Cosmetic Dermatology

Botox®, Dysport®, Xeomin®, and Daxxify® are non-surgical solutions to smooth fine lines and wrinkles, giving you a refreshed and youthful appearance. Designed to target common aging concerns like crow’s feet, forehead lines, frown lines, slimming of the jaw, dimpled chin, gummy smile, lip lines, neck lines, and so much more, wrinkle relaxers work by temporarily relaxing the muscles responsible for these lines. This quick and effective treatment is perfect for those looking to soften their features and restore their natural glow without downtime.

Wrinkle relaxers, also known as neuromodulators, work by temporarily blocking nerve signals to the facial muscles. This relaxation of overactive muscles reduces the appearance of dynamic wrinkles—the lines caused by repetitive facial movements like smiling, frowning, or squinting. Over time, these muscles relax, leading to smoother, younger-looking skin while maintaining a natural range of expression.

Treatment takes 10-15 minutes depending on treatment areas.

Avoid strenuous exercise for the rest of the day.  Skip facials and massage of the area for three days.

Results will be seen in 3-7 days and last for 3-4 months. Minimal pinpoint bruising is possible.

• Does it hurt?
  We use the smallest needle possible, so it feels like a small pinch.
• Are wrinkle relaxers safe?
  Yes, wrinkle relaxers like Botox® have been FDA-approved for over 30 years and are widely recognized as safe, especially when performed by a board-certified dermatologist.
• Will I look “frozen” or unnatural?
  Not at all! Results are always dose dependent. Dr. Regula makes a dosage plan according to your goals to ensure a natural, refreshed look while maintaining your expressions.

Hyaluronic acid (HA) fillers are a popular, non-surgical solution to restore volume, smooth wrinkles, and enhance facial contours. As we age, we lose facial volume in our bone structure and fat. With targeted injections, HA fillers can address concerns like volume loss, fine lines, sagging, and enhance features such as lips, cheeks, and jawline. This versatile treatment delivers natural-looking results, helping you achieve a refreshed and youthful appearance.

Hyaluronic acid fillers are gel-like substances injected beneath the skin to restore lost volume, smooth lines, and enhance facial features. Hyaluronic acid is a naturally occurring substance in the skin that attracts and binds to water molecules, creating an instant plumping effect. With precise placement we can improve nasolabial folds (smile lines), plump lips and cheeks, improve undereye hollows, and so much more. Dr. Regula carefully places the filler to achieve natural looking results while maintaining facial balance.

Treatment takes 15-30 minutes depending on treatment areas and with numbing you’ll be in the office for about 60 minutes total.

Avoid strenuous exercise for the rest of the day. Ice the area to minimize swelling and bruising. Skip facials and massage of the area for three days.

You’ll notice a visible improvement in volume and contour right after your session, with full results settling in within 1 to 2 weeks. Depending on the treatment area, fillers typically last 6-12 months. Bruising is possible after the procedure and while it can be covered with makeup, we recommend allowing 2 weeks for it to resolve.

• Does it hurt?
  We use a topical numbing cream to make the treatment as comfortable as possible. You may still feel a small pinch or pressure during treatment.
• Are hyaluronic acid fillers safe?
  Hyaluronic acid fillers have a long safety history however, that safety largely depends on the skill of the person performing the treatment. Hyaluronic acid can also be dissolved with an injectable enzyme if there is an unexpected issue.
• Will I look puffy or unnatural?
  Unnatural filler results are typically due to too much filler being injected and improper placement. Dr. Regula believes in the importance of overall facial balance and not treating one area in isolation.

We all lose volume as we age, this includes bone mass, fat, and collagen. Biostimulatory fillers such as Sculptra® and Radiesse®, are designed to restore lost volume, improve skin texture, and stimulate your body’s natural collagen production. They are most commonly used for full-face rejeuvenation but can be used anywhere on the body.

Biostimulatory fillers contain substances like poly-L-lactic acid (Sculptra®) or calcium hydroxylapatite (Radiesse®), which trigger your body’s natural collagen production. When injected, these fillers provide an immediate lift and volume boost while encouraging the skin to build collagen over several weeks to months. Biostimulatory fillers are perfect for patients who are looking for gradual, natural-looking increase in volume and skin quality.

TreatmeTreatment takes 15-30 minutes depending on treatment areas and with numbing you’ll be in the office for about 60 minutes total.nt takes 10-15 minutes depending on treatment areas.

Avoid strenuous exercise for the rest of the day. Ice the area to minimize swelling and bruising. You will be instructed on post-treatment massage to the area to improve smoothness.

Results Unlike traditional fillers, biostimulatory fillers work over time to rebuild your body’s collagen. Visible improvements begin to appear within 6 to 12 weeks and continue to enhance over several months. Results typically last 1 to 2 years, depending on the product used and your individual collagen production. Bruising is possible after the procedure and while it can be covered with makeup, we recommend allowing 2 weeks for it to resolve.will be seen in 3-7 days and last for 3-4 months. Minimal pinpoint bruising is possible.

• Does it hurt?
  We use a topical numbing cream to make the treatment as comfortable as possible. You may still feel a small pinch or pressure during treatment.
• Are biostimulatory fillers safe?
  Biostimulatory fillers have a long safety history however, that safety largely depends on the skill of the person performing the treatment.
• How many treatments will I need?
  For optimal results, most patients require 2 to 3 sessions spaced 6 to 8 weeks apart.

SKINVIVE™ is the first and only hyaluronic acid microdroplet injectable indicated to improve skin smoothness, hydrate, and rejuvenate your skin. This minimally invasive treatment is perfect for achieving a refreshed, youthful look without adding volume or altering facial structure.

 SKINVIVE™ works by delivering hyaluronic acid – a naturally occurring skin hydrator – through microinjections beneath the skin’s surface. Unlike traditional dermal fillers that restore volume, SKINVIVETM focuses on improving skin hydration, elasticity, and texture by drawing in moisture and supporting the skin’s natural barrier.

Treatment takes 15-30 minutes depending on treatment areas.

Avoid strenuous exercise for the rest of the day.

Your skin will feel softer and look more hydrated almost immediately after treatment. Visible improvements will develop over the next 2-4 weeks as the hyaluronic acid integrates into your skin and will last for about 6 months. Minimal bruising may be possible after the procedure.

• Can you combine SKINVIVE™ with other treatments?
  Yes! SKINVIVE™ is a great add-on treatment to other fillers and microneedling.
• How many treatments will I need?
  It is best to think of SKINVIVE™ as a maintenance treatment to be done every 6 months.

Platelet Rich Plasma (PRP) therapy is a natural and effective skin rejuvenation treatment that uses your body’s own healing power to restore and revitalize your skin. PRP harnesses growth factors from your blood to stimulate collagen production, improve skin texture, improve hair growth, and reduce fine lines, wrinkles, and other signs of aging.

PRP involves drawing a small amount of your blood, processing it to isolate the platelet-rich plasma, and then reapplying it to your skin through microneedling or direct injections. Platelets are rich in growth factors that promote cell regeneration, boost collagen production, and accelerate the skin’s natural healing process.

Treatment takes 45-60 minutes, which includes the time it takes for blood draw and PRP preparation.

After care depends on how the PRP was used but, typically, you may resume your normal skincare routine.

You may have some mild redness after the procedure. Since PRP uses your body’s own growth factors to stimulate new collagen production, it can take 2-4 weeks to see improvement in skin tone, texture, and elasticity. Typically a series of 3 treatments is recommended and then maintenance treatment every 6 months.

• Is PRP painful?
  Discomfort is minimal. It is no more uncomfortable than a typical blood draw.
• Who is a good candidate for PRP?
  PRP is suitable for all skin types and tones. It’s ideal for those looking to treat fine lines, wrinkles, uneven texture, acne scars, and dull skin.
• Are there any side effects?
  Since PRP uses your body’s own plasma, risks are minimal. Temporary redness, swelling, and mild bruising are the most common side effects.

Microneedling, also known as collagen induction therapy, is a minimally invasive skin rejuvenation treatment designed to improve the appearance of fine lines, acne scars, enlarged pores, and uneven skin tone. This treatment is suitable for all skin types and is a popular choice for those seeking natural, long-term results with minimal downtime.

Microneedling uses a specialized device with ultra-fine needles to create microscopic punctures in the skin’s surface. These controlled micro-injuries trigger the body’s natural healing response, stimulating the production of collagen and elastin—two key proteins responsible for skin firmness and elasticity. The result is smoother, firmer, and more youthful-looking skin. Microneedling can address multiple concerns, including fine lines and wrinkles, acne scars and surgical scars, enlarged pores, hyperpigmentation, sun damage, and uneven skin texture.

Treatment takes 60 minutes, which includes time for topical numbing application.

For the first 24 hours, you should not put anything other than water on the area. After 24 hours you can resume your normal skincare routine.

You will be red after microneedling treatment, similar to a mild sunburn. This is worst the day after treatment and improves over 3-5 days. You may also have some mild dryness of the skin but downtime is minimal. Results can be seen in 1-2 weeks. While the increase in collagen is permanent, maintenance treatments are important as collagen will continue to decrease over time.

•  Is microneedling painful?
  Topical numbing medication helps to minimize discomfort.
• How many sessions will I need?
  For best results, we typically recommend 3-4 treatments spaced 4-6 weeks apart. Maintenance treatment should be done every 6-12 months.
• Who is a good candidate for microneedling?
  PRP is suitable for all skin types and tones. It’s ideal for those looking to treat fine lines, large pores, acne scars, and uneven skin texture.
• Can microneedling be combined with other treatments?
  Yes! Microneedling pairs well with PRP (Platelet Rich Plasma) or serums to enhance results. We will recommend a customized treatment plan based on your needs.

The Excel V laser is a non-invasive laser treatment designed to target and treat a wide range of skin concerns, including redness, sun spots, rosacea, spider veins, sun damage, and pigmentation. Whether you’re dealing with vascular issues or discoloration, the Excel V laser offers a quick and reliable solution to help you achieve smoother, healthier-looking skin.

The Excel V laser delivers a specific wavelength of light to the treatment area to target red and brown. This light is absorbed by abnormal blood vessels or pigmented lesions, causing them to break down while leaving the surrounding skin unharmed. The body’s natural healing process removes the damaged tissue, resulting in clearer, more even-toned skin. This targeted approach leaves the top layer of skin unharmed which means that there is no peeling of the skin or wound care needed.

Treatment typically takes 15-30 minutes, depending on the size of the treatment area.

After treatment, we ask that you ice the area for 20 minutes out of every hour until bedtime. You may resume all of your normal skincare.

You will be swollen after treatment.  The amount of swelling depends on the extent of the area treated and your individual propensity for swelling. Icing the area and sleeping in an upright position can help to prevent swelling as much as possible. Swelling can be significant, is worst the day after treatment, and improves over the next 5-7 days. Some brown spots may also darken after treatment and take 1-2 weeks to fade.

• Is Excel V laser painful?
  Most clients describe the treatment as a slight stinging or warming sensation, similar to a quick snap of a rubber band. A cooling system is used to ensure comfort throughout the procedure.
• How many sessions will I need?
  Typically, 3-4 treatments are needed, spaced 4-6 weeks apart.
• When will I see results?
  Some results may be visible immediately after the first session, with continued improvement over the following 1-2 weeks. Full results are typically achieved after completing all recommended sessions.
• Do I have to be careful in the sun after laser treatment?
  As dermatologists, we always want you to be careful in the sun. It is most important that you are not tan on the day of treatment as this can result in loss of pigmentation.Typically, 3-4 treatments are needed, spaced 4-6 weeks apart.

A chemical peel is a non-invasive skin resurfacing treatment that helps improve the texture, tone, and overall appearance of your skin. Dr. Regula uses a customized solution of acids to gently exfoliate the skin to treat concerns like acne, fine lines, pigmentation, and uneven texture. Chemical peels can be tailored to all skin types and needs, from superficial peels with no downtime to deeper peels for more significant results.

Chemical peels involve the application of a specialized acidic solution to the skin. This breaks down the protein bonds that hold the skin cells together, which exfoliates and removes the damaged outer layers. The depth and recovery process of a chemical peel depends on the type of peel solution used.

Treatment typically takes 15-45 minutes, depending on the size of the treatment area and type of chemical peel.

You should avoid any active skincare until your peeling has stopped.

You will be red after treatment and stop to peel 2-3 days after.  The extent and duration of peeling depends on the depth of the chemical peel.  Some brown spots may get darker after treatment before they start to flake off.

• Is a chemical peel painful?
  You may feel a mild tingling, warming, or stinging sensation during the treatment, but this is temporary and well-tolerated. Deeper peels may involve more intense sensations.
• How many sessions will I need?
  The number of sessions depends on the reason for treatment and treatment goals. Typically, 3-4 treatments are needed, spaced 4-6 weeks apart.
• Do I have to be careful in the sun after a chemical peel?
  Yes, your top layer of skin is removed with a chemical peel and the underlying skin is extremely sensitive to the sun. Sun protection helps to promote healing and prevent discoloration of the skin.

Many skin growths, while harmless from a medical perspective, can be cosmetically bothersome. These include skin tags, enlarged oil glands, seborrheic keratosis, sun spots, and visible blood vessels, among others. Removal can quick and simple in our office, delivering excellent cosmetic results.

Depending on the type of growth being treated, it may be removed through freezing, cauterization, or minor surgical removal. If needed, our team can ensure your comfort with topical or local anesthetic.

Treatment typically takes 15-30 minutes, depending on the size of the treatment area and type of treatment.

After treatment, our team will review your care instructions. This may involve sunscreen, Vaseline, or a band-aid.

The treatment areas may be slightly swollen or need to be covered after treatment. Plan to have a week of healing time.

• Will there be a scar?
  There is no to minimal scar with most treatment techniques.
• Will the removed spot grow back?
  Most lesions do not grow back after treatment. More commonly, you may make more of these growths over time.

Earlobe repair is a quick and effective procedure designed to restore the natural appearance of torn, stretched, or damaged earlobes. Whether caused by heavy earrings, trauma, gauges, or gradual wear and tear, earlobe damage can be both a cosmetic concern and a functional issue. This elegant surgery is a favorite of Dr. Regula’s to help you regain confidence and the option to wear earrings comfortably again.

Earlobe repair is a minor surgical procedure performed under local anesthesia to ensure a pain-free experience. After the area is numb, Dr. Regula removes the damaged portion of the earlobe and carefully stitches the area to restore a natural, symmetric appearance.

Surgery typically takes 30-45 minutes.

You will have a bandage on the area for the first 24 hours and cannot get this area wet. After 24 hours, you will remove the bandage, wash the area with soap and water and apply Vaseline and a Band-Aid. You will do this daily until the stitches are removed, 7-10 days after surgery.

You may experience mild discomfort, which can be managed with over-the-counter pain relievers. Some swelling is normal during the first few weeks as the earlobe heals. To avoid any stretching, it’s recommended to wait 2 months before re-piercing the ear.

• Can I have my ear re-pierced at your office?
  Yes! We’d love to do that for you.
• Will there be a scar?
  Yes, you will have a faint, fine-line scar after surgery. This will be minimal and not easily seen if you are going to pierce your ears.
• Can both earlobes be repaired at this same time?
  Yes, this will get you back to wearing earrings sooner.

Ear piercing is a common procedure, and it’s so important to have it performed in a safe, sterile, and professional environment. At our office, we ensure proper technique and hygiene to minimize the risk of infection or complications. Whether it’s your child’s first piercing or you’re adding a new one for yourself, our team is dedicated to providing a positive experience and delivering beautiful results.

You’ll start by selecting from our range of hypoallergenic earrings. To minimize discomfort, a numbing cream can be applied for 15-30 minutes before the procedure. We carefully map the piercing locations to ensure precise and balanced placement. It’s important to note that natural ear asymmetry is common, and we will review the planned locations with you to ensure you’re satisfied. To reduce pain and stress, both piercings are performed simultaneously by our team.

15-45 minutes depending on the use of numbing cream.

Do not remove your piercing studs for the first 6-8 weeks. Clean your ears daily with warm water and soap, using clean hands to gently rotate the earrings during the process. To reduce the risk of infection, avoid swimming in pools, hot tubs, or the ocean for at least 2 weeks. After 6-8 weeks, you may remove the earrings, but it’s recommended to replace them with lightweight earrings to maintain the piercing.

The treatment areas may be slightly swollen or need to be covered after treatment. Plan to have a week of healing time.

• What if my piercing becomes infected?
  If you notice signs of infection like redness, swelling, or discharge, contact us immediately. Our team can quickly address any concerns.

Acne scars can affect your skin’s texture and overall confidence long after active acne has resolved. Our treatments are designed to smooth the skin, reduce the appearance of scars, and improve overall skin tone. Whether your scars are deep, raised, or discolored, we offer customized solutions, often combining multiple technologies and techniques to help restore a clearer, smoother complexion.

We utilize a variety of treatments tailored to the type and severity of your acne scars:

1. Microneedling: Creates tiny micro-injuries to stimulate collagen production, helping to smooth out skin texture.
2. Excel V Laser: Targets red and brown discoloration of acne scars.
3. Chemical Peels: Exfoliates the top layer of skin, reducing pigmentation and improving overall skin tone.
4. Dermal Fillers: Injected beneath the skin to lift depressed scars, creating a more even surface.
5. PRP (Platelet-Rich Plasma): Utilizes your body’s growth factors to enhance healing and collagen regeneration.
6. Subcision: Releases tethered scars beneath the surface, helping improve the skin’s natural smoothness.

During your consultation, we’ll evaluate your skin and recommend a personalized treatment plan to achieve optimal results.

Treatment typically takes 30-60 minutes, depending on the type of treatment.

After treatment care depends on the specific procedure and will be reviewed by our team.

Treating acne scarring can be a challenging process and often requires multiple sessions over several months. Achieving optimal results may involve combining different treatment methods tailored to your skin’s needs. Improvement will occur gradually, and while acne scars may not completely disappear, their appearance can be significantly reduced.

• Is the result permanent?
  Yes, improvement of acne scars is permanent as it reduces scar tissue and increases collagen production.
• How many sessions will I need?
  Your exact treatment plan will depend on Dr. Regula’s assessment of your acne scars at your consultation.

Hair restoration treatments are advanced solutions designed to address hair loss, thinning hair, and receding hairlines. Whether caused by genetics, hormonal changes, or stress, hair loss can significantly impact confidence and appearance. Our non-surgical hair restoration options, including treatments like Platelet-Rich Plasma (PRP) therapy and other medical treatments, stimulate natural hair growth to restore thicker, fuller, and healthier hair.

Just as there are many causes of hair loss, there are also a variety of treatments, which are often used in combination for optimal results.

1. Platelet Rich Plasma (PRP): A small amount of your blood is drawn, processed to isolate the growth-factor-rich plasma, and injected into the scalp. PRP stimulates dormant hair follicles, improves circulation, and encourages natural hair regrowth.
2. Topical Treatments: Medical-grade topical solutions may be combined with PRP to maximize results and maintain healthy hair.
3. Hair Supplements: Nutrafol is a supplement that improves hair growth, strength, and thickness. 75% saw visible reduction in shedding after two months.
4. Prescription Medications: Oral medications such as finasteride, spironolactone, minoxidil, and dutasteride can be effective depending on the cause of your hairloss.

Hair regrowth is a gradual process, with visible improvements typically noticeable within 6 months. Over time, the goal is to see increased hair density, improved thickness, and healthier hair growth. Periodic treatments may be recommended to maintain your results and prevent further hair loss.

• How many treatments will I need?
  In reference to Platelet Rich Plasma, most patients need 3-4 sessions spaced 4 weeks apart, followed by maintenance treatment every 6 months.
• Will my hair definitely regrow?
  Not everyone will experience hair regrowth. Maintenance of current hair density is also a treatment goal.
• Am I a good candidate for treatment?
  Dr. Regula will evaluate your hair loss to identify its cause, which may occasionally require a biopsy. A consultation is beneficial for anyone experiencing hair thinning or hair loss.

Excessive sweating, known as hyperhidrosis, can be a frustrating and embarrassing condition that affects your confidence and daily activities. Botox^® is an FDA-approved, non-surgical treatment that effectively reduces sweating in areas such as the underarms, hands, feet, and face. By targeting the sweat glands, Botox offers long-lasting relief, helping you stay dry, comfortable, and confident.

Treatment typically takes 20-30 minutes.

You should avoid vigorous exercise for the next 24 hours.

You should have a noticeable reduction in sweating in 4-7 days, with results lasting approximately 4-6 months. Follow-up treatments are recommended every 4-6 months to maintain results.

• Is Botox^® for sweating painful?
  The injections feel like tiny pinpricks and are generally well-tolerated.
• Will Botox^® stop all sweating?
  Botox significantly reduces sweating in the treated areas but does not stop it completely. You will continue to sweat normally in untreated areas.
• Is Botox^® for sweating covered by insurance?
  The medication is covered by some insurances. Our staff will help you to determine your coverage.

A non-surgical butt lift is a minimally invasive treatment designed to enhance the shape, lift, and volume of the buttocks without the need for surgery or downtime. Using biostimulatory fillers, such as Sculptra® or Radiesse®, this procedure offers natural-looking results by improving contours, increasing volume, and boosting collagen production. Whether you want a subtle lift, improved skin texture, or enhanced curves, this treatment is a safe and effective option to achieve a more youthful, sculpted appearance.

Biostimulatory fillers, such as Sculptra® or Radiesse®, are injected into the area to improve contours, restore volume, and boost collagen production, resulting in natural looking results.

Treatment typically takes 1-2 hours.

You should avoid vigorous exercise for the next 24 hours.  Our staff will instruct you on post-treatment massage of the area.

Results typically become visible within 6-8 weeks as the body naturally increases collagen production. Treatments can be repeated as needed to achieve the desired volume.

• Is a non-surgical butt lift painful?
  You may feel small pinches during the procedure, but mainly pressure from the injections. It is very well-tolerated.

Cellulite is a common skin concern that affects individuals of all body types, often appearing as dimples or uneven skin texture on areas like the thighs, buttocks, and abdomen. Despite diet and exercise, cellulite can persist due to factors like genetics, hormones, and skin structure. Procedures like subscission and injection of a biostimulatory filler, such as Sculptra® or Radiesse®, help to smooth the skin for a more even, youthful appearance.

Subscission and biostimulatory fillers can be used in the same treatment to improve the appearance of cellulite. Subscission uses a small needle to release tethering under the skin the leads to the dimpling of cellulite. Biostimulatory fillers, such as Sculptra® or Radiesse®, boost collagen production, plumping the skin and improving its texture, which reduces the appearance of cellulite.

Treatment typically takes 30-60 minutes depending on the treatment area.

You should avoid vigorous exercise for the next 24 hours.You should avoid vigorous exercise for the next 24 hours. Our staff will instruct you on post-treatment massage of the area.

You will likely have bruising after the procedure that will take 2-3 weeks to resolve. Results will develop over several weeks as the skin produces more collagen and elastin. With proper maintenance and a healthy lifestyle, results can last for 6-12 months or longer.

• What causes cellulite?
  Cellulite occurs when fat deposits push through the connective tissue beneath the skin, leading to a dimpled or uneven appearance. Factors like genetics, hormones, lifestyle, and skin laxity contribute to its development.
• Are cellulite treatments painful?
  We use injections of local anesthesia to make the procedure as comfortable as possible. Most feel small pinching and pressure.

Dermaplaning is a non-invasive exfoliation treatment that gently removes dead skin cells and fine facial hair (peach fuzz) to reveal a smoother, brighter complexion. This treatment enhances skin texture, improves product absorption, and gives your skin an instant glow, making it a favorite for achieving a refreshed and polished look. Safe for all skin types, dermaplaning is an excellent option for those seeking a non-abrasive method to revitalize dull or tired skin.

After cleansing the skin, our aesthetician or nurse will use a single blade to remove all of the peach fuzz from the face.

Treatment typically takes 15-30 minutes.

We will apply a moisturizer to the skin and you may resume your normal skincare.

Your skin will feel much smoother and will have an improved glow. Most patients undergo dermaplaning every 2 months.

• Can I put makeup on after?
  Yes, you may apply makeup that day and resume all of your normal skincare.