Dr. Phillip Chang, MD

Columella reduction surgery is a very fast operation that can be performed under local anesthesia to alter just the tip of the nose. The columella is the bridge of tissue that separates the nostrils at the bottom of the nose.

There is no ideal set age to start Botox, as it varies greatly for each individual, with genetics and lifestyle being significant factors. The best indicator is the presence of lines that persist even when your face is relaxed. It's important to remember that facial movement is normal and natural, and to choose a provider who is honest and willing to decline treatment if it's not truly needed.

A SkinMedica Vitalize Chemical Peel is ideal for improving skin texture, fine lines, acne, acne scars, skin discoloration (like melasma or sun spots), or for overall skin brightening. The 30-minute application process involves thorough cleansing with alcohol, three passes of the peel solution, and two passes of retinol, with fan breaks to allow layers to dry. You can expect the skin to slowly get redder and experience bearable stinging. The peel is self-neutralizing and should be left on for a minimum of four to six hours. Recovery involves peeling starting around the nose and mouth area approximately 48 hours after, spreading to the forehead by day five. Patients typically see brighter skin and cleared breakouts, with multiple sessions expected to improve scarring.

The Triple Laser Treatment is considered the absolute best non-surgical treatment for dramatic skin transformation, combining three major skincare lasers into one procedure to decrease downtime. It starts with a BBL (BroadBand Light) treatment, which is an advanced intense pulsed light technology addressing rosacea, brown spots, discoloration, and hyperpigmentation. The second step is a micro laser peel, providing deep exfoliation similar to an intense chemical peel but without the chemical reactions or peeling downtime, by ablatively removing the top surface of the skin. The final step is a profractional laser treatment, which penetrates the dermal layer to stimulate collagen production, affecting only a fraction of the skin for easier healing and recovery compared to deep resurfacing. Adding exosomes can further decrease downtime and increase the efficacy and results.

The BBL (BroadBand Light) device is highly effective against brown spots, delivering broadband light to both the epidermis and dermis layers of the skin. This treatment stimulates collagen production, improves skin tone, texture, and pigmentation, and reduces the appearance of sun spots, age spots, and fine lines.

Dr. Chang performed comparative microneedling sessions using both PRP (Platelet-Rich Plasma) and exosomes. While he appreciates the results from both, exosomes provided a far superior outcome regarding downtime and healing. Immediately after treatment, exosomes resulted in significantly less redness. By day three, the PRP-treated face still appeared redder and blotchier in person. Although flaking and peeling began on day four for both, exosome-treated skin appeared shinier on day five, and dead skin flaked off more quickly compared to PRP-treated skin.

This month, Dr. Chang's practice is offering a $250 discount on the Triple Laser Treatment with Exosomes.