Top Cosmetic Treatment for Gorgeous Skin

There is no doubt that the honor for the top cosmetic treatment for gorgeous skin goes to the Picosure laser.

Why? It’s simple. There is no other laser, chemical peel or skin care product that can eliminate irregular pigmentation and melasma from your face, neck, chest and hands with virtually no downtime. PicoSure is safe on skin types 1-4 and it is immensely popular in Asia. For many skin types,  treatments such as CO2 and Fraxel run a high risk of leading to hyperpigmentation which would make things worse, not better. Strong chemical peels also have the same risk and cause a great deal of redness. Milder peels will not be as effective as the PicoSure laser facial.

The Picosure laser will also stimulate your own collagen and elastic fiber production so that it will help with fine lines and even acne scarring. You should plan at least 3 sessions, spaced a month apart. My wife is having her 4th session next week and she has treated her face, neck, chest and hands.

You can increase results with a great skin care regime following treatment. We carry a premiere medical skin care line that is only available in our office that has helped our patients yield even faster results and glowing skin.

Curious about PicoSure and what it can do for your skin? Call my office at 703-406-2444 to schedule a private, complimentary skincare consultation.

How Much Does a PicoSure Laser Facial Cost?

We have just reduced the pricing of our Picosure Laser Facial to just $1,500 for 3 Laser Facial treatments. We have been so incredibly impressed with the great results that we want to make it even more affordable for everyone to complete the series.

You are probably wondering what makes the Picosure Laser Facial so special? It allows you to dramatically improve melasma and irregular pigmentation on your face, neck, chest and hands. Almost all women over the age of 35 will have irregular pigmentation on their face – and as they age, this will affect their the above areas.

Picosure can resurface the skin with virtually no downtime. You can apply your makeup after a treatment and return to work or play. It will also stimulate your collagen and elastic fiber production, so it will help with your fine lines. You should stop any active skin care products 3 days before. You should not be tanned in the area being treated – meaning Fall and Winter are the perfect time to get these facials. Many of my staff have had the Picosure laser and my wife is getting her 4th Picosure laser treatment next week! She has seen an amazing improvement in her skin.

This laser is exceptional popular in the Far East, where hyperpigmentation is even more noticeable and the Asian skin type is prone to hyperpigmenting, if the wrong laser is used. We have had very good results treating Asian skin with the Picosure Laser.

Want to chat about PicoSure and what it can do for your skin? Please call my office at 703-406-2444 to schedule a private, complimentary consultation.

Why PicoSure is So Popular in Asia

Most women over the age of 35 years old have some level of irregular pigmentation on their face. Those who do not likely have amazing genetics or little sun exposure to thank. As we age, the irregular pigmentation spreads from the face and forehead to the neck, chest and hands. It is an even greater concern in the Far East due to cultural reasons and because it seems to be even more noticeable and harder to hide with makeup.

The Picosure laser has become incredibly popular in the Far East – the biggest reason being that Asian skin is prone to hyperpigmentation from unsuccessful treatment attempts. Just yesterday, I saw a woman from Laos who has significant hyperpigmentation. She tried the Fraxel laser last summer and it the hyper pigmentation even worse. It has not improved, despite a plethora of skin care products. The reason for this is because most lasers create an inflammatory response and this leads to further increased pigmentation. The skin is essentially saying, “I have been injured” – and responds by healing the area with too much inflammation, leading to hyperpigmentation.

The Picosure laser fires 1,000 times faster than other lasers. It is so quick that there is very little inflammation, little to no downtime and much less risk (nothing has no risk) of responsive hyperpigmentation.

Women should plan on 3-6 treatments, each spaced a month apart. It is a good idea to pre-treat with 4% hydroquinone products (HQ), which we carry, to decrease the risk of hyperpigmentation. Any active agents, such as HQ or Retin-A or glycolic/lactic acid etc, should be stopped 3 days before treatments and can be resumed the following day. A great sunblock is imperative. Hormone treatments, such as birth control pills, should be avoided.

Want to discuss PicoSure and what it can do for your skin? Call my office at 703-406-2444 to schedule a private, complimentary consultation.

Advantages of Sculpsure over Liposuction or a Tummy Tuck - Berman Cosmetic Surgery Blog

Common Non-Invasive Cosmetic Procedures: How They Work and How Long They Last

There are now some great non-invasive procedures available these days, providing long-lasting results with minimally discomfort or downtime. Below are a few of my favorites:


  1. FOR THE FACE: My favorite by far, is the Picosure laser. This laser is a true game changer. It is not super well known, because it is a very expensive laser for the doctor to purchase and therefore is not in a lot of physician offices. You are not likely to find this in a medispa either.What makes this Picosure Laser so special is that because it fires 1,000 faster than other lasers, it can do a facial resurfacing with NO DOWNTIME. This means that you can significantly improve the irregular coloration in your face, neck, chest and hands, with just 3 treatments, spaced a month apart. And again, with absolutely no downtime. .Also, because the Picosure fires so quickly, there is little inflammation – meaning it can be used in skin types 1-4 with little risk of hyper-pigmentation. It will also stimulate your own collagen and elastic production, which will help diminish fine lines and wrinkles.

    How long do results last? This will vary from person to person. The most important thing is to use a good sun block (which we offer in the office) and good skin care after your treatment (also offered in our office). Good skin care that is pharmaceutical grade and can only be found in a doctor’s office, will continue with minor exfoliation and collagen stimulation. It can last a year or several years, depending on your genetics and how well you care for your skin.

  2. FOR THE BODY: Sculpsure is the most popular (and its competitor Coolsculpt) for spot reductions of fat in a completely non-invasive way.  Both of these techniques will destroy fat cells (Sculpsure through heat and Coolsculpt from freezing, which I feel has more complications) and these fat cells are permanently destroyed. They will not come back. However, it is important to work on better dieting and exercising to decrease your overall body fat. If, on the other hand, you eat poorly and put on fat, those remaining fat cells will expand in size and you will look larger. Thus, the total number of fat cells is reduced forever, however, there is no “free lunch” and you still have to look after yourself.
  3. LASER TATTOO REMOVAL: The Picosure laser is the very best tattoo removal laser that exists. It fires 1,000 faster than other lasers to vibrate away the tattoo pigment. You will need half the number of treatments with the Picosure laser than you will need with other lasers. I have seen pure black tattoos disappear after only 3 treatments. This laser rarely causes ghosting. It is also the only laser that removes blue pigments.
  4. LASER HAIR REMOVAL: With our Cynosure Elite laser, hair removal is permanent, unlike the less expensive lasers frequently found in medispas. However, when your hormone environment changes such as with pregnancy or menopause, you can get stimulation of dormant hair follicles. Most people will need 5-9 treatments to eliminate most or all of their hair. It should be noted that no laser treatments will work on white or blond hair or very fair hair.

What Can PicoSure Do For Your Skin?

The PicoSure laser helps remove wrinkles, dark spots, acne scarring, and tattoos. It is the first of a new generation of lasers, with its cutting-edge technology allowing for optimal results with very little downtime. Other laser resurfacing treatments like the Fractional CO2 laser and IPL can be  extremely uncomfortable and have significant downtime for the patient.


What’s especially nice about the PicoSure laser is that it doesn’t rely solely on heat to burn unwanted tattoo ink or pigmentation (dark spots in your skin). Instead, it delivers energy so rapidly that tiny particles that make up pigment and tattoo ink shatter without burning the surrounding tissue. Less heat means less damage and discomfort.  It also sends a signal to your body activating your skins cells to respond, which then produces new collagen and elastin for healthier, younger looking skin.  This breakthrough technology is perfect for anyone over the age of 35 looking to slow down the aging process, anyone with pigmentation issues or suffering from acne scarring.



When you come in for your treatment our esthetician will apply a topical numbing cream to help minimize any discomfort. After approximately 30 minutes of numbing, the treatment will begin – and it takes only 10-15 minutes! Another great thing about PicoSure is the minimal downtime,. Typically, patients have mild redness for only a few hours after the procedure and can return to work and their regular activities. With other lasers, the downtime can last up to a week!  We require that you get a minimum of 3 PicoSure treatments, though it should be noted that more may be needed depending on the condition being treated. Once you have reached the results you want, we highly recommend that you get another treatment every 6 months to help prevent accumulation of pigment and slow the appearance of wrinkles.


Want to discuss options for your skin concerns? Call our office at 703-406-2444 to schedule a private, complimentary consultation!

Surgical Facelift Alternatives - Berman Cosmetic Surgery

Surgical Facelift Alternatives

People mistakenly believe that a facelift fixes your face and makes it perfect and instantly takes many years of aging off of your face. A facelift does certain things very well, but does not address many other aspects of aging.

What does a facelift do, exactly? A facelift is primarily designed to tighten the skin and underlying muscle of the neck and face. The most dramatic change occurs in those with a lot of loose neck skin. There is some improvement in the pre-jowl area and even less improvement in the naso-labial folds. Of course, one can add things like laser resurfacing, fillers or fat transfer and Botox, and a blepharoplasty. However, you can do these other things in the office, without paying for anesthesia or in an operating room facility.

So what are some surgical facelift alternatives?
Aging is multifactorial. This means that there is not one aspect of our face that shows our age. Just a few of the many things one can do to improve your face and delay for many, many years a facelift include:

  • Picosure laser:
    almost every women over the age of 35 will develop areas of irregular pigmentation – areas that are darker and lighter than the rest of the skin. The Picosure laser, with break-through technology, fires 1,000 times faster than any other laser. This means that you can get your face (and neck and chest and hands) resurfaced, with NO DOWN TIME! You need to plan for 3 treatments, each spaced a month apart. The Picosure laser can also help with fine lines and soften your skin. It can even help with acne scarring (although this will typically require 6 treatments). It will also dramatically improve age spots on the face.
  • Chemical Peels:
    We also offer an array of chemical peels such as the ViPeel, megapeels, and pharmaceutical skin grade products to further assist in this area.
  • Smartlipo to the submental area:
    Most people develop fullness and slight sagginess to the upper central neck area (submental area). This area usually responds very nicely to Smartlipo. This area is quite small and does not require any oral sedation, meaning you can be in and out of my office in just 30 minutes and can return to work the very next day.
  • Facial Fillers:
    As we age, we lose fat in our face and experience a deepening of the nasolabial folds. These respond very nicely to fillers such as Juvaderm, Voluma and Volbella.
  • Botox:
    Crowsfeet, glabellar and forehead lines in particular respond nicely to Botox. These lines are a result of movement.
  • Upper and Lower Blepharoplasty:
    The upper blepharoplasty is designed to decrease the redundant upper eyelid skin, while the lower lid blepharoplasty can help decrease the bulging and/or the redundant skin.

If you have any questions, please do not hesitate to call my office at 703-406-2444 to schedule a complimentary, private consultation with me.

How to Get Rid of Age Spots

We we all might not enjoy getting older physically, I think we can agree that it’s great to be getting wiser… and not having to sweat the small stuff like we may have done in our younger years! Having said that, it can be shocking to look in the mirror and think, “I am starting to look like my mother/father!” One of the things we tend to notice most are those pesky age spots.

Most people would define age spots as those darker spots that seem to appear out of nowhere on our face, hands and arms. They usually look like freckles but sometimes can be darker. They are completely benign. Of course, sometimes they appear differently, in which case it is worth having them looked at by a plastic surgeon or dermatologist to make sure they are not pre-malignant. There is also a common lesion which occurs as we age, called a “seborrheic keratosis,” which is darker and appears to be a small stuck on patch. These are completely benign and can be cut or shaved off.

What’s the best way to get rid of age spots?

Most women have several of these and the best thing to do is to treat the entire area, i.e. the face or back of the hands or arms, with the Picosure laser. This is a revolutionary laser, firing 1,000 faster than other lasers. This means the area can be treated with no down time. You may experience absolutely zero redness or just some temporary pinkness that lasts a few minutes. You can put on make-up and return to work immediately following the procedure. You should plan for 3 treatments, each done a month apart. Some women, if they have a lot of sun damage, may need up to 6 treatments. This will also help with fine lines and the texture of the skin and will make the skin softer. My estheticians will also recommend a great post laser skin care regime to help these improvements last.

If you just have 1-2 age spots, then just these spots can be treated by my estheticians with the Cynosure Elite laser. This will cause some redness in the spot that is treated. You may need more than one session. However, most women are going to want to use the Picosure and treat the entire area at the same time.

Have questions about your skin? Please call my office at 703-406-2444 to set up a complimentary consultation with our Master Esthetician!

My Experience with the PicoSure Laser Facial

[vc_row type=”in_container” scene_position=”center” text_color=”dark” text_align=”left” overlay_strength=”0.3″][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ width=”2/3″][vc_column_text]Written by Jacqueline Seabra, Master Esthetician

As a Master Esthetician, I can truly say that I’m delighted with the results from PicoSure, which is a minimally invasive treatment. As I’m every defensive about what goes on my skin, I wanted to try the facial treatment without any numbing/ I was a little skeptical, but definitely willing to try.

I will note that I do have a high tolerance for pain and discomfort in general, but I found it to be minimally uncomfortable – a heat sensation that I’ll describe as intense but at the same time, it felt good. The PicoSure laser concept is about bringing heat to the skin to induce collagen production and thus resurface the skin. With that thought it mind, I can say it actually felt quite pleasant to me.

It’s a quick procedure, with no  redness or just a small amount, which can be easily covered up with makeup. After each of my two treatments (I will do a third in a months time), I kept working in the office and treating patients, and did not even apply any makeup because I experienced no redness. I found the PicoSure laser facial to truly be a no-downtime procedure with great results.

Even though I wanted to do the PicoSure treatment without applying the numbing cream, most people will want to apply the numbing cream 30 minutes prior to the treatment and cover the area with Saran wrap (for greater absorption), so it will be completely painless.

Remember, you should stop all active ingredients, such as Retin-A or other acids, on your face for 3 days prior to your Picosure laser treatment. You will likely need 3 treatments to see your desired results, each one month apart. You must use a sunblock between treatments when you are in the sun.


Jacquline is a Master Esthetician at Berman Cosmetic Surgery & Skincare Center. Learn more about Jacqueline and the rest of the team here.

Want to schedule a skin consultation with Jacqueline? Click here or call 703-406-2444 to schedule now![/vc_column_text][/vc_column][vc_column column_padding=”no-extra-padding” column_padding_position=”all” background_color_opacity=”1″ background_hover_color_opacity=”1″ width=”1/3″][image_with_animation image_url=”4607″ alignment=”” animation=”None” img_link_large=”yes”][vc_column_text]Master Esthetician, Jacqueline, one hour after her PicoSure facial. Notice the absence of redness – she was able to continue to work and see patients immediately! [/vc_column_text][/vc_column][/vc_row]