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 No one in Los Angels has more experience in treating Acne and Acne scarring than our teams at
www.foreveryoung.net
www.losangelesacnecenter.com
www.westlakelaser.com
We have treated thousands of patients since 1999.

We offer 32 laser and light sources and procedures including: Mixto fractional CO2 laser resurfacing, Cooltouch CT3 laser, Diolite laser, IPL Photofacial, subcision, fat grafting, punch excision, fillers, Bellafill permanent filler, chemical peels such as TCA and Jessner,  ECCLIPSE Plasma Rich Platelets, Diamond fraise Dermabrasion, Venus Viva RF Micro needling, Dermapen, Accutane and much more. Make 2019 the year you erase your acne and acne scars.

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Is Accutane still available? Is it safe? What is the difference between Absorbica, Accutane, Isotretinion, Myorisan, Amnesteen, Clavaris

I have practiced Dermatology and Cosmetic surgery since 1995. I have treated several hundred patients with Isotretinion and its generic equivalents. I can tell you without any doubt that this is one of the best and most effective medications on the market today.

Accutane is derived from Vitamin A and shrinks the sebaceous glands and pores and can significantly reduce acne. Ninety percent of my patients never have acne again. 10% need a second a rarely a third course.  Unfortunately this medication is widely misunderstood.  A very small percentage of patients can have side effects ranging from dry eyes, and dry skin to mood disorders such as depression of inflammation of the digestive tract. Most of these side effects are mild and they do resolve after stopping the medication. It breaks my hard to see a patient experiencing deep cystic and scarring acne who is afraid to even try low dose Accutane.

My advice is this: find a good dermatologist, make sure it is right for you and try a course of it.

At any given point I have between 20 and 50 patients on Accutane.

Yours,

323 653 7700

www.foreveryoung.net

www.westlakelaser.com

a

Is Accutane still available? Is it safe? What is the difference between Absorbica, Accutane, Isotretinion, Myorisan, Amnesteen, Clavaris

I have practiced Dermatology and Cosmetic surgery since 1995. I have treated several hundred patients with Isotretinion and its generic equivalents. I can tell you without any doubt that this is one of the best and most effective medications on the market today.

Accutane is derived from Vitamin A and shrinks the sebaceous glands and pores and can significantly reduce acne. Ninety percent of my patients never have acne again. 10% need a second a rarely a third course.  Unfortunately this medication is widely misunderstood.  A very small percentage of patients can have side effects ranging from dry eyes, and dry skin to mood disorders such as depression of inflammation of the digestive tract. Most of these side effects are mild and they do resolve after stopping the medication. It breaks my hard to see a patient experiencing deep cystic and scarring acne who is afraid to even try low dose Accutane.

My advice is this: find a good dermatologist, make sure it is right for you and try a course of it.

At any given point I have between 20 and 50 patients on Accutane.

Yours,

323 653 7700

www.foreveryoung.net

www.westlakelaser.com

There are several modalities to lift up the eyebrows. Surgical techniques work well but involve cutting, possible scarring and downtime. Non-surgical modalities such as Ultherapy and Thermacool CPT help raise up eyebrows without cutting surgery. The results look natural but only last for a year or two. Another option to elevate eyebrows without cutting surgery is Botox. Judicious placement of about 50 units of Botox in the forehead and around the eyes can elevate eyebrows several millimeters. Again; the drawback is that the results only last about 4 months.

Finally, one of my favorite ways to raise eyebrows and restore balance to the face is to inject long lasting fillers into the temple and lateral forehead area. Results are immediate and can last for several years. 

One of the sign of aging is hollowness in the temple area. This can lower eyebrows and cause a hollow or skeletonized look.  1-2 Syringes of a filler such as Radiesse, Bellafill, Juvederm Volluma or Juvederm Vollure can make a significant difference.

Please come in for a complimentary consultation. Bring photos from 5 or even 10 years ago and let’s talk about making you look younger without cutting surgery.

Yours,

Dr. David Rahimi, MD,FAAD, FAACS

323 653 7700

www.foreveryoung.net

www.westlakelaser.com

Bellafill is an FDA approved permannet filler for deep acne scars and naso-labial folds.

I have now treated several dozen patients with this permanent filler with great results.

Dr David Rahimi

As a Dermatologist I see several patients a week who want to have their moles removed. Mole removal for a purely cosmetic reason is quite tricky and I spend a considerate amount of time educating my patients on this topic.

Pigmented moles or moles that have increased in size or changed color or bled need to be removed and examined under a microscope. We diagnose many basal cell cancers, squamous cell cancers and the occasional nodular melanoma this way.

However; most of my patients wish to remove their moles for purely aesthetic reasons. If the mole is skin colored it can be shaved off flush with the skin. No sutures are required and the scar is practically erased using a Co2 fractional laser.

Darker cosmetic and benign moles need to be cut and sutured to fully eliminate their roots. On the face this can leave an unsightly and largely unacceptable cosmetic result. I generally discourage my patients from having flat dark moles cut from their faces. The scars are usually worse than the mole.

I hope this was helpful to you.

Cosmetic Consultation is free and we would be happy to schedule an appointment for you

Yours,

Dr David Rahimi

323 653 7700

When dealing with nodules in the lip it is important to know what material was used to augment the lips. The treatment really varies depending on what was used and how long ago the treatment was performed. Occasional Hyaluronic acid compounds (Restylane, Juvederm, Volbella, etc) can ball up and cause small bumps. These usually resolve in a couple of weeks with massage or dilute injection of a steroid anti-inflammatory solution called kenelog.  Another option is to dissolve the Hyaluronic acid completely with a protein called Hyaluronidase. This material is injected directly into the affected area. Results are quite impressive and visible within 2-3 days.

Another condition that is much more difficult to treat is called 'Bio-film". We don't exactly understand why some patients basically develop a hard film around the implants in their lips/face! These nodules are also injected with Kenelog steroid, treated with Oral antibiotics, and anti-metabolites such as 5FU. If several injections over a few weeks does not dissolve the nodules they can be excised.

Finally; non FDA products such as Silicone and Bioalcamid (seen more frequently in patients from Mexico and South America) don't respond well to steroid injections and can cause severe deformities. These "granulomas" need to be excised. There is always scarring and downtime with excision of these inflammatory nodules in the lip and I perform it as a last resort.The incision is placed inside the mucosa and the hard nodules are surgically removed. Downtime and swelling/bruising is about one week.

Call us if you have irregular bumps or nodules in your lip or face and wish an evaluation to have these lesions removed.

323 653 7700

Dr David Rahimi

The non ablative Diamond hand piece of venus Viva is ideal for tightening of the skin. There is no downtime and no pain while getting the treatment.

Venus Viva also has an ablative hand piece that inserts 36 small needles under the skin. RF energy is transmitted through the needles and tightens the skin. This modality does have a 3 day downtime (swelling and peeling).

Many conditions ranging from Rosacea to acne scarring and discolorations can be treated with these 2 types of Venus Viva. Please watch our video and consider seeing Dr David Rahimi for a complimentary consultation.

Yours,

Zonya Villatoro

office manager

323 653 7700

https://www.youtube.com/watch?v=ph98TiVwe74

I have now used Bellafill for the past 3 years. I have tested nearly a 100 patients and seen no adverse reactions to the test spots. Allergic reactions to the Collagen portion of Bellafill are possible but very rare. 

Overall I have to say that I am very impressed with Bellafill. Besides the rare occurrence of bruising and swelling I have only seen deeper nodules twice. Both times the "granulomas" resolved with massage and dilute kenelog injection (kenelog 2.5mg/cc 0..2 cc).

I have found Bellafill to be effective for deeper rolling acne scars. I perform subcision with a NoKor needle followed by injection of Bellafill at various levels of the dermis. Deeper laugh lines can also be filled with Bellafill. This is an FDA approved indication.

As an off label use I use Bellafill to augment cheeks and the chin. Deeper layers of Bellafill can also be placed judiciously along the jawline. This results in a lifting of the cheeks and sharper and more well defined demarcation between the cheek and neck. It is ideal for patients who have lost a lot of weight or are experiencing sagging from excessive sun exposure.

Please watch our video on Youtube

Dr David Rahimi

https://www.youtube.com/watch?v=PoK26l412nc

I have seen and treated many patients with unsightly and thickened thyroid surgery scars. The scar itself can be treated with Diolite laser for the removal of redness and Mixto Co2 laser for the removal of the thickening and hypertrophic parts. Furthermore the loose skin around the neck can be safely treated with Ultherapy (Ultrasound neck and face lift) or Thermacool CPT (Radiofrequency face and neck lift). Please see us for a complimentary consultation.

The ideal time to have these procedures performed is debatable. I tell my patients that it is never too late but that best results are achieved if the laser and tightening is performed in the first 12 months after the recovery.

323 653 7700

Dr. A. David Rahimi

Many of my patients notice aging of their eyelids starting in their 40s and early 50s.

We do offer cutting surgery and removal of skin and fat but this option is only acceptable to a small percentage of my patients.

Cutting surgery of excess skin and fat (Blepharoplasty) requires downtime and is associated with scarring.

Rarely scars can become thickened and unsightly. There is also the usually larger cost of cutting surgery and downtime.

Non surgical treatment of the eyelids with Restylane fillers, Lasers such as Mixto Co2 laser

and Ultherepay are alternatives that should be considered.

Excess skin can be tightened and removed with laser. Hollowness and deep "tear troughs"

can be filled in with fillers such as Restylane and Juvederm. Pelleve, Venus Viva,

Thermacool CPT, Ultherapy are non surgical laser, Ultrasound and radiofrequency

devices that can tighten and lift the skin without the need for cutting surgery.

Downtime is usually shorter and the procedures are generally safer.

Please come in for a complimentary consultation.

323 653 7700

Dr. David Rahimi

One of the biggest challenges in treating patients with darker skin color and acne scarring is the possibility of blotchy skin after the treatment. This is called post inflammatory hyper pigmentation. Basically patients with an olive skin complexion (Asian, Hispanic, Ethnic skin) can develop blotchy skin and discoloration after laser treatment.

I often per-treat my patient's skin with a fading lotion (hydroquinone cream) and Retin A 1-2 weeks prior to aggressive laser treatment. Another more recent advance has been the introduction of venus Viva nono-fractional radiofrequency treatment. This incredible device is "color blind" and is ideal for the treatment of acne scarring in darker skin colors. Another advantage is that skin heals in 2-3 days (rather than the 5-10 days it takes for aggressive Mixto CO2 lasers).

I often combine the procedure with Subcision, dermal fillers such as Bellafill and Sculptra, and even laser resurfacing. Please read out this on our Acne site

www.losangelesacnecenter.com  and come in for a complimentary consultation.

Dr A. David Rahimi 

323 653 7700

Click on the link below to read about the technology and see a few before and after pics

http://www.foreveryoung.net/venus_viva.html

Acne scarring can be both physically and emotionally very traumatic. I have dedicated the last 19 years of my professional life to helping patients with unsightly and often disabling acne scarring. No 2 people are the same and no 2 scars on the same face are exactly the same. The key to being successful and achieving incredible results is to analyses each scar separately and treat it using the best possible options out there.

I was very fortunate to train with a brilliant physician and surgeon with the name of James Fulton, III, MD.

He was eccentric and aggressive but kind and caring. Among his accomplishments was the co-development of Retin A in the 1960 with Dr. Kligman. He also developed Benzamycin topical antibiotic solution for the treatment of acne. In the 1980s he had many acne clinics all over Los Angele and treated hundreds of young adults.

Since 1999 I have improved on Dr. Fulton’s approach to acne and acne scarring. New laser and radiofrequency devices have make acne scarring treatments safer and more affordable.

Please visit our Acne Scarring page under the procedures and schedule a time to visit us at

Los Angeles Acne Center.

You can also e mail me for a complimentary copy of our Acne Book.

afshinrahimi@yahoo.com

323 653 7700

A. David Rahimi, MD,FAAD,FAACS,FAAFCS.