Miriam Cummings, MD, FAAD

Cryotherapy, or “cryosurgery,” is a simple, non-invasive procedure in which liquid nitrogen is used to freeze and destroy growths on the surface of the skin. This is an effective treatment for precancerous skin lesions (actinic keratoses), as well as other skin conditions such as warts, skin tags and moles.

Applying liquid nitrogen to skin lesions allows dermatologists to target the damaged skin cells and destroy them at the cellular level. After freezing, the affected area may blister and scab over, and should heal within three to six weeks.

Our dermatology team uses cryosurgery to treat a wide range of conditions. It offers a number of advantages: Cryotherapy is a simple, affordable outpatient procedure, the discomfort level is minimal, and there is a low risk of infection.

In cryotherapy treatment, liquid nitrogen is applied to the skin to freeze and destroy the affected tissue.

Hyperhidrosis, often referred to as excessive sweating, occurs when people experience disproportionate and/or unnecessary sweat production. While sweating is a natural function of the body’s systems to keep itself cool and maintain the best temperature, sweating too much or sweating that is not necessary to cool the body can create many difficulties that impact your overall health and wellbeing. Generalized hyperhidrosis may affect the whole body. Others have localized cases of excessive sweating that impact only certain areas. Specifically, there are three main types of localized hyperhidrosis: axillary (impacting the underarms), palmar (impacting the palms), and plantar (impacting the feet). If you experience general or localized excessive sweating at least once per week, you should talk to a dermatologist about a treatment plan.

There are three main types of localized hyperhidrosis: axillary (impacting the underarms), palmar (impacting the palms), and plantar (impacting the feet).

Melasma is a fairly common skin condition that creates the appearance of brown to gray-brown patches of skin, usually on the face. It can also occur on the neck and forearms and is the result of the body producing too much melanin, that natural substance that colors our hair, skin, and eyes.

If you’re dealing with dark spots or patches on your skin from the chronic condition melasma, the U.S. Dermatology Partners team can help you to improve the appearance of these spots and minimize the risk for future flare-ups of the condition. Read the page below to learn more or reach out to the U.S. Dermatology Partners location nearest you for more information.

Telemedicine, also known as online dermatology, telehealth, or teledermatology, is the use of telecommunications technology to provide care across a distance. This includes using the Internet, cell phones, SMS messaging and even satellites to allow physicians and patients to communicate medical information. This technology has been available for over a decade now, but as it has gotten better and better, telemedicine has now become much more available, easy to use, and secure. If used in the right way, it is one of the best ways that we can improve access to care.

Because dermatology is a very visual field and a specialty in high demand, patient access is often challenged by long wait times. Meeting a dermatologist online can be a great way to provide patients with increased access to skin care. Teledermatology involves the use of real-time video streaming, or more commonly the transmission of still images, pictures, and video in combination with a patient’s medical information collected via questionnaire. Teledermatology can be utilized in many ways including physician-to-physician consultations, triage, follow-up care, and patient education.

Sebaceous hyperplasia is a benign bump on the skin that forms as a result of over-productive oil glands. When oil glands are damaged, they can become enlarged and clogged, leading to this condition. It is primarily a cosmetic concern rather than a medical problem.

Sebaceous hyperplasia is a benign bump on the skin that forms as a result of over-productive oil glands.

Seborrheic keratosis is one of the most common noncancerous skin growths found in older adults. It most commonly appears as a brown, black or light tan growth on the face, chest, shoulders or back. Although they are not cancerous, they can look like skin cancer.

Seborrheic keratosis is also known as seborrheic verruca or a senile wart.

The sun can age and burn your skin, and it can also cause damage on the cellular level, leading to skin cancer. The good news is, the U.S. Dermatology Partners team can help you formulate a plan to prevent sun damage and repair the effects of the sun’s UV rays so that you can go out and enjoy a sunny day. Learn more on this page or contact U.S. Dermatology Partners to schedule an appointment with us.

Individuals who are prone to sunburn are thought to be genetically predisposed to skin cancer. Risk is also increased when exposure to UV rays is excessive. Sunscreen helps prevent the damaging effects of ultraviolet radiation, including skin aging and skin cancer like melanoma and squamous cell carcinoma.

Sunscreens are rated and labeled with a sun protection factor (SPF) that measures the fraction of sunburn-producing UV rays that reach the skin. The higher the SPF, the greater the protection.

Sunscreen is a topical product that is used to reflect or absorb some of the ultraviolet rays from the sun.

Belotero Balance, often called simply Belotero, is the brand name of an injectable dermal filler that helps smooth lines and wrinkles in the face. It is made from hyaluronic acid, a natural element found in skin that binds to water, which makes it effective for minimizing facial folds and wrinkles. It is most often used in people with moderate to severe lines, and it works quickly to remove facial wrinkles.

Botox, the commercial brand name for botulinum toxin (BTX), is an injectable cosmetic dermatology treatment that reduces the appearance of fine lines and wrinkles on the face.

Unlike injectable wrinkle fillers, which work by filling a crease in your skin with another substance, Botox actually relaxes targeted muscles to reduce the look of lines in the face. This results in smoother skin with a more youthful appearance.

Each Botox injection relaxes key facial areas by temporarily paralyzing specific muscles. This temporarily removes wrinkles and improves the look of laugh and frown lines, skin bands on the neck, crow’s feet, forehead creases and more.

Botox is a quick procedure that is done in just minutes in your doctor’s office.

Although it was originally developed to treat eye muscle disorders, Botox has become popular cosmetically and this is now its primary use. In fact, Botox injections are now the most common cosmetic treatment in the U.S., with 6.3 million procedures done in 2013. Because Botox inhibits the release of certain neurotransmitters, it is also sometimes used to treat chronic migraines.

When it comes to dermatological treatments that will help people reclaim a youthful glow, create an even skin tone, and minimize the appearance of scars, chemical peels offer a conservative solution that addresses all of these concerns. Chemical peels are versatile treatments that help to improve the health and appearance of the skin, and just about every patient could benefit from the procedure. If you’re interested in learning more, continue reading below or get in touch with a U.S. Dermatology Partners location near you to schedule your visit.

Chemical Peels are treatments that can improve the skin’s appearance by peeling off an old layer of skin to reveal the healthy new skin below. The ingredient used in the chemical peel solution makes the skin redden, and when the skin peels off, the skin below it is smoother, healthier, and less wrinkled.

Clear + Brilliant laser treatments are one of the most sought after cosmetic dermatology treatments. It’s a gentle procedure that improves the health and vitality of skin, helping patients renew that youthful glow they’ve been missing. The innovative fractional laser technology is used to improve skin elasticity, reduce the appearance of fine lines and wrinkles, remove or diminish the visibility of dark spots, and generally improve the appearance of skin.

Clear + Brilliant is a fractional laser treatment used to prevent and repair the visible signs of aging, sun damage, enlarged pores, and other irregularities of the skin’s tone and texture. Used effectively, Clear + Brilliant laser treatment can help reduce the need for cosmetic dermatology surgeries and other more invasive treatment options. The fast treatment is gentle and effective, leaving people with more youthful skin after just one short treatment appointment. Most people receive a series of four to six Clear + Brilliant laser treatments to achieve their desired results. Plus, there’s little to no downtime following treatment, so you don’t have to worry about swelling, redness, and discomfort after your procedure. There are other fractional laser technologies used for dermatologic procedures at U.S. Dermatology Partners, but Clear + Brilliant laser treatment is one of the most comfortable.

Looking to improve and recover your skin’s youthful appearance?

As we age, our skin naturally loses collagen and elasticity. At the same time, repetitive movements and expressions can create facial wrinkles. In addition to comprehensive medical procedures, dermatologists also provide a wide range of minimally-invasive, low impact treatments designed to address a number of aesthetic desires to help you look and feel your best.

While many conditions from unwanted hair and tattoos to wrinkles and rosacea may not be physically harmful, they can be uncomfortable and even cause emotional distress. Cosmetic dermatology offers a wide range of cosmetic surgery and non-surgical services focused on giving you the results you want without the pain, worry, and downtime.

Cosmetic dermatology focuses on aesthetic issues such as skin tone and overall appearance.

Daxxify is the latest injectable treatment approved by the FDA to improve the appearance of frown lines. On average, people maintained the results of Daxxify for six months with some seeing improvement for up to nine months after treatment, making it one of the longest-lasting neurotoxin injectable treatments available. If you’re interested in this innovative and effective new treatment, the skilled, board-certified dermatologists at U.S. Dermatology Partners are happy to discuss your treatment options during a consultation visit. You can also learn more about what Daxxify is, when it’s recommended, the benefits of this treatment option, and more on this page.

Loss of facial fullness and volume is one of the many age-related changes that people want to address with their dermatologist. From store-bought topical treatments to advanced dermatologic and surgical procedures, there are numerous cosmetic dermatology treatments available to help restore youthful volume. However, dermal and soft tissue fillers are often the most conservative and impactful solutions to restore volume without undergoing more invasive treatments. There are many different types of dermal and soft tissue fillers, and each one is formulated to address a specific area or issue related to volume loss. You can learn more on this page.

At U.S. Dermatology Partners we offer premier dermatology services for patients of all ages. Book your appointment today to find the best facial filler treatment for you and your skin, using our simple, online scheduling request form.

The procedure for dermal fillers can usually be done in less than an hour.

Dysport is a prescription injection used for the temporary improvement in severe frown lines between the eyebrows. As the muscles relax and prevent contractions, wrinkles in and around the brow and frown area will disappear.

Dysport, also known as Reloxin, is made from a neurotoxin produced by the bacterium Clostridium botulinum; it is the same neurotoxin used in BOTOX Cosmetic.

Ellacor is an innovative, first of its kind treatment that utilizes newly developed micro-coring technology to improve the appearance of moderate to severe wrinkles and excess skin. Delivering natural-looking, long-lasting results, Ellacor is quickly becoming a go-to treatment option for many people who want to age gracefully without the downtime and discomfort associated with more invasive surgical options. You can learn more on this page or by contacting Center for Aesthetic and Laser Medicine Scottsdale a division of U.S. Dermatology Partners to schedule a consultation with one of our trusted dermatologists.

Ellacor is the first and only micro-coring device that removes excess skin on the microscale, delivering improvement in the appearance of moderate to severe wrinkles in the mid to lower face for 90% of patients, according to Cytrellis, the manufacturers of Ellacor. This in-office procedure is performed under local anesthesia and delivers anti-aging results with significantly less discomfort compared to surgical treatment options. The overall idea is simple, a hollow needle is used to remove excess, sagging and aging skin. The microscopic precision ensures minimal damage to healthy skin cells. The microcores removed are less than half a millimeter in diameter, but they extend through the full thickness of skin layers. Ellacor offers a bridge between what’s possible with traditional minimally invasive anti-aging procedures and the more dramatic results possible with cosmetic surgery.

Fractional RF with Pixel8 is an innovative non-surgical way to achieve skin tightening and smoothening through the precise delivery of radiofrequency (RF) energy. By adjusting the amount of energy, depth, and areas of treatment, Fractional RF can be customized to improve the appearance of the skin by reducing skin laxity, fine lines, wrinkles, pore size, rough or pebbly texture (“solar elastosis”), stretch marks (“striae”), and scars, including surgical scars and acne scars.

Fraxel laser skin resurfacing is a fractional laser technology designed to help restore your skin to its original texture. The laser treatment encourages the creation of new skin, which gives you fresher, younger looking skin and improved tone and texture. It also helps erase brown spots, acne scars and surgical scars, and can minimize fine line lines and wrinkles.

Fraxel skin resurfacing leaves the skin clear and beautiful.

We all want to look our very best and an IPL photo rejuvenation treatment, also called a photofacial treatment, can help many people reclaim smooth, youthful skin with even tone and pigmentation. In short, you’ll be photo-ready. When it comes to aesthetic treatment like IPL, it’s always best to partner with a knowledgeable dermatologist who can ensure you achieve the results you’re after while limiting potential damage to your skin. You can learn more about this cosmetic treatment option on this page and by contacting the U.S. Dermatology Partners location nearest your home. We look forward to hearing from you soon!

IPL Photo Rejuvenation is a completely safe, comfortable, non-invasive procedure that uses intense pulses of light to penetrate deep into the skin. These light pulses (like a camera flash) cause collagen and blood vessels below the epidermis (the top layer of skin) to constrict. The light waves are passed through either hemoglobin (red blood cells) or melanin (pigmented cells) in the skin breaking down the cells, which are then reabsorbed into the body, reducing discoloration. In addition to evening out the complexion, the heat directed into the inner layers of skin also stimulates the production of more collagen, which is an effective way to improve skin’s texture and diminish the appearance of fine lines and wrinkles.

This treatment helps to improve many skin irregularities, including:

• Dark spots
• Uneven skin tone
• Enlarged pores
• Sun damage
• Reddening
• Broken blood vessels
• Fine lines
• Minor scars – like chickenpox or acne scarring
• Rosacea (effective in improving symptoms for some patients)

IPL Photo Rejuvenation can be used on the face as well as the hands, chest, and neck.

Juvederm is a group of injectable dermal filler gels made from hyaluronic acid and used to correct for moderate to severe facial wrinkles and folds or to provide contour. Different types of Juvederm are:

• Juvederm Voluma XC – designed to add volume to the cheeks
• Juvederm Volbella XC – used to smooth lines and wrinkles around the mouth
• Juvederm Vollure XC – softens moderate to severe facial lines and wrinkles around the nose and mouth
• Juvederm Ultra XC – created to add volume to the lips
• Juvederm Ultra Plus XC – used for adding volume to the lips and face

Juvederm is delivered via injection.

Laser rosacea therapy is a way to treat a rosacea complexion. One of the most common and effective treatments is the pulsed dye laser (PDL), which targets visible blood vessels and can reduce redness and flushing by destroying the lining of the inflamed blood vessels.

Rosacea on facial skin is treatable with laser rosacea therapy.

Laser skin resurfacing is a treatment used to reduce facial wrinkles and skin conditions including acne, scars, warts, enlarged glands on the nose and more.

The process vaporizes the upper layers of skin, which creates a wound that encourages the body to produce new collagen. The collagen and elastic fibers tighten as they heal, and the tightened skin eliminates wrinkles as it pulls together.

Laser skin resurfacing reduces facial wrinkles and treats skin conditions.

Laser treatments work by using specific wavelengths of light to interact with tissue, which can positively affect pigment, blood vessels, hair follicles and moisture in the skin. The result is improved skin tone and texture, as well as the tightening of loose skin.

Lasers can also be tuned to very specific frequencies to perform different tasks and can even be used in surgery to allow doctors to work on a very precise area with less pain, swelling and scarring than traditional surgery.

Cosmetically, lasers can be used for skin resurfacing and to treat such things as acne, wrinkles, rosacea and more.

Laser vein reduction uses light focused on a specific area to break up broken blood vessels. This allows them to be absorbed back into the body.  It is most often used for eliminating spider veins.

Vein laser treatment breaks up broken blood vessels.

Latisse is a product designed to help grow eyelashes and has been on the market since earning FDA approval in December 2008. It is designed to help grow longer, lusher eyelashes and is available only by prescription.

Latisse eyelash enhancement helps eyelashes to grow longer and lusher.

We all want our skin to be smooth, flawless, and firm, but aging, sun exposure, acne, chronic skin conditions, and other issues can lead to rough, uneven skin tone and texture. Many people think that invasive cosmetic procedures or surgeries are the only options to improve the skin, but microneedling offers a minimally invasive solution to promote collagen production and healthy skin growth for a smoother and more youthful appearance. At U.S. Dermatology Partners, our dermatologists offer microneedling to help individuals look and feel their best without the need for more invasive procedures. When you’re ready to get started, contact the U.S. Dermatology Partners location near you to schedule your cosmetic dermatology consultation. We look forward to hearing from you.

Platelet-rich plasma therapy, or PRP, is a non-surgical method of skin rejuvenation that uses your own blood to improve the appearance of facial tissue.

Recent research has shown that PRP is also effective at treating alopecia.

Restylane is an injectable dermal filler gel made from hyaluronic acid to produce volume and fullness in the skin. This reduces the appearance of wrinkles and can also create fullness in the lips.

• Restylane – this is the original Restylane product. This versatile dermal filler can be used to add volume to any pits and grooves in the skin. The original Restylane product is recommended for improving the appearance of nasolabial folds, the deep grooves and wrinkles around the nose. It can also be used for lip enhancement.
• Restylane Silk – this innovative hyaluronic acid filler material is specially formulated to address fine lines around the mouth as well as creating smoother, plumper lips. It is the first FDA approved product specifically designed to help you achieve the perfect pout.
• Restylane Lyft – as we age, natural fat cells are depleted, and the production of collagen and elastin slows. This leads to loose skin, wrinkles, and volume loss in the hands and face. Restylane Lyft is designed to replace volume and firmness in both the hands and the cheeks.
• Restylane Refyne – this is the ideal dermal filler to improve the appearance of mild to moderate laugh lines, including the nasolabial folds that appear from the nose to the corner of the mouth and marionette lines that form from the corner of the mouth to the chin. Restylane Refyne provides support for the skin, creating a smooth appearance while allowing you to maintain all of your facial expression.

Restalyne helps smooth away wrinkles and fine lines.

RHA stands for Resilient Hyaluronic Acid. RHA Collection fillers were specifically formulated to treat dynamic fine lines, wrinkles, and facial folds. In fact, RHA Collection fillers are the only FDA-approved hyaluronic acid fillers for use on dynamic facial wrinkles and folds in the skin. Dynamic wrinkles and folds develop on areas of the face that move often. This includes areas that move when individuals frown, smile, squint, laugh, and talk. The repetitive movement leads to wrinkles and creases in the skin over time. This includes those movements that are intentional, as well as the unconscious micro-movements that take place without us noticing. Many dermal fillers and neurotoxin injections, which are often recommended to address fine lines and wrinkles, may not be the best option to address dynamic wrinkles and folds in the skin. While these areas need to move as we express ourselves, other treatment options can leave them looking stiff or frozen. The RHA Collection is designed specifically to adapt to natural facial movements, allowing you to fully express yourself in the moment without lingering wrinkles and fine lines afterward. Treatment with RHA Collection fillers offers more natural results when the face is at rest, as well as in motion.

We all want healthy, beautiful skin. But scars, a natural part of the healing process, leave a lasting mark and cause some people to struggle with the negative impact on the appearance of their skin and in some cases, limitations in function or other concerns. If you’re unhappy with the appearance, texture, or health of your skin after an injury, surgery, or other damage that leads to scarring, the U.S. Dermatology Partners team can offer treatment to improve the appearance of scarring.

Sculptra is an FDA-approved synthetic injectable used to correct shallow to deep facial wrinkles and folds. It is also a collagen stimulator that helps revitalize your body’s own collagen production.

Sculptra corrects deep facial wrinkles and folds.

Skin lightening is a process used for people who want to lighten certain areas of skin that are affected by such things as melasma, age spots or even freckles.

Skin lightening can help provide a smooth, even skin tone.

Microneedling is a cosmetic dermatology solution that harnesses the body’s innate ability for healing to improve the appearance of scarring (including acne scars), fine lines, and wrinkles by jump-starting the body’s self-repair process and triggering elastin and collagen production for more youthful, elastic skin. SkinPen is an innovative microneedling device that is the first to be cleared by the U.S. Food and Drug Administration (FDA) to improve the appearance of facial scars and wrinkles. You can learn more about SkinPen on this page or by contacting the U.S. Dermatology Partners location near your home or office to schedule a consultation visit.

Thermage FLX is the state-of-art, fourth-generation system for non-invasive skin tightening from Solta Medical, a global leader in the aesthetic industry in laser and energy-based devices. Thermage FLX optimizes the use of radiofrequency energy to induce skin tightening and new collagen formation. Compared to previous generations of Thermage as well as many other tightening devices on the market, Thermage FLX provides better results and more comfort during treatment with its innovative system of energy delivery and comfort pulse technology.

truSculpt iD is a state-of-the-art, FDA-cleared system that permanently reduces fat. At U.S. Dermatology Partners, we are proud to offer a transformative system by Cutera, an industry leader in aesthetic lasers and energy-based devices for the face and body. Unlike other technologies designed to reduce fat, truSculpt iD provides a non-invasive, comfortable treatment that is uniquely customizable and highly effective and efficient in permanently removing fat. A welcome benefit is that it also has the potential to induce skin tightening simultaneously. The truSculpt iD system is a great option for both men and women of any shape or body size.  The revolutionary technology and thoughtful design allow efficient reduction of surface fat in targeted areas, such as the upper arms, back, flank, abdomen, buttocks, hips, thighs, calves, as well as under the chin (submentum).