suit your needs based on your individual goals and concerns. We’ll be with you each step of the way with compassionate care and comprehensive support so you can live your life to the fullest.

If you are found to have basal cell carcinoma, we have a variety of treatment options to choose from. These include topical medications, excision surgery, cryotherapy, electrodesiccation with curettage, photodynamic Therapy (PDT), and superficial radiation therapy (SRT).

Our approach & expertise

Our skin cancer experts have the experience and training to help eliminate basal cell carcinoma. What sets us apart from others is our focus on you as a person. Our warm, compassionate practitioners are ready to address your concerns and be an essential part of your support. Together with you, we find the best solution to address this skin cancer.

Healthy skin is our passion. Contact our skin cancer specialists to get the customized treatment that suits your case.

Schedule your appointment now.

Melanoma

About Melanoma

What is it?

The most common type of cancer in the country is skin cancer, and melanoma is the most serious type of skin cancer. In general, melanoma and other skin cancers squamous cell carcinoma and basal cell carcinoma form due to negative mutations of skin cell DNA in the outer layer of the skin (epidermis). The spread of these mutations to adjacent cells, particularly when uncontrolled and rapid, raises the risk of malignancy. Melanoma develops when mutations occur in melanocyte cells, which are skin cells located in the bottom layer of the epidermis. Melanomas frequently form in areas that don’t get much sun exposure and often start out as a mole, a large brown spot, or an irregular lesion.

What causes it?

Melanoma can occur regardless of your ethnicity, race, skin type, or skin color. The damage accumulation from years of exposure to the sun’s UV rays is the biggest cause of melanoma. Other causes include a compromised immune system or exposure to toxins, radiation, and other harmful substances Additionally, there are several risk factors associated with melanoma. These risk factors include the following: family history of skin cancer, fair skin, numerous sunburns through the years, sunny climates, locations at high altitude, moles, and precancerous lesions (e.g., actinic keratosis).

Common treatments

If you’ve been diagnosed with melanoma, the following treatment options are very effective: topical medications, superficial radiation therapy (SRT), Mohs micrographic surgery, surgical excision procedure, photodynamic therapy (PDT), cryotherapy, and electrodesiccation and curettage. Not all of these options are available at all offices. Please call to check.

Our approach & expertise

We understand how a diagnosis of melanoma can impact your life. That’s why, as your local skin experts, we’re here with the knowledge and training to help you overcome this disease. We offer solutions tailored to suit your health needs and goals, and we’ll be with you every step of the way, from diagnosis and prognosis to compassionate aftercare support. If you have melanoma symptoms or are regularly exposed to risk factors, you should schedule a screening with our knowledgeable skin cancer experts. Our neighborhood staff offers compassionate support while working to find the best solution for you.
Healthy skin is our passion. Contact us today to learn more about melanoma and the treatment options we provide for this condition.