3 Part Treatment Process

Hollywood Dermatology is home to an outstanding team of doctors with more than 25 years of experience and certified by the American Board of Dermatology. We offer the full spectrum of dermatologic services, including clinical, surgical, and cosmetic, for adults and children. We are pleased to perform the latest and most revolutionary procedures, skin surgery, and rejuvenation techniques.
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OUR SPECIALISTS

Dr. Bertha Baum
Physician

Dr. Weiss
Physician

Featured Treatments

We specialize in both clinical and cosmetic dermatology services, offering the latest skin care and rejuvenation procedures, many of which are minimally invasive with no downtime required.

Neo Gen Nitrogen Plasma

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Micro Needling RF (radio Frequency)

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Agnes (Focus Radio Frequency Technology

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WHAT IS THE OFFERING?

This is a 3 Part Process treatment. This treatment is the closest to facelift without the downtime and the coat.
It will be available at the Hollywood Derm location starting in September.

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AGNES - USER REFERENCES

Other preexisting acne treatments (oral medicine, scaling, chemical peels, laser, etc.) only relieve the acne temporarily as they do not treat the direct cause. AGNES selectively destroys the sebaceous glands where acne germs reside. Once the sebaceous gland has been destroyed no acne can reoccur in that area.

The pain differs from patient to patient. When treated with an anesthetic cream there may be a mild stinging sensation. There may be redness and/or hot flashes on treated areas for a short period after the treatment.

No. The AGNES treatment will not interfere with everyday life at all. There may be debris or sebaceous residue that surface after the treatment which can be lightly removed with gauze.

No. One round of treatment requires 2 visits. It is necessary to revisit the clinic within 1 to 3 days after the initial treatment to extract any residual debris to avoid any further infection in the hair follicles. This will ensure that the treatment is effective.

Results should be visible 1~2 weeks after the treatment. Just one AGNES treatment can show a significant improvement to the skin and there maybe no requirement for further treatments. After one week of treatment, any redness and swelling will be gone.

There are millions of sebaceous glands on the skin. Destroying a few sebaceous glands will not make one’s face dry.
Rather, when high radio-frequencies are applied to remove the sebaceous glands, the pores will contract and collagen production will be stimulated. Then, the overall condition and elasticity of the skin and not only acne scars will improve.

NEOGEN - USER REFERENCES

2 weeks prior to the treatment
• Avoid excessive sun exposure or tanning for at least two weeks prior to treatment.
• Use a Sun Protection Factor (SPF) 30+ zinc oxide or titanium dioxide based sunblock.
This should be applied thoroughly to all areas intended for treatment.
• Additional sun protective measures such as a wide-brimmed hat, sunglasses and sunprotective clothing will help to protect your skin before and following your treatment.
1 week prior to the treatment
• Exfoliates (scrubs, washes and other treatments that remove the outermost part of
the skin) should not be used in the week prior to treatment.
• If you have just started using topical tretinoins, such as cosmetics containing Retin A,
in the last month, you will be advised to discontinue use.
• Some sort of moisturizing directive.
Pre-care medications
Your physician may prescribe medication to prevent a potential skin infection post
treatment. Ensure that you obtain and use the medication as instructed.
Obtain post-treatment care medications and products
Obtain the following items prior to treatment as you may be uncomfortable going to a store
immediately after your procedure:
• Antibacterial soap for hand washing.
• SPF 30+ zinc oxide or titanium dioxide based sunblock�
• Petrolatum/petroleum jelly such as Vaseline or other product recommended by your
physician (this is needed immediately after treatment). Please purchase a new
container.
• White vinegar (unopened bottle) which will be diluted and used to reduce itching.
• Optionally, a new and clean misting spray bottle to apply the vinegar/water solution
(this procedure will be described later).
• Mild organic (non-soap) cleanser such as Aquanil or Cetaphil.
• Your physician may advise you to use an anti-pruritic medication such as Benadryl to
prevent itching.
• Good quality mineral make-up for use once peeling/flaking has finished. Check with
your physician for recommendations.
Your physician may provide or recommend the use of other skin care products. Ensure
these are available for use after your treatment.
Alert your physician if you develop a fever, cold or other illness prior to treatment.

Make-up & other facial products
• Do not wear any make-up or use any other facial products such as moisturizer on the
day of the treatment.
• Do not use mascara.
• Men should shave.
• Moisturize.
Contact lenses
• Your physician may advise you to remove contact lenses prior to the procedure. Wear
eyeglasses or bring a contact lens case with you.
Arrange to have a driver take you home
• Pain medication or sedatives may be given to you. You should not drive yourself after
treatment if this is the case. Ensure you have a friend, relative, or taxi service arranged
to take you to your destination after treatment.
Prior to treatment
• Your skin will be cleansed.
• Your physician may take pre-treatment photographs.
• A topical (cream or ointment) anesthetic may be applied for a minimum of 45-60
minutes prior to treatment to numb and moisturize the treatment areas. The topical
anesthetic on the surface of your skin will be removed just prior to treatment. Local
anesthetic injections may be used by your physician.
During treatment
• A water-based gel may be used to protect eyebrows/eyelashes and the hairline.
• Moistened gauze and/or eye shields may cover your eyes.
• During treatment you will hear a snapping/clapping sound each time a plasma pulse is
produced. This sound is produced inside the hand piece that the physician holds. Tell
your physician if you find this uncomfortable as earplugs or earphones could be made
available.
• You may experience a sensation of warmth (like mild sunburn)
• There may be the smell of burning hair.
• Although your hair (including eyelashes and eyebrows) will be protected very
carefully, some hair may be singed. The singed hair will regrow.
After treatment
• Your treated skin may feel warm like a sunburn for several hours.
• Prior to leaving the physician's office, a layer of petrolatum/petroleum jelly such as
Vaseline will be applied to your treated skin.
• Treated skin will be fragile. Treat it gently.
• Your skin will be pink to red, it is important not to pick at your skin during this process.
Keep it moist with petroleum jelly.

What will my skin look like?
• None of your skin will be removed during treatment, but depending on the type of
treatment you have received, the outer layer of treated skin may eventually peel or
flake. Your physician will tell you when you should expect to see this happen.
• Your skin will appear pink to red in color. This normal post procedure condition is
called erythema. Your physician will advise you on how long this is expected to last.
The First 24 hours
• Keep a thick layer of petroleum jelly (or product recommended by your physician) on
your skin at all times and reapply as needed to avoid the skin drying out. This will help
your skin to heal and will help you to leave your skin alone.
• Protect your skin from sun exposure.
• Follow the correct course of medication that has been prescribed by your physician.
• Always wash your hands thoroughly using antibacterial soap before touching treated
areas or when applying a topical agent (for example, the petroleum jelly).
• Apply a thicker layer of the petroleum jelly at night time.
• Always use a clean cotton tip applicator or clean (new) wooden tongue depressor
when removing petroleum jelly (or other skin treatment material) from a container.
Avoid contaminating the jelly; do not put your fingers or used applicators into the
container.
• Your treated skin must be covered with petroleum jelly continuously for the first 24
hours. This must not be cleaned off early.
Day 2 to 5 – Before complete peeling or flaking
• Contact your physician immediately if you have continued pain, blistering, oozing or
concerns about itching in the treated area.
• After the first 24 hours the petroleum jelly (or equivalent) may be removed by
showering the upturned face in warm water.
• As an alternative to showering, use a mild cleanser such as Aquaphil or Cetaphil 2-3
times per day. Apply the skin cleanser by dabbing or patting and then rinse gently.
• It is important that the old petroleum jelly is thoroughly but gently removed in order
to help prevent infection.
• Following cleansing, you may want to use a vinegar solution to ease any discomfort
such as itching (this very mild solution will not cause irritation):
• Mix a solution of 1 teaspoon of white vinegar to 1 cup of cold water and gently dab on
the treated area using a clean washcloth or gauze to reduce irritation. The alternative
to this is to spray the area (using a clean mister/spray bottle) with the diluted white
vinegar solution.
• Following the vinegar solution treatment, the area should be rinsed with water.
• Once started it is recommended to use the vinegar soak every 2-4 hours while you are
awake for about a week following treatment. This will depend on the energy used
during the treatment. Discuss this with your physician.
• Apply new petroleum jelly immediately after cleaning or application of the vinegar
solution. Reapply the petroleum jelly if your skin feels tight or dry.
• Try to sleep on your back following treatment of the face. Using extra pillows will
encourage sleeping on your back.
• Change the pillowcase daily until you have healed. Use clean sheets and night time
wear when you have been treated on your body. "Terrycloth" or "fluffy" pillow covers
or sheets are not recommended as these may absorb the petroleum jelly applied to
the skin.
• Avoid unintentional touching of the treated areas such as rubbing your eyes.
• Continue applying petroleum jelly until your skin has flaked or peeled, usually 2 to 5
days after treatment.
• The skin may darken from pink or red to a "bronzed" like appearance 3 to 5 days after
treatment. This is likely with high energy procedures. This will peel or flake off.
• It is important that the treated skin is left in place until it is ready to peel or flake. DO
NOT PICK! Picking may result in an infection or scar.
• The treated skin will generally peel or flake within 2 to 5 days. The old skin will come
off as you wash your face. It may be difficult to see flaking.
• As your skin peels or flakes there may be some areas that are lighter or darker. This
should even out over time.
After peeling or flaking
• Stop using the petroleum jelly when peeling or flaking is complete.
• After skin has peeled or flaked it is important to resume the use of a zinc oxide or
titanium dioxide based SPF 30+ sunblock to decrease the possibility of
hyperpigmentation (darkening that is not like a tan) occurring as your healed skin is
exposed to sunlight. You may wish to resume use of a high quality, mild moisturizer as
well. Check with your physician for recommendations.
• New skin will have formed underneath the layer of treated skin that peels or flakes.
Your new skin will be fragile and must be treated gently.
• It is normal for the skin to have lighter and darker areas in the first few weeks as it
heals. These are most often temporary and fade quickly, though in rare circumstances
this can take up to 6 months. It is very rare for any pigment changes to continue
beyond this time. You should contact your physician if you have pigment changes that
concern you.
Return to make-up or shaving and activities
It will generally be 2 to 10 days after treatment before you can apply make-up or shave.
This will depend on if you had a low energy or high energy procedure. Ask your physician
when you can return to your activities.

The first 24 hours
• Do not cleanse the treated area during the first 24 hours.
• Do not expose your treated skin to the sun.
Sun Exposure
• Sun exposure must be avoided for 3 - 4 weeks after treatment. Exposure to the sun
may intensify a darkening of the skin (hyperpigmentation) that is not a sun tan.
Minimise the effects of sun exposure by using the recommended sunblock and
wearing sun protective clothing, including a hat that will shade treated areas.
• Wear a wide brimmed hat, sunglasses and protective clothing (if your body has been
treated) when outdoors.
• A window (house or car) will not protect you from sun exposure.
Exercise and Exposure
• During the first 2 weeks limit actions that would affect blood flow to the skin such as
exercise or exposing your skin to hot (sauna) or cold (winter sports) temperatures as
this may aggravate redness or swelling.
Before my skin has peeled or flaked
• Do not remove, try to remove, pick, rub, or squeeze areas of skin, whether using
fingers or tweezers.
• Do not touch treated areas with anything that is not clean; wash your hands carefully
before touching your treated skin.
• Do not allow your skin to dry out as this will increase the risk of problems such as
increased pigmentation/darkening of the treated skin.
• Do not use anti-aging/exfoliating/harsh cleansers, medications or scrubs.
• Do not wear clothing that rubs and chafes when you have been treated on areas of
the body other than your face.
• Do not use fabric conditioners when washing bed sheets, pillow cases or clothing that
may touch your treated skin, as fabric conditioners can cause skin irritation.
• Do not allow pets to come into contact with treated areas or bedding Do not allow
pets to sleep in your bed until your skin has healed.
• Do not allow close contact with someone who has any form of contagious infection.
• Do not cover your pillow with a terrycloth towel or other abrasive fabric.
During peeling or flaking
• Do not try to remove skin or pull at it when it is peeling or flaking. It will come off on
its own when it is ready. This may happen during gentle washing.
• Do not expose unprotected skin to the sun. Avoid unnecessary sun exposure.
After peeling or flaking
• Do not expose your treated skin to the sun for as long as recommended by your
physician. If you are having further treatments then it is important that you commit to
staying out of the sun until the last treatment is completed and your physician says
that sun exposure is permissible.

Skin reactions- although rare, the following skin reactions may occur:
• You may have temporary swelling (sleeping on an additional pillow may help).
• Mild acne flare and/or milia (tiny white bumps) may occur. This should resolve on its
own.
• Contact dermatitis is a localized skin irritation due to use of topical products or
contact with substances that irritate your skin. Discuss with your physician for proper
care.
• Petechiae are small red or red-blue spots that make up a rash. Although not common,
it may appear during healing and continue for several weeks and should clear without
treatment.
Possible complications
• Contact your physician immediately if you think there is something wrong with the
way your skin is reacting or healing. Continued pain, swelling or blisters may be a sign
of infection that your physician should know about immediately. Untreated infections
may lead to scars.
• Herpes activation - Infections that you already have but are dormant such as herpetic
(Herpes) facial cold sores may become active following treatment. Though it is
recommended, it is left to the discretion of the physician whether or not prophylactic
anti-viral medication is prescribed prior to treatment.
• Hyperpigmentation - Patches of skin become darker in colour than the normal
surrounding skin. Hypopigmentation - Patches of skin become lighter than the normal
surrounding skin.
• Infection - Following the procedure, the treated skin may be more likely to become
infected. It is important that instructions in the Guide and those given to you by your
physician are followed. Your physician may prescribe medications prior to or after
treatment.
• Scarring - As with other methods of skin treatment, there is a risk of both temporary
and permanent scarring of the treatment areas. Although scarring is extremely rare
with NeoGen, it is important to follow all post-treatment instructions carefully.
• Singed hair - If your hair, eyebrows or eyelashes are singed, they will grow back.

Call your physician immediately if
• Your skin starts to peel or flake earlier than expected. Small areas may peel at day 1-2
but in general for higher energy treatments (such as PSR 2, PSR 3 or PSR 4) the skin
will usually start to peel or flake 3 to 5 days after treatment.
• You experience cold sores.
• You get isolated patches of blisters, oozing, residual redness or areas slow to heal.
• You experience signs of infection (increased itching, pain, swelling, skin is warm to
touch, pus or oozing).
• You have any post-treatment concerns including your response to skin care and
medications.
• You are unsure of what to do as your skin heals.
Call your physician
• If you are not sure when you can start wearing make-up, start shaving, or return to
your activities.
Follow-up visits
• Your physician should tell you when you are expected to be seen after your
procedure. Attend all scheduled follow-up visits. Do not wear make-up to follow-up
visits.

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