Derm By Design

Derm by Design was founded in North Oaks by Paula M. Aman, a physician assistant (PA-C), and the practice describes itself as offering cosmetic dermatology. Visits focus on injectable treatments and microneedling for adults interested in smoothing lines, adding volume, and addressing skin concerns.

Every new patient starts with a complimentary consultation that lasts 45 minutes. It includes a review of medical history and a discussion of short-term and longer-term options. If time allows, a treatment can be carried out the same day.

The site says Botox can address frown creases between the brows, lines at the outer corners of the eyes, horizontal forehead creases, gum showing when smiling, taut bands in the neck, and horizontal lines across the neck. It also lists jaw muscle clenching, lip flips, brow lifts, excessive sweating, and migraine headaches as uses. A Botox visit takes about an hour, while a combined Botox and dermal filler session takes about 90 minutes. Pricing depends on the treatment.

Dermal fillers are used for lip enhancement, cheek enhancement, smile lines, mid-face and under-eye support, and chin and temple volume. Filler appointments take about an hour, and pricing varies.

SkinPen microneedling is described as a minimally invasive procedure that stimulates collagen and is used for wrinkles, acne scarring, and stretch marks. A series of three to four treatments is recommended. Afterward, skin may look sunburned or inflamed for 24 to 48 hours, so sun exposure is avoided for 24 hours, and pools, hot tubs, saunas, and strenuous exercise are avoided for 72 hours. Rescue and Lift gels are offered as aftercare to help with dryness.

Aftercare guidance is given for each treatment. Botox patients are asked to avoid blood-thinning agents for two to three days beforehand, stay upright for four hours afterward, skip massage of the treated areas, and wait at least four days before facials or chemical peels. After filler, patients are asked to avoid exercise for 24 to 48 hours if bruising or swelling occurs and to ice the area intermittently. The site also directs patients with severe pain, swelling, visual changes, or skin warmth or color change to call the office immediately.

The practice takes a less-is-more view of aesthetic injectables, with the aim of a natural-looking result and a safety-minded plan.