SERVICES
Fat Reduction/Body Contouring Tissue Lifting Skin Renewing Laser At Home Treatment Skin Rejuvination Resurfacing Scars, Laser treatment of Hair Removal Capillaries, Laser treatment of Brown Spots, Laser treatment of Veins, Laser treatment of Tattoo Removal Skin Tightening Microdermabrasion Glycolic Acid Peels Botox Treatments Restylane Collagen Spot Removal Skin Care

Fat Reduction/Body Contouring
Many people have fatty areas on their body that just don’t respond to diet and exercise – including flank areas or “love handles,” and bulges on the back. Dr. Grossman is among the first physicians in the country to offer a new FDA-cleared treatment designed specifically for these problem areas - CoolSculpting^TM

CoolSculpting is an innovative procedure for the non-invasive reduction of fat using a patented cooling technology. The treatment is based on extensive research that shows fat cells are more vulnerable than any other cells to extreme cold and can be painlessly eliminated using selective cold temperature therapy. Launched in 2010, CoolSculpting is the first fat reduction treatment to use this technology.

After applying a protective gel pad, an applicator is placed on the area, delivering a controlled amount of cooling (at temperatures just above freezing). The cooling energy directly targets the fat cells leaving skin surface and other tissue unaffected. Gradually, the cooled fat cells begin to shrink and disappear. The procedure requires one or two treatments -- about 1 to 2 hours each session – with no pain or downtime. Unlike other methods of fat removal, CoolSculpting involves no needles or surgery. Patients can return to their normal activities immediately after treatment, including work and exercise.

On average, the CoolSculpting procedure results in a 20% reduction of fat in the treated area. Most patients feel a difference in how their clothes fit as early as three weeks after treatment, and see a significant, natural-looking reduction in fat bulges within two to four months.

TISSUE LIFTING
Dr. Grossman is excited to be among the first US physicians trained in Ultherapy^TM -- a new face and neck treatment recently cleared by the FDA for non-invasive tissue lifting. This innovative procedure combines ultrasound imaging with focused ultrasound therapy to lift and tone loose, lax skin.

Ultrasound enables physicians to actually see the layers of the soft tissue – to treat the deep support structures of connective tissue that acts as the skin’s foundation. Ultherapy uses the body’s own regenerative response to gently and gradually restore memory to the skin and underlying tissue, reconditioning the network of collagen fibers to withstand the effects of gravity.

A session can last 30-90 minutes, depending on areas treated. Improvement can begin immediately for some patients – followed by further improvement over two to three months. Clinical studies show consistent lifting of the brow after just one treatment, creating a refreshed, more ‘open’ look around the eyes. Patients have also noted a softening of the creases around their nose and mouth, a sleeker more defined jawline and less laxity under the chin.

At-Home Treatment of Peri-Orbital (Eye Area) Wrinkles
Launched at the end of 2010, the PaloVia^TM Skin Renewing Laser^TM is the first FDA-cleared handheld laser designed for at-home treatment of wrinkles around the eyes. It uses the same laser technology proven by dermatologists for more than a decade, adapted and perfected for use at home. The laser generates short pulses of non-ablative fractional laser light that penetrate deep into the skin’s sub-layers to target the aging support structure – the place where wrinkles begin.

After 12 weeks of use, most (84%) clinical study participants agreed the laser appears to eliminate their fine lines rather than just reduce their appearance. After just one month of daily use a panel of doctors specializing in dermatology and plastic surgery saw a noticeable reduction in wrinkles in 92% of participants.

The PaloVia laser is user-friendly and designed to be intuitive. Just treat the area around your eyes each day for the first month, then occasionally (twice a week) thereafter. Each treatment typically takes three to four minutes. Users must first apply the PaloVia Pre-Treatment Gel to ensure proper contact of the laser with the skin. There are audio and visual cues to help during treatment.

Dr. Grossman is one of the first practices in the US to offer the PaloVia laser for sale.


SKIN REJUVENATION
As skin ages, it loses volume and moisture, and collagen and elastin barriers break down. This, in turn, leads to sagging, dullness, and visible lines of motion such as wrinkles and creases. This natural process is also made worse by sun exposure, smoking, and environmental factors such as pollution. While a proper skincare regimen can improve the appearance of your skin, they work best when used in combination with devices and injectables. Dr. Grossman will tailor treatment to your particular skincare concerns, and she will discuss various in and out of office options for overall improvement during your consultation.

Lasers are the new frontier of skin improvement. Hundreds of laser- and light-based technologies are on the market today for use in cosmetic dermatology. In addition to hair removal and skin resurfacing, lasers can be used to treat numerous skin conditions including broken capillaries, tattoos, discolorations, and age spots. These devices are targeted to a specific point and varied in intensity and in duration of emitted pulses. People with darker skin types can be treated, but there is a higher risk of pigmentation changes after laser treatment.

As a leading researcher, Dr. Grossman is on the cutting edge of new technologies, working to determine their safety and effectiveness and to establish treatment protocols to provide the best possible outcomes for patients.

TREATMENTS WITH LASER

RESURFACING
Different types of lasers are suited to treating specific problems. Non-ablative devices penetrate through to the layers beneath to boost collagen production, which gives the skin a fresher, plumper, more youthful appearance. Enlarged pores can be treated with non-ablative lasers. Non ablative lasers, radiofrequency, and fractional treatment are ideal for wrinkle reduction and acne scars.

To achieve the best results, patients typically receive several laser treatments with non-ablative technology. Intense Pulsed Light (IPL) therapy is a category of light-based rejuvenation treatments that offers the advantages of allowing patients to go back to work immediately. These treatments can be used to improve uneven pigmentation, rosacea, redness, sun damage and acne scars. Most patients see some improvement after each treatment session.

SCARS
Post-surgical and other scars can be treated with a variety of laser technologies. Acne scars are a common concern for men and women in their 20’s and 30’s who suffered with the condition in their earlier years.

HAIR REMOVAL
Dr. Grossman is at the forefront of laser hair removal technology, and is an internationally known researcher in the field. Lasers can remove hair from virtually any area of the body: the upper lip and sideburns, upper and lower legs, arms, chest, and back. Areas that require constant maintenance and are prone to ingrown hairs from frequent shaving or waxing – beard hair in men, and bikini area in women – are prime territory for laser hair removal. Since hair grows in three cycles, you will need about five to seven treatments to maximize your result with repeated maintenance of two treatments twice a year. 80-90% of patients will see long-term hair reduction. Dr. Grossman will discuss a personalized maintenance schedule at the conclusion of your initial treatment period. Generally patients return once or twice a year for a follow-up session.

CAPILLARIES
Dilated capillaries and broken blood vessels can be treated with laser by directly targeting the blood vessel without harming the skin. While a few treatments may be enough for the facial vessels, you may need several treatments to see results on other areas of your body.

BROWN SPOTS
The signs of aging and photodamage often appear on the hands and face in the form of brown lesions and patches of discoloration. These can be treated with the Q-switched Nd: YAG Laser (MedLite), Accutip 500-Spot IPL® Treatment (Cutera®), or LUX 1540™ Fractional Laser Handpiece (Palomar) for non-ablative skin resurfacing. Dr. Grossman will discuss which technology is best suited to your particular skin type and concern.

VEINS
Spider veins often appear as red or blue clusters close to the surface of the skin. They can look like tree branches or spider webs with their short jagged lines. Spider veins can be found on the legs and face. Facial and leg veins can also be treated with a variety of lasers and Intense Pulsed Light sources, including: The VersaPulse Laser (Lumenis®), Long-Pulsed Nd: YAG Laser (Cutera®), Accutip 500-Spot IPL® Treatment (Cutera®), and StarLux™ (Palomar). It is best to undergo the procedure when skin is not exposed to the sun. Several treatments are usually required, and some patients require periodic maintenance.

TATTOO REMOVAL
Dr. Grossman’s office is equipped with state-of-the-art technology to remove decorative tattoos, which are the most common type, as well as cosmetic tattoos and traumatic tattoos (from a bicycle accident, for example). She can also remove tattoos for medical purposes for patients who have previously undergone radiation therapy. The Q-switched Nd:YAG (MedLite) is gold standard treatment, using PhotoAcoustic action to target and shatter the tattoo ink so it can be safely removed through the body's filtration process

SKIN TIGHTENING
This is an exciting new application in cosmetic dermatology. Although many devices seem to work, to date none have been cleared by the FDA for marketing. However, many devices are currently used for off-label procedures. Radio frequency delivers deep, intense heat into the skin without injury to the epidermis to tighten loose skin on the neck, face, and body. Each course of treatment involves multiple sessions. Dr. Grossman uses a light-based and radiofrequency systems, including the Aluma skin renewal system (Lumenis®), Titan® (Cutera®), and LUX IR for fractional skin tightening.

SKIN RESURFACING TREATMENTS

MICRODERMABRASION
Dr. Grossman performs microdermabrasion to promote overall skin rejuvenation and treat superficial dead skin. Tiny particles pass through a vacuum tube to gently scrape away dead skin cells. Patients report that they immediately notice a “glow,” and softer, smoother, and younger looking skin. Makeup also goes on more smoothly following microdermabrasion. Monthly maintenance is required to achieve the best results.

GLYCOLIC ACID PEELS
Glycolic acid peels gently resurface skin to reduce fine lines, brown spots, blotchiness, and acne. Following a comprehensive consultation, Dr. Grossman will advise you on the ideal skin care regimen to suit your needs and particular skin type. The optimum program is often a combination of peeling treatments and selected home care products designed to enhance the benefits in between office visits.

LINES & WRINKLES
Dr. Grossman offers a comprehensive menu of wrinkle reduction and volume enhancement procedures.

BOTOX® COSMETIC
BOTOX® treatment decreases local muscle activity, thereby preventing the appearance of “dynamic” wrinkles that are caused by repeated facial expressions. Botulinum Toxin A is a purified protein that binds to nerve endings, preventing the release of the chemical transmitters that activate muscles. When injected into specific areas of the upper face, it relaxes the small muscles that cause frown lines, crow's feet, horizontal forehead creases, and other facial wrinkles. The effect generally lasts from three to five months. In some cases, after multiple treatments, results can last longer and treatments may be done less frequently.

RESTYLANE®
Restylane® has become one of the most popular filling agents approved by the FDA for cosmetic uses. The clear, non-animal source hyaluronic acid gel is most commonly used to treat the nasolabial folds (creases from the nose to mouth), the nasomental creases (corners of the mouth) and around the lips, as well as cheek and chin contours. Topical anesthetic is generally used to minimize the discomfort of the procedure. The duration of Restylane® appears to be approximately 6 months or longer in most cases, making it an easy improvement to maintain. BOTOX® and Restylane® can be used in tandem to simultaneously create smoothness and volume.

COLLAGEN
Collagen is used to fill wrinkles and comes in many forms: it may be harvested from cows (Zyderm® and Zyplast®) or humans (Cosmoderm™ and Cosmoplast™).

SPOT REMOVAL
Some non-cancerous pigmented lesions that are cosmetically undesirable can be removed from your face, chest, and body without difficulty or significant downtime. Schedule an appointment with Dr. Grossman to determine if you are a candidate for spot removal. Dr. Grossman also addresses skin tags on the neck, underarms, chest, breasts, and other areas of the body that may require a simple in-office procedure with no down time.

SKIN CARE
Dr. Grossman offers a selection of skin care products to help you maintain a healthy complexion between visits. After discussing your specific skin care needs in consultation, Dr. Grossman will make suggestions for your personal skin care regimen. Inquire about available products including, glycolic acid, salicylic acid, sunscreen, and anti-aging products.