COLORS, BRAND AND PICTURE STYLE SEE LASER DERMA CARE BROCHURE WELCOME Dr. Lothar McMillian — Making it easy to look your best. Choosing a doctor is never an easy decision. You want someone you can trust. Someone who will listen and talk with you. Someone who knows the latest, most effective techniques. Someone with the latest technology and training in cosmetic skin care. Someone like Dr. Lothar McMillian, a fellowship-trained, board-certified physician who offers personalized service that always puts you first! A staff you will feel comfortable with. Everyone at Laser Derma Care Center understands how important your appearance is to your self-image and self-esteem. That’s why we provide you with the highest level of expert esthetic care possible. Our board-certified family practice physician has an emphasis in dermatology and has received special training in the latest laser dermatological procedures and techniques. Our mission is to give you the kind of service that meets all your esthetic needs easily and effectively. Our comprehensive medical training gives us the ability to provide: • Botox • Microdermabrasion • Chemical peels • Facial rejuvenation • Laser hair removal • Laser skin resurfacing • Spider vein removal • Pigmentation correction • Rosacea treatment • Facial vein removal • Acne treatment LASER DERMA CARE BIOS SEE LASER DERMA CARE BIOS PDF CONVENIENCE Easy appointments that fit your schedule. Need a convenient appointment? With flexible scheduling, it’s easier to get the appointment times you prefer. We can often accommodate your need for same-day appointments, too. Thorough, unhurried consults. Our philosophy is simple. We want you to be happy with your results. We know that making patients happy means helping them achieve the kind of results that make them look their best. That’s why our staff goes well beyond the initial consult — taking time to answer your questions and address your concerns. MINIMALLY EVASIVE DERMA CARE MARKET The following cosmetics trend shows this dramatic increase of these treatments over the years 2002-2004: 2002 2003 2004 % Growth (2002-2004) Botox® Restylane® Microdermabrasion Chemical Peel Spider Vein Remove 1,123,510 900,912 920,340 511,827 2,891,390 44,925 935,964 995,238 482,575 2,992,607 461,397 858,867 1,090,523 544,898 Five Top U.S. Non-Invasive Procedures 9% 18% 47% 18% 8% Botox Restylane Chemical Peel Spider Vein Removal Microdermabrasion 85% 927% -6% 14% 9% Total number of cosmetic minimally-invasive procedures covering fourteen (14) different types grew to an astounding 2,000,000 in 2004 and has experienced growth of 2,805% since 1992. Total U.S. expenditures in 2004 came to a staggering $3.3 billion. Market Demographics A majority of the cosmetic enhancements in the year 2003 still belonged to women. 7.4 million women (86% of all enhancements) simply dwarfed the 1.2 million men who decided to have a procedure. Both genders increased their respective number of operations by about 30% from the previous year. Both sexes preferred Botox as the top non-invasive procedure. Of all patients, the biggest age group to pursue a cosmetic enhancement was between 35-50 years of age. They made up almost half of all cosmetic enhancement patients. As well, half of the year's cosmetic enhancement patients were repeat patients. A third of all patients also had multiple procedures done in one session. FUTURE PROCEDURE GROWTH Market Trends According to the American Society of Plastic Surgeons, who tracks all cosmetic surgical procedures and cosmetic minimally-invasive procedures, the number of non-invasive procedures will continue to increase 30-38% per year. Non-Invasive Procedure Current Growth 2002-04 and Anticipated Growth 2005-07 7,000,000 Number of Procedures 6,000,000 5,000,000 4,000,000 3,000,000 2,000,000 1,000,000 0 Botox® 2002 Restylane® 2003 M icrodermabrasion 2004 2005 Chemical Peel 2006 Spider Vein Removal 2007 Source: National Society of Plastic Surgeons PROCEDURES Effective Treatments • Botox® • Restylane® • Facials • Chemical peels • Microdermabrasion • Laser skin resurfacing • Laser hair removal • Spider veins • Pigmentation problems • Acne care • Rosacea Botox® Botox, or botulism toxin, is one of the most widely used procedures in derma care today. Botox produces its effect by paralyzing voluntary muscles. Botox was first used over ten years ago in treating diseases of the muscle of the eye. While collagen and other filler substances are used to fill in static lines, that is, the permanent lines in the skin, Botox, by paralyzing the muscle, works in treating lines caused by the movement of muscles in the underlying skin. For many Laser Derma Care Center patients, Botox has produced extremely satisfying results in reducing lines of the forehead, crow's feet lines, and the furrows in the forehead and frown lines between the eyes. Recently the use of Botox has been extended for use in relaxing muscle bands in the neck and lines around the mouth. Restylane® Restylane is the first and only FDA-approved dermal filler made of a biodegradable non-animal stabilized hyaluronic acid (NASHA(TM)). Hyaluronic acid is a natural substance found in all living organisms and provides volume and fullness to the skin. Restylane is formulated as a clear gel and uses a dual mechanism of action to correct wrinkles and folds. Upon being injected by your Laser Derma Care Center physician beneath the skin's surface, the NASHA gel adds natural volume and lift to smooth wrinkles and folds. The NASHA gel integrates into dermal tissue then attracts and binds to water molecules to help maintain volume. Restylane is gradually degraded by the body's own mechanism and disappears without any residue. Results can be seen immediately following treatment and last six months, or even longer. The amount of Restylane used during your treatment depends on the desired correction. Facials It is proven that a regular regime of skin care including professionally performed facials, drastically reduce fine lines and wrinkles associated with the aging process. Skin-nourishing, tension-dissolving creams massaged onto neck and shoulders, followed by a skin-softening steam to prep the face for a gentle extraction of impurities. The Laser Derma Care professional will then finish with an application of a pore-tightening, skin-smoothing masque customized for your skin type. Chemical Peel Chemical peels have been used in dermatology and plastic surgery for many decades. These peels can be classified as light peel, medium-depth peels, or deep peels. Light peels are sometimes referred to as the so-called lunchtime peel, in which a patient can be treated by your Laser Derma Care Center medical technician on a lunch break. Generally, a buffered hydroxy acid peel of different concentrations is applied to the skin, sometimes in combination with different agents such as salicylic acid or Jessner's solution, which is a combination of salicylic acid, lactic acid, and resorcinol. Depending on the particular combination used, the patient can often return to the office or a social engagement with only very slight or moderate redness. Micro-dermabrasion A very widely used technique to revitalize the skin is Micro-dermabrasion. This technique uses small particles, usually aluminum oxide or sodium chloride crystals, which are delivered to the skin under positive pressure, causing a superficial sanding of the face. The effect produced by Micro-dermabrasion is much more superficial than either laser or dermabrasion, but has the advantages of being essentially painless, and therefore not requiring any anesthesia. With the care of a Laser Derma Care Center medical professional, Micro-dermabrasion gives the gratification of producing immediate improved smoothness of the skin with only minimal redness, and not requiring any prolonged recovery. However, as with some of the other techniques described, because the damage to the skin is so superficial, Micro-dermabrasion does not destroy deep acne scars. Combined with the at home use of retinoic acid, alpha-hydroxy acid and Vitamin-C, repeated treatments can bring about a marked improvement in skin smoothness and color. Laser Skin Resurfacing In dermatology, lasers add another dimension for the treatment of skin diseases. Laser resurfacing can improve cosmetic flaws, such as wrinkles, scars, and sun damage, and is the latest scientific breakthrough in skin rejuvenation. Lasers (short for Light Amplification by Stimulated Emission of Radiation) work by producing an intense beam of light that travels in one direction. This beam can gently ablate skin tissue to improve wrinkles, scars or blemishes. In addition, lasers can also be used to destroy visible blood vessels or to cut skin tissue. Using a laser hand piece, undesired skin cells and wrinkles disappear and are replaced by fresh skin cells. One of the laser's most significant advantages over traditional techniques for skin resurfacing is that treatment is relatively bloodless. This procedure also offers increased degree of precision and safety in treating delicate areas. It is important to understand the limitations of skin resurfacing using lasers. The laser is not a substitute for a facelift, nor can the procedure eliminate excessive skin. However, by tightening loose skin, laser resurfacing can improve certain folds and creases. More importantly, laser resurfacing offers an alternative to traditional resurfacing (dermabrasion) and can also work well in conjunction with other cosmetic skin procedures such as chemical peels. The final result of laser resurfacing can take up to six months to fully appear. These results are long-lasting, but not permanent. Some people will require re-treatments over the years. Protection from the sun and the institution of a good skin-care regime can help in maintaining a rejuvenated look. Laser Hair Removal Laser Derma Care Center uses a low-energy laser to gently remove unwanted hair, putting an end to routine shaving and waxing. This advanced technology transcends the older, painful hair removal treatments to deliver long-lasting results. Because the laser treats more than one hair at a time, it is possible to treat larger areas such as the back, shoulders, arms, legs and face. Laser treatments leave your skin looking and feeling smoother and silkier. Best of all, laser hair removal treatments are a safe, fast, gentle, and effective alternative method for hair removal. The laser slows the growing capacity of follicles in the growth cycle at the time of the treatment. Since some hair follicles may enter their growth cycle after your treatment, multiple treatments may be required to deliver optimal results. Treatment results will vary from patient to patient depending on skin and hair color. Spider Vein Removal The request for Laser Derma Care Center physicians to treat spider veins with sclerotherapy is increasing rapidly. In this rather simple procedure, veins are injected with a sclerosing solution, which causes them to collapse and fade from view. The procedure may also remedy the bothersome symptoms associated with spider veins, including aching, burning, swelling and night cramps. Although this procedure has been used in Europe for more than 50 years, it has only become popular in the United States during the past decade. The introduction of sclerosing agents that are mild enough to be used in small veins has made sclerotherapy predictable and relatively painless. Acne Treatment For reasons no one completely understands, follicles, often called pores, sometimes get blocked. Sebum (oil) which normally drains to the surface gets blocked and bacteria begins to grow. Both whiteheads and blackheads start out as a "microcomedone". Microcomedones become skin blemishes called comedones-either a whitehead or a blackhead. Either way, blackheads and whiteheads are filled with trapped sebum and bacteria. The treatment advice for how to get rid of blackheads and how to get rid of whiteheads depends on the severity of your condition. With so many factors affecting clearance and a multitude of treatment options available (some only by prescription), intervention from the Laser Derma Care Center professionals will make a difference. Before prescribing treatment, the LDCC technician will consider several factors, including the severity of the acne, types of lesions present, co-existing conditions, as well as the patient’s age, skin type, lifestyle and motivation. The knowledge gained from considering these factors allows your LDCC technician to create effective an individualized therapy that will resolve the patient’s acne over time and prevent new lesions from forming. Sometimes we may combine two or more treatment options. A patient may be instructed to use one medication in the morning and the other at night. Or, two medications may be combined in one prescription medication. Due to possible side effects, over-the-counter medications should not be combined unless directed by your LDCC medical staff. Acne responds especially well to early treatment. The professionals at Laser Derma Care Center are here to help you with all your acne treatment needs and recommend that acne be treated early to maximize effectiveness as well as help prevent scarring. Rosacea Rosacea can cause redness, bumps and/or swelling, especially on the nose, cheeks, forehead, and chin and can look similar to acne. Unlike acne, however, people with Rosacea don’t get blackheads but do get dilated blood vessels. Rosacea is a chronic condition and rarely resolves without treatment. Mild Rosacea can be limited to mild redness of the cheeks. However, in the most severe forms, the skin overlying the nose can become permanently swollen and red (called rhinophyma) because of dilated blood vessels and abnormal enlargement of oil glands. Other potential symptoms of Rosacea include eye irritation (burning, stinging, grittiness, and/or dryness) and sties. Rosacea treatment options vary widely, depending on symptoms. Facial redness and acne-like lesions are often treated with oral antibiotics and topical medications. The more severe forms of Rosacea also have a variety of treatment options. Your Laser Derma Care Center physician can discuss your individual concerns about treatment. PERMANENT COSMETIC PROCEDURES Bio on Melissa Ramirez Permanent Cosmetics Technician at Derma Care Center Melissa Ramirez received her professional permanent cosmetics training in 2004 at the American Institute of Permanent Color Technology. Under the direction of Dr. Kristanne Matzek, Melissa has learned firsthand the very latest techniques in professional permanent cosmetics. She is a Certified Derma Technician and has been working under Dr. Lothar McMillian in the Rancho Family Practice for the past three years. What is Micro-Pigmentation or Permanent Cosmetic Makeup? Micro-Pigmentation is a process of applying micro insertions of pigment into the dermal layer of skin. Permanent cosmetic makeup has become a popular alternative to the daily application of makeup for numerous professionals and celebrities. What areas of the body can benefit from this process? Permanent cosmetic applications can include: eyebrows, eyeliner, lip line/color and beauty marks. It is also used for permanent camouflage of various skin imperfections such as: scars, nipple repigmentation and cleft lip redefinition. Who are the best candidates for Permanent Cosmetic Make-up? Busy people with little time to apply makeup People with allergies to conventional makeup Those physically incapable of applying makeup Burn survivors and people with flaws in their skin Entertainers, actresses and models Men and women wishing to look their best at all times. Does Permanent Makeup appear natural? The effect of Permanent Cosmetic Makeup is so realistic that many times the human eye cannot tell where the natural pigment or hair ends and the new pigmentation begin. Isn’t it time that you invested in a lifetime of freedom and improved self-image? With Permanent Cosmetic Makeup, you save the expense, time and trouble of applying makeup every morning. The process is safe, painless and performed in the comfort of the Rancho Family Practice professional medical suites by a certified technician. At Rancho Derma Care Center we will make every effort to accommodate your personal schedule, making your Permanent Cosmetic Makeup application(s) a private and pleasant experience. PRICES SEE LASER DERMA CARE PRICE LIST Advanced Capabilities • Aura-i™ laser system • Lyra-i™ laser system Affordable, Accessible Appearance Care • Competitive prices • Visa, MasterCard & Discover honored • Friendly staff • Convenient payment options • Same-day appointments • Appointments set around your schedule Expert esthetic care for a more beautiful you. Our licensed staff estheticians have vast experience with facials, pharmaceutical-strength glycolic and beta hydroxy peels and other cosmetic enhancements. And in today’s impersonal, high-priced world, it’s also nice to know that we still offer unhurried, expert care at lower costs. We offer convenient payment options and honor Visa, MasterCard and Discover, as well. Sylvia J. Granger, Esthetician Board-Licensed: California State Board of Esthetics Education: Richards Beauty College, Riverside Community College, Riverside, CA Certification: American Association of Medical Assistants Licensure: State of California Additional Training: Custom Facials, Acne Treatments, Chemical Peels, Microdermabrasion Slowing the aging process. Aging is an inevitable fact of life. But when age-related concerns such as wrinkles, age spots, broken capillaries, uneven hair growth and spider veins impact your appearance and how you feel about yourself, we can help. We have the skill and technology to make dramatic improvements in your appearance. Better living through laser technology. Dr. McMillian uses the latest Laserscope Aura and Lyra laser systems in his office for your convenience. He uses the Aura laser system to treat: • Broken capillaries • Spider veins • Dilated facial veins • Rosacea • Port-wine stains • Birthmarks/blemishes/warts • Age/brown spots With the advanced Lyra laser system, Dr. McMillian treats: • Facial wrinkles • Varicose veins • Unwanted facial hair/body hair • Shaving bumps • Acne Beauty is more than skin-deep. How many times have you wished that your outer beauty matched your inner beauty? With the help of everyone at Laser Derma Care Center, you can enhance and refine your outer beauty and build your self-confidence. Overcoming skin damage. Did you know that one serious sunburn can do permanent damage to your skin? That’s why you should be comforted to know that Dr. McMillian has vast experience treating skin damage and repairing the damage done by sunburn and aging. He has also successfully treated thousands of people with moles, lesions, scarring and other kinds of sun damage. Now he can help you or a loved one, too. The one thing all Laser Derma Care clients receive — peace of mind. Peace of mind knowing the doctor they’ve chosen can help them with all their skin-care needs. Peace of mind knowing Laser Derma Care Center offers them innovative treatments for skin care, hair removal, vein treatments and other esthetic enhancements. Peace of mind knowing we will listen to every concern and answer every question. Peace of mind knowing they’ll be treated with confidentiality, dignity and respect. Lothar McMillian, MD, FAAFP Board-Certified: American Board of Family Practice Family Practice Residency: Delaware County Memorial Hospital, Drexel Hill, PA, 1987 MD: Ross University School of Medicine, New York, NY, 1984 BA: Biology, California State University, Fullerton, CA Licensure: State of California Fellow: American Academy of Family Practice Member: American Medical Association, American Society for Laser Medicine & Surgery Continuing Education Includes: High Blood Pressure, Diabetes, Cholesterol Problems, Depression & Anxiety, Heart Disease, Allergies, Asthma, Arthritis, Pediatric Medicine, Women’s Healthcare, Emphysema, Osteoporosis, Cancer, Botox®, Chemical Peels, Facials, Laser Hair Removal, Laser Skin Resurfacing, Microdermabrasion, Spider Veins, Acne Choosing advanced, personalized, esthetic skin care starts with a phone call. There are many reasons to make Laser Derma Care Center your first choice for the compassionate, personalized care you deserve. For more information or to make an appointment, just call 909-941-7211. 7777-B Milliken Ave., Suite 240 •Rancho Cucamonga, CA 91730 (At Milliken Avenue & Foothill Boulevard) Fax 909-948-7950 Call: 909-941-7211 e-mail: info@laserdermacare.com