Skin Problems & Treatments Health Center

In-Office Dermatology Treatments

Dermatologic treatments, including Botox, laser surgery, and dermabrasion, can be done in the dermatologist's office.

Botox

Botox injection is a cosmetic procedure used to reduce fine lines and wrinkles. Botox is the brand name of a toxin produced by the bacterium Clostridium botulinum. Small, diluted amounts can be injected directly into specific muscles, causing controlled weakening of the muscles. As a result, the injected muscle cannot contract, causing the wrinkles to relax and soften. Botox is most often used on forehead lines, ''crow's feet'' (lines around the eye), and frown lines.

The procedure takes only a few minutes and no anesthesia is required. Botox is injected with a fine needle into specific muscles with only minor discomfort. It generally takes three to seven days to take full effect. The effects of Botox can last as long as 10 months. 

The most common side effect of Botox is temporary bruising, and some patients experience a mild headache following treatment. A small percentage of patients may develop eyelid drooping, which usually resolves in three weeks. This development is usually caused by migration of the Botox; for this reason, you shouldn't rub the treated area for 12 hours after injection or lay down for 3 to 4 hours.

Chemical Peels

A chemical peel, also known as dermapeeling, is a technique in which a chemical solution is applied to the skin. The affected skin peels off, leaving the new skin smoother.

Chemical peels are performed on the face, neck, or hands. They can help reduce:

• Mild scarring
• Certain types of acne
• Wrinkles
• Sun spots
• Liver (age) spots
• Freckles
• Dark patches caused by pregnancy or birth control pills

To perform a chemical peel, the doctor cleanses the skin and then applies a chemical solution (such as glycolic acid, trichloroacetic acid, or salicylic acid) to affected areas on the skin. These applications produce a wound, paving the way for regenerated skin.

After the chemical peel, your skin will be red and will peel for up to a week before the benefits can be seen. The process can be repeated as necessary.

Possible side effects include reactivation of cold sores (herpes infection) in patients with a history of herpes outbreaks. This can be prevented or treated with an oral medication.