Treating a Variety of Cosmetic Dermatatology Concerns like Acne Scars, Wrinkles, Brown Spots, and More.
- Last Updated: July 8, 2024
- By Julia Tzu, MD FAAD
Cosmetic Procedures at Wall Street Dermatology
Are you thinking about cosmetic dermatology treatments to enhance the natural beauty of your skin? Do you want to learn more about treatments for a specific cosmetic concern or learn about a specific cosmetic procedure? At Wall Street Dermatology, we understand that your overall appearance is strongly influenced by the health of your skin and how you feel about yourself. Health and beauty are inextricably intertwined. We offer the most advanced technology and state-of-the-art equipment to unleash the beauty of healthy skin and the beauty of you.
All cosmetic dermatology treatments are personally performed by Dr. Julia Tzu, one of the nation’s leading authority on cosmetic dermatology. Dr. Tzu is the founder & Director of Wall Street Dermatology since 2014, and a double board-certified dermatologist in NYC (Stanford University, Johns Hopkins School of Medicine, University of Miami dermatology residency) with additional surgical and cosmetic dermatology fellowship training at the University of Pennsylvania.
To get started, request a cosmetic consultation for a one-on-one evaluation by Dr. Tzu, or call our office at (212) 931-0538.
Dermatologist Dr. Julia Tzu's Perspective on Treating Cosmetic Concerns
“Most people do not realize how important the cosmetic consultation is in driving optimum aesthetic outcomes and patient satisfaction. In my practice, I spend a considerable amount of time understanding what the patient’s specific aesthetic goals are, before having a conversation about the various options available, and then deciding with the patient on the best treatment option. As with most successful project outcomes, communication and teamwork is key, and it all starts with investing in a comprehensive cosmetic consultation.”- Dr. Julia Tzu, MD, FAAD
Results-Oriented Care and Treatment
Wall Street Dermatology offers world-class, results-oriented care and treatment for our clientele in the New York City area (and beyond) looking for aesthetic enhancement.
- Preparation and Counseling – This is the initial cosmetic consultation and where clear, bilateral communication and a solid doctor-patient relationship is established. We are here to understand and help define your aesthetic goals, provide you with reasonable expectations for outcome, discuss with you all relevant but individualized treatment options along with its associated risk & benefits, and provide a clear breakdown of costs. You will be empowered to make the best decision on treatment options based on your individual needs.
- Delivery of Results – We provide world-class care to deliver targeted results. This means optimizing aesthetic outcomes and minimizing risks.
- Post-Treatment Follow-Up – Our approach to cosmetic dermatology promotes transparent communication with patients combined with targeted follow-up monitoring and care.
While multiple procedures or treatment sessions may be required to reach the most desirable outcomes, you will never be encouraged to undergo unnecessary treatments that yield low marginal benefit.
Wall Street Dermatology Treats a Variety of Cosmetic Skin Concerns
Some of the most common conditions treated by Dr. Julia, MD at Wall Street Dermatology are scarring (acne scars, surgical scars, and traumatic scars), benign skin growths (moles, DPNs, skin tags, lipomas), skin discoloration (melasma, hyper-pigmentation, brown spots), stretch marks, spider veins, split earlobe, and age-related skin concerns (such as volume loss, wrinkles and fine lines).
Learn about some of the more common cosmetic concerns treated by our practice in the section below:
Leg veins can be an unsightly condition for many people. Factors that promote leg vein development are many and include genetics, hormones, pregnancy, prolonged standing, and age. There are different types of leg veins, classified based on size. The small purple surface veins, some of which appear spider-like, are easily treatable with a procedure called sclerotherapy. During this procedure, a tiny needle is inserted into the vein and a medicine is injected to permanently seal the veins. Multiple sessions may be required for the best results. Although some slightly larger leg veins may also be treated in this fashion, not all leg veins can be treated with this procedure, so it is important to see your dermatologist to determine whether this is the right procedure for you.
Scars are problematic for many people not only because of the unsightliness of the scar itself, but because it can serve as a reminder of the surrounding events associated with the scar.
There are different types of scars, classified based on how the scar formed and scar bulkiness. Traumatic scars occur after tissue is injured from an accident. Postoperative scars occur after a surgical operation. Hypertrophic scars are moderately raised compared to the adjacent skin. Keloids are exuberantly bulky, and extend beyond the original scar line. How one’s scar evolves depends on extent of the injury or surgery, individual healing ability, and attention to wound care.
Other scars we treat include atrophic scars and chickenpox scars.
Given enough time, the appearance of many (normal) scars can improve naturally. Spontaneous improvement may take months to many years. However, some scars may not improve significantly over time and may require injections or scar revision, which involve either surgery or lasers. Recommended method of treatment depends on variety of factors that should be discussed during consultation.
Stretch marks are a common cosmetic concern amongst men and women. Stretch marks appear as reddish to whitish, thinned out lines in the skin. Early stretch marks are often reddish in color, while older stretch marks are whiter in color. Stretch marks may result from skin expansion over a short period of time. For example, stretch marks often form during puberty and pregnancy because stretching of the skin cannot keep up with the growth of the body.
Stretchmarks can be a challenging problem to treat, and there are no perfect solutions for its complete removal. Topical treatments are not proven to be effective. Currently, the best available option for reducing stetchmarks is laser treatment. Red stretchmarks are more easily treated than white stretchmarks. Multiple treatment sessions are often required for the best results.
Volume loss of the face is one of the most common cosmetic problems of aging that goes quietly unnoticed. People recognize that they appear tired and aged but do not notice the subtle facial contour changes that produces this overall undesirable effect. When volume is restored to the right areas of the face, an immediate rejuvenated appearance is noticeable.
Volume loss is not limited to the face. Other areas of the body such as the hands can also suffer from volume loss and are telltale signs of age. Restoration of volume to these areas results in the soft, smooth contour associated with youth.
Volume loss can be treated with injectable fillers containing hyaluronic acid. This procedure requires the dermatologist to have expert understanding of surgical anatomy and a three dimensional aesthetic intuition. Both are equally important to achieve a safe and cosmetically pleasing outcome.
Cosmetic Treatments & Procedures
Wall Street Dermatology provides a diverse selection of aesthetic procedures including laser skin treatments (such as laser mole removal), cosmetic injectables, microneedling, and surgical procedures that address the majority of aesthetic skin concerns. Below are some of what we consider to be our signature and commonly requested procedures:
Acne scar subcision is an effective procedure for treating acne scars that appear as skin depressions.
Laser and surgical treatments can be effectively used to treat both active acne and the discoloration from acne scarring.
Botox®, which is the most well recognized version of botulinum toxin A, is a cosmetic injectable that effectively reduces fine lines and wrinkles on the face as well as slims of the face. Learn More about Botox Treatments
Our precision-based, signature surgical technique safely and effectively removes bothersome, non-harmful moles and growths on your skin while minimizing scarring.
Injectible fillers (under the brand names of Juvederm and Restylane) are used to augment the soft tissue of the skin, thereby treating volume loss and wrinkles.
Kybella® treatments are a noninvasive way to remove unwanted fat, utilizing a series of fat-dissolving injections.
Laser treatments are the most effective way to permanently reduce the appearance of brown spots.
Microdermabrasion is the perfect “lunchtime” procedure for precise, controlled exfoliation of the superficial layer of the skin and pore cleansing, for improved skin texture, radiancy, and acne prevention.
Microneedling is a non-surgical procedure that micropunctures the skin to promote skin regeneration, thereby resulting in improved skin texture and reduced fine lines.
Unwanted superficial leg veins (spider veins) can be permanently removed with a series of injections into the unwanted vein.
Acne scarring is a common problem amongst individuals who have had severe and/or prolonged untreated acne. People with noticeable acne scarring are often self-conscious about the uneven contour of their skin, especially under certain lighting where the depressions in the skin cast fine shadows mimicking discoloration. It should be recognized that acne scarring
Angiomas, also called “cherry angiomas”, are benign (non-cancerous) growths of blood vessels that appear anywhere on the skin, and may become more numerous as we age. Angiomas are often 1-2mm in size and bright red in color.
Angiomas are usually a cosmetic concern for people who notice increasing numbers scattered throughout their skin. Fortunately, angiomas and broken blood vessels can be easily treated by a variety of methods including lasers and controlled electrical destruction. Sometimes multiple sessions may be needed to completely remove the angioma.
Many people desire remove of benign skin growths to improve the appearance of their skin. It is always important to remember that any growth should always be evaluated by your dermatologist first, prior to any procedure. Once a growth has been diagnosed as benign (non-cancerous) by your dermatologist, removal for cosmetic purposes can be considered.
There are numerous types of common benign skin growths. A short list includes but is not limited to seborrheic keratoses, skin tags, moles (nevi), angiomas, and milia. For example, African Americans and Asians often develop numerous, small, brown growths on their cheek and eye area. These growths are known as dermatosis papulosa nigra (DPN), and are easily removable. Middle-aged to elderly adults often have numerous crusty brown growths on their back, stomach area, and chest. These growths are known as seborrheic keratosis and are easily removable. People with oily skin may develop tiny white bumps called milia and small yellowish bumps called sebaceous hyperplasia, which are also easily removable.
Persistent facial redness and broken blood vessels may be a source of distress for many people who want a clear, blemish-free complexion. The two problems are actually related because the facial redness is caused by numerous fine blood vessels that may not be distinguishable to the naked eye. In fair skinned individuals, redness is more visible and problematic.
Removing the redness of the face means removing all the small fine blood vessels. Fortunately, there are lasers that can effectively reduce the number of these vessels, improving the overall complexion of the skin. Removing individual broken blood vessels is also performed using a laser. Multiples sessions of the laser treatment may be required for the best results.
Skin discoloration is a common concern for people of all ages and cultures and can be a significant source of distress. Any departure from the surrounding baseline skin color results in discoloration. However, the term is often used to refer to brown discoloration and the causes for this are numerous. Common reasons include brown age spots in older adults, brown discoloration resulting after inflammation, melasma, and freckles.
Skin discoloration is a generic descriptive term and is not itself a diagnosis. Hence, skin discoloration should always be evaluated by your dermatologist for a diagnosis first. The cause of the discoloration should be diagnosed before any decision is made to treat. If the discoloration is considered a benign brown spot, cosmetic removal can be performed. If the discoloration appears suspicious, additional testing may be required. Your dermatologist can guide you through this process.
Many brown spots can be effectively lightened with laser treatments. Multiple sessions may be needed for the best results. Because every brown spot is different in every person, you will need an individualized treatment plan.
Taking the Next Steps on a Cosmetic Consultation with Wall Street Dermatology
If you are interested in exploring the types of cosmetic treatments that address your individual skin concerns, learn more about booking a cosmetic consultation with Dr. Tzu. We’d love to explore with you all the options we have available to enhance the natural beauty of your skin.
