Skin treatments and laser therapies
Many elements can impact the quality, texture, tone, and appearance of your skin. Duke's skin care specialists use the full range of therapies and techniques to improve and rejuvenate skin damaged by age, excessive sun exposure, discoloration, and skin-related disorders. Our dermatologists, medical aestheticians, and plastic surgeons treat all skin types and are experienced at correcting skin marked by birthmarks, rosacea, and broken blood vessels. Our goal is to give you a more youthful, healthy, and natural look.
What to consider when selecting a skin care clinic
An important step in choosing a skin care clinic is knowing whether its medical staff has the appropriate level of experience and access to treatment options that meets your needs.
Duke’s board-certified oculoplastic surgeons and facial plastic surgeons undergo advanced training to become specialists in their subspecialties and have years of experience from routinely performing cosmetic procedures. Each of our doctors and providers come from unique backgrounds.
- Dermatologists are specialists who have advanced training and experience in treating a wide range of medical and cosmetic disorders of the skin.
- Facial plastic surgeons are otolaryngologists who subspecialize in facial plastic surgery that includes cosmetic procedures and reconstructive surgery on the face and neck.
- Oculoplastic surgeons are ophthalmologists who subspecialize in cosmetic procedures and reconstructive surgery on the face, eyes, tear system, and the facial structure surrounding the eye.
- Medical aestheticians are licensed, skin care specialists who provide recommendations and skin care treatment to help people improve their appearance.
We offer a variety of nonsurgical cosmetic treatments that repair skin damaged by aging, excessive sun exposure, and lifestyle habits, including smoking and diet.
We use laser therapy and other techniques on children and adults to correct port wine stains, light brown marks, which are known as “cafe-au-lait” spots, and benign blood vessels growths called hemangiomas.
Our comprehensive evaluation of your skin will ensure we recommend the right treatment or combination of treatments that aim to give you a healthier, younger appearance that also boosts your self-confidence.
Why choose Duke for your skin treatment
Whether your skin care needs are related to a medical or cosmetic concern, you can be confident in your decision to choose Duke for your skin treatment because:
- Your needs are our main concern. Our medical aestheticians do not receive any commission for the products they recommend; their recommendations are based solely on your skin care needs.
- You receive the highest level of comprehensive care. As a major medical center, our experts offer a full array of skin treatments, as well as the expertise to determine if your skin-related concerns are related to an underlying medical condition. Likewise, our comprehensive evaluation may uncover an unrelated condition which might have gone unnoticed. If that is the case, we can quickly and seamlessly refer you to appropriate specialists.
- You can choose from a wide range of skin care experts. Our specialists include dermatologists, medical aestheticians, oculoplastic surgeons and facial plastic surgeons who provide the full range of nonsurgical skin care therapies. This ensures you receive the best recommendation for your skin care needs. We also offer advice on how to make lifestyle choices that will improve your skin’s condition and prevent signs of aging.
- Our experts have advanced training. Our specialists complete years of advanced training in their specialties to perform skin treatments safely and effectively. We deliver the best care possible.
- You have access to cosmetic surgery options. Our board certified surgeons are trained in head and neck surgery, plastic and reconstructive surgery, and oculoplastic surgery. The latter are ophthalmologists who subspecialize in cosmetic and reconstructive surgery on the eyes and its surrounding structure. Each surgeon offers the full range of facial cosmetic surgical procedures.
Our nonsurgical treatments include hypoallergenic make-up that contains powerful antioxidants, topical creams proven to improve the appearance and structure of the skin, medications, non-invasive therapies and a variety of laser techniques.
We use a full range of therapies to treat all types of acne -- from mild and persistent whiteheads and blackheads to severe cysts and nodules. Antibiotics may be prescribed when appropriate.
A chemical solution is applied to the skin on the face, around the eyes, neck, and hands, to treat some types of acne, reduce age spots and scars, and improve the look and feel of the skin. Over several days, the chemical peel application causes the skin to redden, blister, and slough off. The new skin is smoother and less wrinkled.
These topical products include powerful antioxidants, retinoids, anti-pigment creams, growth factors, moisturizers and sunscreens that rejuvenate skin, treat acne and manage rosacea.
Dermal fillers are injected in different areas of your face to restore youthful volume and appearance. We use many different fillers including Restylane, Restylane Silk, Restylane Lyft, Juvéderm Ultra Plus XC, Juvéderm Voluma, Juvéderm Volbella (10/2016), Radiesse, Belotero Balance, Bellafill, Sculptra, and autologous fat. Your doctor will recommend the fillers that are best for you.
Selective injections of neurotoxins (ie Botox, Dysport, and Xeomin) in the facial muscles may temporarily decrease the appearance of active wrinkles that occur with facial movement. These injections may also be used to treat lines between the eyebrows, crow’s feet around the eyes, and to slightly elevate the eyebrows. They can also be used to treat muscles in the neck.
Deoxycholic acid is injected into moderate to severe fat in the upper neck to reduce the appearance of a double chin. This technique often requires three to four treatments.
Laser therapy and energy based devices
Ultherapy uses micro-focused ultrasound to tighten the layers beneath the skin for a gentle lift of the jowls and neck. It is not a replacement for a facelift which is more dramatic, but it is a procedure that can be done with almost no down time. This is usually a one-time treatment. A doctor or nurse performs the treatment.
Infini is a micro-needling device that delivers high intensity radio frequency energy to multiple layers below the skin’s surface. It is best for skin tightening of the face and neck. Healing typically takes two to three days, which is much faster than a laser. Three treatments, spaced apart by about one to two months, are recommended. A nurse usually performs this treatment.
Intense pulsed light uses broad-spectrum, low-energy light beams that penetrate the top layers of damaged skin. It stimulates the growth of healthier skin and reduces skin discoloration or skin patches. The medical aesthetician will provide this treatment in two to four sessions. It is also used for hair removal.
Ablative laser skin resurfacing removes the outer layers of the skin’s surface to start the rejuvenation process. You will see significant improvement; however, the recovery period will be longer with no makeup for 10 days and erythema lasting 2-6 months depending on your type of treatment. This procedure is performed by the doctor in the operating room. You must have someone to drive you home.
This type of laser therapy is specifically used to treat red vessels on the face with minimal downtown time to heal – usually just a few hours. The Excel V laser uses two different wavelengths to treat skin discolorations such as rosacea and red veins on the face, and tiny veins on the legs that are on and below the skin’s surface.