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What are the Best Treatments for Facial Volume Loss?

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As we age, the substances in our skin that help produce a soft, full, and smooth appearance begin to diminish. Over time, this allows for a loss of volume in the face, resulting in issues such as sagging cheeks, droopy jowls, sunken eye sockets, and hollow temples. Fortunately, while these are expected consequences of aging and an inevitable outcome of facial volume loss, safe and effective treatments are readily available.

Dermal Fillers

Dermal fillers offer the best solution for restoring lost volume to the face. However, the type of filler that will work best for your specific needs depends on several unique factors. During your initial consultation with one of our cosmetic dermatologists, we will carefully evaluate your problem areas and help you decide on the right filler for your concerns.

At the Advanced Dermatology and Laser Institute of Seattle, we offer a range of safe and effective dermal fillers. Some of our most popular include:

  • Hyaluronic Acid Fillers. Fillers from JUVÉDERM®, Restylane®, and Belotero Balance® contain hyaluronic acid (HA), which helps the skin retain moisture. These fillers restore lost HA to improve facial volume and create a softer, more youthful appearance for up to 18 months
  • Poly-L-Lactic Acid Fillers. Sculptra® contains poly-L-lactic acid, a collagen stimulator. Collagen is a structural protein responsible for skin elasticity and strength. Like HA, collagen diminishes as we age. Stimulating collagen production helps to restore lost volume for up to two years
  • Calcium Hydroxylapatite Fillers. The active ingredient in Radiesse® is calcium hydroxylapatite (CaHA). CaHA stimulates the production of collagen and elastin to restore lost volume to the face. CaHA fillers can produce results for 15 or more months

Finding the Best Fit

Several considerations go into determining which filler is appropriate for each person. The best way to learn which option might be right for you is through a one-on-one consultation at our office. Our experienced and thoughtful staff is here to listen to your concerns, carefully evaluate your needs, and guide you toward the best solutions.

Call us at 206-402-4797 to schedule your visit today. We Serve Seattle and all nearby areas of Washington.

Why Do I Treat Scars?

Kim PhukJune 8, 2022, marked the 50th Anniversary of one of the most memorable historical photos of the Vietnam War.  On June 8, 1972, an American Airforce squadron raided a small jungle village called Trang Bang dropping napalm incendiary bombs in an attempt to flush out the Viet Cong army hiding in the nearby jungle. A photo was taken of a 9-year-old girl running away from the fire and smoke with excruciating burns on her skin as a helpless victim of the war. This photograph, widely known as “The Napalm Girl”, ran on front pages of newspapers all over the world and won a Pulitzer Prize. In time, it became one of the most famous images from the Vietnam War.

The burns to her skin required nearly a year of hospital care and ultimately caused her to live with painful scars covering her arms, legs, and trunk. This girl’s name is Kim Phuc. I met Kim as an adult at a Laser Meeting (ASLMS 2/20/2017) several years ago where she shared the story of her life’s journey after her village was bombed, how her physical scars have been successfully treated in the modern era with lasers and other treatment modalities and how she has dedicated her life’s work as the Founder of the Kim Foundation International, which provides aid to child victims of war.

Scar Revision at Advanced Dermatology and Laser Institute of Seattle

Dr. Greene’s story and life’s work have been an inspiration to me as I evaluate and treat patients in our Clinical Laser Practice – Advanced Dermatology and Laser Institute of Seattle. We see patients with all types of scars including acne scars, post-operative scars, patients who have been in motor vehicle accidents, scars from thermal and chemical burns, self-harm scars, and keloid scars.

Why do people come to see me about their scars? Some of their scars are painful or severely itchy while others want to improve the appearance of their skin deformities. However, a common theme that most patients share with me is that they are ready to move forward with their lives and symbolically let go of the mental anguish that their scars have regularly reminded them of. Many of my patients have experienced the pain of being ostracized and bullied for their skin deformities and scars for many years. Some of these patients have attempted suicide because of the painful memories that their scars remind them of.

In the modern age, we now have many new and successful treatment options for the care of scars. While we cannot always guarantee the total resolution of a scar, we can usually make at least significant improvements in the skin hue, color, and texture. Treatments of scars can also improve bodily function and range of motion with successful outcomes enhancing the overall quality of life.

If you have a solitary scar or multiple scars that you would like to have evaluated, please call Advanced Dermatology and Laser Institute of Seattle at 206-402-4797 for a consultation with our Board-Certified Dermatologist, Dr. Steven Greene, who specializes in the treatment of your condition.

Does Sunscreen Actually Prevent Sun Damage?

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There are two types of sunscreen: mineral and chemical. Chemical sunscreens absorb UV rays and convert them into heat before releasing them from the skin. These sunscreens penetrate the skin deeply to dissipate UV rays. Mineral sunscreens do not penetrate the skin but rather sit on top where they work to reflect UV rays away from the body. Both can be effective against sun damage.

Daily use of a chemical or mineral sunscreen with an SPF of 15 or higher has been shown to reduce the risk of developing skin cancer. Daily use of sunscreen can also help to reduce the risks of sun damage such as lines and wrinkles, dark spots, textural irregularities, and more.

Damage done to the skin by UV rays is cumulative. The more frequently you are exposed to direct UV rays, the higher your chances of developing a sun-related skin imperfection. But not all sunscreens are equally safe and effective. Selecting a high-quality, full-spectrum option is essential for optimal results.

We can help you choose the best sunscreen for your skin during your next visit.

Treating Sun Damaged Skin

Cosmetic imperfections brought about by UV exposure can be treated with a variety of non-surgical options. At our office, we can treat non-cancerous sun damage with:

  • Chemical Peel. Applied directly to the skin, peels work to deeply exfoliate, encouraging smoother, blemish-free skin
  • IPL Photofacial. IPL penetrates deep into the dermis to eliminate damaged and discolored skin cells
  • Laser Skin Resurfacing. Laser skin resurfacing removes the top layer of skin to expose healthier layers underneath. This service also stimulates collagen production, helping to address a range of age-related skin concerns

Age, environmental factors, lifestyle choices, and more can combine to impact the appearance of the skin. The treatments we offer for sun damage help to produce a smoother, more youthful, and more attractive appearance – often after just one treatment.

If you are struggling with sun-damaged skin and would like to learn more about your treatment options, please call The Advanced Dermatology and Laser Institute of Seattle at 206-402-4797 to schedule a consultation today.

Skin Cancer: Prevention, Detection, and Treatment

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Skin cancer is one of the most commonly diagnosed types of cancer in the U.S. Accounting for one in every three cancer diagnoses, it is estimated that one in five Americans will develop skin cancer in their lifetime.

UV exposure is the single biggest contributing factor to skin cancer. Taking steps to avoid excessive UV exposure is, therefore, the most effective method of prevention. This can include:

  • Staying in the shade or indoors during peak sun hours (10 am – 4 pm)
  • Wearing protective clothing such as long sleeves and pants
  • Wearing a wide-brimmed sunhat that covers the head, face, neck, and ears
  • Using a full-spectrum UVA/UVB sunscreen with SPF 15 or higher
  • Wearing wrap-around style sunglasses with full-spectrum UV protection

Even with preventive measures, it is a good idea to undergo a complete skin exam every year. This helps ensure the swift identification and removal of cancerous and pre-cancerous lesions.

Detecting Skin Cancer

Manual examination of unusual growths is the first step in detecting skin cancer. If a growth prompts concern, a biopsy will be needed to determine if cancer is present. For this biopsy, a small amount of skin is removed for further analysis.

Basal cell carcinoma and squamous cell carcinoma are the two most common types of skin cancer. When detected early and prevented from spreading, both of these types of cancer are highly treatable. Melanoma, the most aggressive type of skin cancer, is treatable as well, but because it can spread so quickly, prompt detection is essential for long-term health.

Treating Skin Cancer

Skin cancer cells must be removed from the skin surgically. Depending on the spread of the cancer, chemotherapy and radiation may be required as well.

Pre-cancerous growths and sunspots do not require such invasive treatments and often respond well to laser skin resurfacing or IPL therapy. These safe and effective treatments are performed in our office, require little to no downtime, and can dramatically improve the appearance of your skin.

We Are Here to Help

May is Skin Cancer Awareness Month and a great time to recommit to preventative measures. It’s also a good time to schedule your annual skin examination. Give us a call at 206-402-4797 to schedule your next appointment today. We serve Seattle and all nearby areas of Washington.

Keralase For Hair Thinning Now Available!

Keralase For Hair Thinning is now available here at Advanced Dermatology and Laser Institute of Seattle. The newest treatment for hair loss, Keralase,  combines the laser energy of the LaseMD Ultra 1927 technology with the proprietary formulation of Kerafactor serum which helps to reverse thinning hair. There is no need for scalp numbing, blood draws, or injections. The laser treatment both stimulates hair growth and creates a new drug delivery system for the topical Kerafactor serum to more easily absorb to the level of the hair bulbs within the skin.

Contact our scheduling team to set up a consultation for treatment. (206) 402- 4797.

What Does LaseMD Ultra Do?

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LaseMD Ultra is a powerful, highly customizable laser resurfacing treatment. Dr. Steven Greene is proud to offer his guests this option. Along with all of our other cosmetic dermatology services, LaseMD Ultra may be the right way to rejuvenate your skin and improve your facial appearance.

LaseMD Ultra is a great way to address:

  • Texture 
  • Hyperpigmentation
  • Discoloration
  • Age spots
  • Enlarged pores
  • Fine line
  • Acne scars
  • Melasma 

This non-ablative laser offers effective results with little downtime. You should expect your face to be red for at least one to three days. After the treatment, your skin will have a rough, sandpapery feeling. This is the exfoliation process. It will resolve within a week or so. Afterward, your skin will be smooth and renewed.

The treatment itself is non-invasive and tolerated well by most people. You’ll relax and recline in the treatment chair while Dr. Greene gently moves the laser across your face in a specific pattern to reach all the areas. You may feel warmth, or a prickling or tingling sensation as the laser works. The entire session should take 20 minutes or less. You may want to schedule several sessions to get optimal results. Although the face is the most common treatment area, LaseMD Ultra can also be used on the chest, arms, hands, neck, and shoulders.

Most people feel fine getting right back to their routine. Your face will be red, so you may want to avoid social events for a day or two, but it is up to you and your personal comfort level. As the redness goes away, you should begin to see the improvement in your skin, which can last for a year or longer before you may decide to opt for a touch up or another type of skin rejuvenation. 

Schedule Your Laser Treatment

If you live in Seattle or the surrounding areas and are searching for an experienced, board-certified dermatologist to provide LaseMD Ultra laser resurfacing, please call Advanced Dermatology and Laser Institute of Seattle at 206-402-4797 to arrange a consultation with Dr. Steven Greene.

What is PRP Used For?


Experienced dermatologist Dr. Steven Greene is proud to offer his patients the option of platelet-rich plasma injections. These injections have several applications, including:

  • Hair restoration. The growth factors contained in PRP injections communicate with the stem cells surrounding the hair follicles. The growth factors energize stem cell activity, which promotes thicker, fuller hair when combined with hair transplants. The PRP injections are made directly into areas of the scalp, administered by Dr. Greene. It not only aids hair transplants, but also improves hair growth in the surrounding areas.
  • Volume loss. PRP can be used as an organic alternative to other types of dermal fillers. PRP injections smooth wrinkles in various areas of the face, including frown lines between the eyebrows, and parentheses lines around the mouth and nose. It does so by encouraging new collagen production in the area.
  • Scars. Injections of PRP into scar tissue can lead to new collagen and blood vessel penetration, ultimately reducing the appearance of acne scars and other types of scarring. 
  • Along with microneedling and laser resurfacing.PRP injections can be used to complement the results of treatments like microneedling and laser resurfacing. The growth factors in PRP may enhance the results of the non-invasive treatments.

Dr. Greene can help you decide if a platelet-rich plasma treatment is right for you.

How Does It Work?

A small amount of blood is drawn from your body. The vial of blood is placed in a centrifuge, where it is spun around at a rapid speed to separate the plasma from the rest of the blood. The plasma can then be used in the treatments described above. This process offers the opportunity for Dr. Greene to enhance some of the services offered at our practice. 

PRP Injections From an Experienced Dermatologist

Dr. Greene is excited to offer his patients this option because he has seen first-hand the benefits it provides. It also offers our guests an organic cosmetic option that avoids artificial ingredients or additives. 

If you live in Seattle and are interested in learning more about platelet-rich plasma and how it can contribute to accomplishing your goals for your skin, face, or hair, please call Advanced Dermatology and Laser Institute of Seattle at 206-402-4797.

Is Laser Hair Removal Painful?

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If you’ve arranged a laser hair removal appointment for the first time in your life, congratulations! You’re on the way to smoother skin with less shaving, plucking, waxing, or electrolysis. Many people feel a mixture of excitement and nervousness before their first appointment. We completely understand these feelings and do everything we can to make sure your experience is a comfortable one.

You may feel nervous because you don’t know what to expect in terms of pain, discomfort, or sensation. Each person has different tolerances for discomfort, so your experience is in some ways going to be unique, but we can tell you that our patients by and large experience minimal discomfort during laser hair removal. 

As the laser pulses penetrate the hair follicle, you will feel a snap, similar to snapping a rubber band against your skin. We may apply a numbing topical anesthetic to the area prior to the laser treatment, to further reduce discomfort.

It’s a great idea to prepare yourself for this cosmetic dermatology appointment, but you can also depend on us to walk you through the process, every step of the way. Here are a few other ways to prepare for the appointment:

  • Avoid sun exposure and tanning. Doing so increases melanin in your skin. The laser will target this darker melanin when it should be targeting the root and follicle alone. Essentially, the laser treatment may not work as well if you’ve tanned.
  • Don’t pluck/tweeze, wax, or get electrolysis for at least 4 weeks. These hair removal methods remove the hair root and follicle temporarily, which is what the laser treatment is targeting.
  • Shave the day prior. Doing so will get the shaft of the hair out of the way of the laser, leaving behind the hair root that is targeted for removal.

We will make sure you have all of the pre-treatment and post-treatment instructions ahead of time. 

Smoother Legs with Laser Hair Removal

If you live in Seattle and are interested in scheduling a laser hair removal treatment with Dr. Steven Greene and his team of master Estheticians, please call Advanced Dermatology and Laser Institute of Seattle at 206-402-4797. We look forward to arranging your consultation!

What is the Main Cause of Psoriasis?

A close up of a woman's hands rubbing together and psoriasis scaley patches are apparentPsoriasis is technically an autoimmune disease, and mostly thought to be caused by a combination of genetics and environmental factors. Autoimmune diseases occur when your body’s immune system overreacts and attacks healthy cells. When it comes to psoriasis, the result is an overproduction of skin cells that causes patchy, scaly skin.

Psoriasis is not contagious. You can’t catch it from somebody else. 

Oftentimes a triggering event sets off the first outbreak of psoriasis or sets off flare-ups throughout your life. Triggers may include:

  • Stress
  • Infections
  • Cold, dry weather
  • Heavy drinking
  • Smoking
  • Exposure to secondhand smoke
  • Injuries
  • Certain medications

You may also be at an increased risk for psoriasis if other people in your family have this skin condition. Severe stress is another risk factor, since stress taxes your immune system.

So What Can You Do About Psoriasis?

There is no single cause of psoriasis that you can avoid or eliminate from your life, but, if you have this skin condition, there are treatments that will help to alleviate the symptoms and the severity of the outbreaks.

First, you can work to identify and eliminate the triggers that cause psoriasis. These triggers tend to be different for everyone. You may have some idea of what seems to set off a flare up, or you may want to keep a journal for several months to record triggers. Something like an increase in stress, alcoholic beverages, smoking, or certain medications may be associated with worsened symptoms.

Next, talk to board-certified dermatologist Dr. Steven Greene about treatment options. After examining your skin and learning about your health and psoriasis history, Dr. Greene will be able to determine whether a topical or oral medication may be the right way to help manage psoriasis symptoms. There’s still no cure for this skin condition, but there are ways to reduce its impact on your daily life and increase your comfort.

Get Answers From An Experienced Dermatologist

If you struggle with psoriasis and want to know what your options are for managing it, please call Advanced Dermatology and Laser Institute in Seattle at 206-402-4797. We look forward to answering your questions and arranging a consultation for you with Dr. Greene.

Rachel Maddow Shares Skin Cancer Diagnosis Experience

A close up of a woman with a dark mole on her shoulder and a doctor's hand holding a magnifying glass to examine the moleSkin cancer is the most commonly diagnosed type of cancer in America, and it’s also one of the most treatable if and when it is caught in early stages. If you haven’t had an annual skin check, we encourage you to contact Advanced Dermatology and Laser Institute to arrange your next appointment!

It’s easy to neglect these skin checks, especially if you haven’t noticed anything that is obviously out of the norm. Oftentimes it’s difficult to tell if a mole or other mark on the skin is cause for concern, and so it is easy to shuffle the check-up to the bottom of your list of priorities. 

Sometimes we get little reminders of just how important it is to prioritize our health:

One of the most recent reminders came from television host and political commentator Rachel Maddow. Maddow recently revealed a skin cancer diagnosis, which she luckily caught early and received surgery to remove the cancer with no signs of spread. She had a mole on her neck which she knew was there, but hadn’t gotten examined.

Maddow and her partner attended a minor league baseball game. After some time sitting next to each other, her partner turned to her, touched the mole on her neck, and told Maddow that the mole had changed. At first, Maddow brushed off the concern and felt like the mole was no big deal. Later, she asked her longtime hairdresser about the mole, who also reported that the mole had changed. At this point, Maddow decided to get the mole looked at. Sure enough, the mole was diagnosed as skin cancer and Maddow underwent treatment with a few days of downtime afterward.

Annual skin exams are part of good and efficient health maintenance. Sometimes skin cancers are hiding “in plain sight” and only need an experienced eye of a dermatologist to quickly make a correct diagnosis. In the video, Rachel Maddow gives a personal testimony of her recently diagnosed skin cancer and how easy it was to get it properly screened and treated. You will enjoy her call to action on this important preventative skin care need.

Skin Check: ABCDE

You should schedule a check-up if you are concerned about any moles or other marks on your skin. It’s a good idea to have an annual full body skin check. In the meantime, when you perform a self-skin check at home, keep ABCDE in mind:

  • Asymmetry. One side of the mole or spot does not look the same as the other half.
  • Border. Instead of a smooth, circular mole, potential melanoma may have a scalloped, jagged, or otherwise irregular border.
  • Color. Instead of being one color, melanoma may be multiple colors, including reds and blues, or it may have various shades.
  • Diameter. Melanoma is often at least as big as a pencil eraser when diagnosed, but it can be smaller.
  • Evolving. Melanoma often changes over time in relation to size, shape, or color.

Please book an appointment with Dr. Greene if you notice any of the ABCDEs or have other concerns.

To learn more, or to arrange an appointment with experienced Seattle dermatologist Dr. Steven Greene, please call Advanced Dermatology and Laser Institute at 206-402-4797.

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