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Skincare and Laser

(a.k.a. Forever Young™ BBL)

On the left, patient at age 43. On the right, patient at age 55 after 12 years of Forever Young treatments.

FotoFacial, a.k.a. Forever Young™ BBL is a revolutionary treatment that improves:

  • Skin texture and tone
  • Brown spots
  • Red spots and spider veins
  • Fine wrinkles

Why is it so exciting? A study at Stanford demonstrated that Forever Young™ treatments actually change the gene expression of treated skin to more closely resemble the gene expression of younger skin. In another study, patients who receive annual or semi-annual treatments looked younger at the end of the 10 year study than they did at the start. The best part? Forever Young™ has no downtime, other than some mild redness and darkening of sunspots which can easily be covered with makeup. See the scientific papers, as well as before and after pictures, at Sciton’s website.

What is BBL, and how does it work?***

Extrinsic (outside the body) factors such as sun and toxins in the environment cause damage to our skin. This damage appears as fine wrinkles, dark spots, and redness or small blood vessels (capillaries or telangiectasias).

BroadBand Light, also known as intense pulsed light (IPL), uses light filtered into specific wavelengths to treat these signs of aging.

BBL can target the small blood vessels on the face which cause redness, causing these blood vessels to shut down and be broken down by the body. BBL can also target the pigment which makes dark spots. This pigment is then brought to the skin surface, and flakes off over the next one to two weeks.

BBL has no downtime, and minimal discomfort comparable to a mild sunburn. Depending on your goals, you may need several treatments 2-4 weeks apart.

BBL can improve the appearance of sun damage and even some birthmarks.

Before and After Photos***


***All patient results may vary, these procedures are for cosmetic purposes only and results are not guaranteed, nor are permanent. All patients are different and in no way will any procedures be alike, nor the recovery period.

Profractional Laser Treatments

What is a Profractional laser treatment?

A Profractional laser peel is a treatment is similar to a micropeel, both in terms of goals, discomfort, and downtime. You may have also heard it called a Fraxel laser peel- Profractional is just another brand (Sciton, in this case). A Profractional is done in the office, using topical numbing cream to help keep you comfortable. You can expect some mild soreness and swelling afterward, and a few days of redness followed by a few days of flaking.

How does Profractional differ from a regular micro laser peel?***

The Microlaser Peel removes a thin layer of the outer layer of skin (the epidermis). This can remove some shallow wrinkles, but what it really helps with is skin texture and some of the more superficial pigmentation problems. Profractional removes a deeper layer of skin, but in a pixellated pattern which leaves healthy skin in between the areas treated by the laser. (Think of the difference between aerating your lawn or simply mowing it).

Because the treated areas are surrounded by healthy tissue, the healing time is similar to that of the micropeel. When you look at the diagram below, you’ll see that the Profractional reaches all the way down into the dermis; those squiggly gray lines you see represent collagen. When some of the collagen is damaged by the laser, the surrounding collagen is stimulated into a healing response. This results in a tightening, smoothing effect that you don’t get with a regular micropeel.

What patients actually see is an improvement in wrinkles (deeper wrinkles than those treated with a traditional micro peel). It also means the Profractional can be used to improve the appearance of scars. The ultimate result usually requires multiple treatments (2-4), but a definite improvement is seen after a single treatment. A micro peel and a Profractional can also be combined for even better results.


Before and After Photos***


***All patient results may vary, these procedures are for cosmetic purposes only and results are not guaranteed, nor are permanent. All patients are different and in no way will any procedures be alike, nor the recovery period.

Laser Micropeel

What is a Micro Laser Peel?

A micropeel is different from a traditional laser peel only in terms of depth. While a traditional laser peel may take off the entire outer layer of skin, a micropeel takes a fraction of this thickness. This means shorter healing time.

Before Your Peel

  • SPF 30 Sunscreen – It is very important to protect your skin from the sun both before and after your peel. For this reason, we recommend you apply a moisturizer every morning with an SPF of at least 30. Reapply every two hours if you are out in the sun. Use this product right up until the day of your peel.
  • Acyclovir – The irritation of a peel may cause you to get a cold sore, even if you aren’t normally prone to them. Adding a cold sore on top of already irritated skin may lead to scarring or changes in pigmentation. Acyclovir (Valtrex) twice a day beginning two days before your peel, and continuing for five days afterward will help to prevent any cold sores.
  • Tretinoin 0.5% – Tretinoin, or RetinA, thins the outer layer of your skin and increases collagen turnover. Tretinoin can be very irritating to your skin, so we recommend you stop using this product at least two days before your peel.
  • Hydroquinone – This product helps fade dark spots and make skin tone more even. You can use hydroquinone right up to the day of your peel.

Avoid aspirin, ibuprofen (Motrin), and any blood thinners for at least 7 days before your peel. Ask your physician about any herbal medications you take to see if they increase the chances of bruising. You may take Tylenol.

The Day of Your Peel

  • We recommend you have someone drive you to and from your peel, as you may have some slight discomfort afterwards.
  • Arrive at least an hour before your peel. We will apply a topical anesthetic to keep you comfortable during the peel, and this takes time to become effective.
  • During your peel you may have a slight stinging sensation. Afterwards patients commonly feel a strong sunburn feeling for up to an hour. Icepacks and ibuprofen or Tylenol help with this discomfort.

After Your Peel***

Depending on the depth of your peel, it will take your skin up to several days to heal. During this time it is important you take excellent care of your skin to speed healing. You will be given detailed instructions at the time of your visit. The basic idea is to keep your skin clean and moist. Once it is healed, you may begin wearing makeup and sunscreen again. Expect some flaking and peeling for several days, but do not pick at your skin, as this may cause scarring.

Before and After Photos***


***All patient results may vary, these procedures are for cosmetic purposes only and results are not guaranteed, nor are permanent. All patients are different and in no way will any procedures be alike, nor the recovery period.


Do you look in the mirror in the morning and push and pull on your cheeks and neck, trying to look like the younger person you remember?

Are you just not ready for the down time and expense of a face lift or neck lift?

It may be time to explore SkinTyte™

What is SkinTyte™?

As we age, our bodies produce less collagen, the connective tissue that gives youthful skin its firm look. Applying heat to tissue, however, stimulates the growth of new collagen, resulting in tightening of the skin and reduction in the appearance of wrinkles.

This sounds simple, right? But how do we apply heat only where we want it – to the deep layers of the skin (in the dermis) without doing damage to the outer layer of skin (epidermis). The answer is SkinTyte™. SkinTyte™ applies light in wavelengths that are absorbed only by the deeper layers of skin, causing them to heat up, without any damage to the outer layer of skin.

What does this mean for me?

A therapy that offers the ability to tighten your skin and reduce wrinkles, without surgery! Although SkinTyte™ will not duplicate the effects of a facelift, it will give you a noticeable improvement, without the need for anesthesia, and with no downtime. Patients report a mild sunburn-like feeling afterward, and some minimal redness lasting up to several hours. Since you can reapply makeup immediately afterward, SkinTyte™ is something you can treat yourself with on your lunch break!

When will I see results?***

The results of SkinTyte™ are not immediate. The change occurs as your body makes new collagen, a process which takes up to 6 months. We recommend at least six treatments, 2-4 weeks apart for the optimal result. The results last months to over a year, with occasional touch-up treatments prolonging the results.

***All patient results may vary, these procedures are for cosmetic purposes only and results are not guaranteed, nor are permanent. All patients are different and in no way will any procedures be alike, nor the recovery period.


What is dermaplaning?

Dermaplaning is a safe (provided the person performing it is properly trained) and highly effective physical exfoliation procedure. It requires the use of a sterile, surgical scalpel to gently “shave” the skin’s surface, removing the top-most layer of dead skin along with fine, vellus hair (aka peach fuzz). The procedure can be performed monthly, in less than thirty minutes, with no downtime post-treatment. Dermaplaning is only performed on the face; however, it is not meant to be used to shape eyebrows, which are made up of “terminal” (not vellus) hairs. The nose is also avoided. Estheticians, nurses or doctors may perform the treatment, depending on state regulations.

Benefits of dermaplaning

Physical exfoliation triggers the cell regeneration process and allows products to better penetrate skin. Some practitioners perform a chemical peel post-dermaplaning (I wouldn’t recommend this if you’ve never had either treatment before or have sensitive skin). Dermaplaning is also excellent to rid the face of excess fine hairs which can often accumulate dirt and oil. Contrary to popular belief, vellus hairs, as opposed to terminal hair, will not grow back thicker or darker. Microdermabrasion, which also physically exfoliates skin, does not remove vellus hair. Exfoliation of dead cells along with the removal of fine hairs results in healthier, brighter skin that has a smoother look and feel.

Who should consider dermaplaning?

Dermaplaning is especially effective on those with dry or rough skin texture and helps to minimize superficial acne scarring or uneven skin tone. It is also beneficial for mature skin, which tends to have a buildup of dead cells as cellular turnover slows down with age. Dermaplaning is safe for pregnant or lactating clients who cannot have chemical peels (peels penetrate skin to act at the cellular level, thus are contraindicated). Those with very oily or active acne should avoid this procedure as well as anyone with thick, dark facial hair.

Don’t try this at home

It’s important to note that dermaplaning employs a specific technique requiring a delicate touch and a skilled approach to resurface skin. Thus, I don’t recommend shaving at home as an alternative to dermaplaning (see Shaving – the ultimate anti-aging tool?). Unlike shaving, dermaplaning is performed freehand with a surgical scalpel (the average razor has two blades which are also duller than surgical blades) on tautly stretched skin. The methodology requires short strokes at a certain angle in particular patterns depending on the facial region.

Note: Please do your homework (obtain referrals and read reviews) prior to receiving treatment. It takes training to handle a scalpel properly; thus, I can’t stress how important it is to ensure you visit a licensed, skilled professional for dermaplaning.

-From TruthInAging (

Chemical Peels

Are “At-Home” Chemical Peels Safe?

“At-home” kits are popular for everything from gel manicures to chemical peels. And they are easier than ever to obtain; a search on Amazon reveals numerous options for at-home chemical peels. But are they a safe option?

Because these kits are intended for home use, there is generally a very wide safety margin, assuming you follow the instructions of the peel. But the trade-off for increased safety is decreased effectiveness, at least in the example of chemical peels. Chemical peels work by damaging the outer layer of skin; the deeper the damage, the more dramatic the result. So although a home chemical peel is likely to be very safe, it will also result in minimal improvement.

Medical-grade chemical peels are administered in a physician’s office, and thus are stronger and more effective than the over-the-counter version. In addition, I always recommend a skin care evaluation, which many offices offer for free. You may be using a chemical peel to treat a problem for which there is a more-effective treatment. One great example of this is hyperpigmentation; although chemical peels will very gradually improve pigmentation, a BBL laser treatment is much more effective.

-From Dr.Greer’s Blog


What is DermaSweep?

DermaSweep is actually a type of microdermabrasion. Traditional microdermabrasion uses a spray of microcrystals to remove the outermost layer of dry, dead skin cells.

It is usually done on the face, but can be done on other parts of the body, and the treatments make skin look brighter and feel smoother. After a series of several treatments, microdermabrasion can even make fine lines appear smoother and skin tone appear more even.

Instead of microcrystals, DermaSweep uses a special brush tip to exfoliate the skin. This exfoliation is combined with gentle suction to help sweep away the outer layer of dead skin cells and to unclog pores. After the exfoliation stage different solutions can be applied using this same tip; these may include salicylic acid to improve acne, hydroquinone to address brown spots, or growth factors to improve fine lines and wrinkles.

A DermaSweep treatment takes about 15 minutes, and there is no downtime. You may have some mild redness that lasts for a half hour afterwards, but you can apply makeup right away. You should also wear sunscreen when out in the sun for the next few days (and ideally all of the time!)

Vein Treatment

How do I get rid of these ugly veins once and for all?

Spider veins and varicose veins are caused by an incompetent system of valves which allow blood to pool in the legs instead of draining upwards toward the heart.

Although larger varicose veins may require referral to a vascular surgeon, we are able to treat many of the unsightly spider veins right here in our office.

It is important that you understand treatment is not permanent- we all develop new spider veins as we age. Most patients require maintenance treatments every 1-2 years to get rid of new spider veins as they develop.

Treatment may take two forms:

  • For slightly larger veins, we inject a medication (Asclera)* which causes the vein to shut down.
  • For very fine veins that are close together, we use energy from a laser to heat the blood within the vein, causing the vein to shut down.
  • Both types of vein treatment require two or more sessions, depending on disease severity. These sessions are scheduled four weeks apart.

*Please alert our staff of any allergy to polidocanol, if you have a history of clots in your veins, or if you are nursing or pregnant, as this may change your treatment recommendations.

Before your visit…

  • Avoid aspirin, ibuprofen and other blood thinners for the week before your treatment, as they may increase bruising
  • If you are receiving a laser treatment for veins, avoid sun exposure for at least one week before your treatment. Exposure to sun increases the risk of complications such as blisters. You must also avoid sunless tanners, as they interact with the laser.

The day of your visit…

Dr. Greer will take a thorough medical history and assess your areas of concern. Then the two of you will develop a treatment plan. If you receive Asclera, expect a very mild burning sensation with the injection. If you receive a laser treatment, there is mild discomfort similar to a rubber-band snapping.

After your treatment…

  • Avoid hot showers, alcohol, and spicy foods for five days after your treatment. All of these cause your blood vessels to dilate, and can reopen the veins we are trying to close.
  • You may have some aching in the treatment area. Take Tylenol as needed, and apply icepacks for 20 minutes at a time as needed for the first day.
  • You may have some bruising or redness in the treatment area. This will fade over the next week or two. Some patients may experience a brown discoloration that takes several weeks to fade.
  • If you had a laser treatment, wear sunscreen with an SPF of 30 on the treatment area when you are in the sun. Reapply every two hours. This will prevent your skin from becoming darker or lighter after the treatment.

Skin Medica Skin Care Line