Skin Rejuvenation

Skin Rejuvenation

Skin Treatments and Laser Therapies

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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.

Our Doctors
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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 meet 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 known as “cafe-au-lait” spots, and benign blood vessel growths called hemangiomas.

Our comprehensive evaluation of your skin will ensure we recommend the right treatment or combination of treatments to give you a healthier, younger appearance that also boosts your self-confidence.

Our Locations
Duke Health offers locations throughout the Triangle. Find one near you.

Skin Treatments

Our nonsurgical treatments include hypoallergenic make-up that contains powerful antioxidants, topical creams proven to improve the appearance and structure of the skin, medications, noninvasive therapies, and a variety of laser techniques.

Acne Therapies

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.

Chemical Peels

A chemical solution is applied to the skin on the face, 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.

Skin Care Products

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

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, Radiesse, Belotero Balance, Bellafill, Sculptra, and autologous fat. Your doctor will recommend the fillers that are best for you.  

Anti-Wrinkle Injections

Selective injections of neurotoxins (such as 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 and crow’s feet around the eyes, as well as to slightly elevate the eyebrows. They can also be used to treat muscles in the neck.

Kybella Fat Dissolution

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.

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Laser Therapy and Energy-Based Devices

Nonsurgical Facelift

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 downtime. This is usually a one-time treatment. A doctor or nurse performs the treatment. 

Micro-Needling Therapy

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 for laser treatment. Three treatments, spaced apart by about one to two months, are recommended. A nurse usually performs this treatment. 

Intense Pulsed-Light Therapy

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 Skin Resurfacing

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 two to six 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.

Vascular Laser Therapy

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.

Consistently Ranked Among the Nation’s Best Hospitals
In addition, Duke University Hospital is proud to be named the best hospital in North Carolina, and nationally ranked in 10 adult and 9 pediatric specialties by U.S. News & World Report for 2019–2020.

Why Choose Duke

Skin Care Recommendations Based on Your Needs
Our medical aestheticians do not receive any commission for the products they recommend; their recommendations are based solely on your skin care needs.

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 that might have gone unnoticed. If that is the case, we can quickly and seamlessly refer you to appropriate specialists.

A 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.

Advanced Training in Skin Treatment
Our specialists complete years of advanced training in their specialties to perform skin treatments safely and effectively. We deliver the best care possible.

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 the surrounding structure. Each surgeon offers the full range of facial cosmetic surgical procedures.