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Sunscreen Without the Mess

June 14, 2017
1:24 pm

Sunscreen Without the Mess Your morning skincare routine may look a bit like this: cleanse, moisturize, protect, and beautify. Sound familiar? How likely are you to re-apply sunscreen throughout the day? How likely are you to apply sunscreen at all? Some of the more common misconceptions patients feel regarding sunscreen is that it's messy, pore-clogging, and not-so-travel-friendly. Now it's time to embrace the brush! Colorescience's, Sunforgettable Brush-On Sunscreen offers SPF 50 UVA/UVB defense in brush-on application form. This is a chemical free sunscreen, gentle enough for every skin type, and conveniently sized to pack in your purse, store in the car glove box, or pocket for a day on the beach. ColoreScience's Sunforgettable is immediate, on-the-go sun protection to use in addition to your makeup OR as a stand-alone product. Outdoor enthusiasts especially are excited by its water-proof capability while makeup users can re-apply sunscreen without needing to re-apply their makeup as well. ColoreScience Sunforgettable is now available to purchase at Advanced Dermatology and Laser Institute of Seattle.

The filler that keeps you looking like you!

June 14, 2017
1:22 pm

The filler that keeps you looking like you! A new generation of Hyaluronic Acid fillers are literally changing the face(s) of cosmetic dermatology. What exactly sets Restylane Refyne and Restylane Defyne apart from the average dermal filler? Mobility. Restylane Refyne and Defyne work not unlike other fillersby increasing facial volume and decreasing wrinklesbut they do so while retaining your natural expressions. Restylane Refyne and Defyne are made from a custom HA (Hyaluronic Acid) formula that glides more smoothly with the skin than other fillers, lending to a much more natural appearance. These fillers are ideal to use in areas of high mobility, especially in the nasolabial folds (laugh lines), where some injectables create rigid effects. How do you know which Restylane filler to use? Refyne is ideal for patients desiring more contoured features, whereas Defyne helps to increase volume and lift. If you are unsure which filler you would benefit from most, see board-certified dermatologist, Dr. Greene, to determine your filler fit! References: Medical Insight, Inc. The Aesthetic Guide Galderma Supplement

What to Know About Rosacea

May 2, 2017
6:55 pm

Rosacea cannot be cured but it can be controlled. This chronic inflammatory skin condition that affects an estimated 16 million Americans is perhaps one, if not the, most common skin disorder Dr. Greene sees in patients at ADLIS. Often characterized by flare-ups and remissions, rosacea appears as persistent redness on the cheeks, nose, chin, forehead, neck and/or chest. Over time, blood vessels under the skin become more visible and if left untreated, pimples and swelling may develop.

Predispositions to rosacea include fair-skinned individuals with tendencies to flush or blush. Luckily there are effective treatments to manage rosacea but first, we recommend being evaluated and diagnosed by a physician (preferably a board-certified dermatologist) before proceeding with treatment.

Apart from topical therapies and over-the-counter products geared toward ‘sensitive skin’ types, our most effective treatment for rosacea is the Excel V Laser. The Excel V Laser targets and eliminates vascular skin concerns (redness and veins). The number of treatments with this laser will vary based on the needs of the patient, but typically a series of 2-4 sessions is recommended for optimal results. This is a timely procedure, taking no longer than fifteen to forty-five minutes per session, with minimum down-time and discomfort.

If more traditional options for treatment have failed to yield results, it may be time to talk to a dermatologist about the Excel V Laser. Call 206-402-4797 to schedule a consultation with Dr. Greene. In the meantime, check out our ‘Before and After Photos’ section to view results of real patients who used the Excel V Laser to reduce the appearance of rosacea.


Scars are not always skin deep...

April 21, 2017
11:25 pm

On June 8th 1972, a nine year old girl was playing with her cousins in a Vietnam village when American Forces suddenly bombed the village with Napalm. Napalm is a flammable liquid that sticks to skin and causes severe burns when ignited. This young girl’s photo was captured by a journalist for Time Magazine–her clothes burned off of her body as she runs from the wreckage in horror.

Kim Phuc as burned as a child

She spent the next 15 months in a hospital and underwent 17 operations to treat numerous wounds in an effort to save her life from infection. The girl is Kim Phuc and she now dedicates her life to helping children who suffer from traumatic skin conditions like scars.
Kim Phuc Today

Kim Phuc recently spoke at the Annual Meeting of the American Society for Lasers in Medicine and Surgery on April 7th, 2017. Now she shares her inspirational journey of transformation from pain to positivity with others. At Advanced Dermatology and Laser, we welcome and assist patients with many kinds of scars in the skin–one such method of treatment being laser resurfacing which Kim Phuc used to reduce the appearance of her own scars.

Kim Phuc and Dr Greene
Dr. Greene had the opportunity to meet and talk with Kim Phuc at the ASLMS Conference on April 7th, 2017

There's a Potential New Wonder Drug on the Horizon!

April 11, 2017
4:38 pm

BOTOX® is best known for reducing the appearance of facial wrinkles but evidence is proving it has amazing effects on improving other various ailments. These uses include the treatment of back pain, lock jaw, depression, over-active bladder, and Parkinson’s disease symptoms. While the prospect of treating hundreds more conditions with a known drug is exciting in the medical community, pharmaceutical companies are prohibited from marketing it for unapproved purposes until proof of efficacy is submitted to the FDA. This process requires vigorous clinical studies.

However, there are doctors who experiment off-label because they’re looking for better treatment options. An example being the use of Botox® for migraines. A Beverly Hills plastic surgeon reported that patients who received Botox® for wrinkles incredibly experienced fewer headaches! Similarly, physicians in Europe noticed that patients who were treated with Botox® for facial spasms also sweated less than usual. These findings are nothing short of “pure serendipity” in the eyes of doctors!

Though the subject of off label practice remains controversial, some say it paves the way for scientific progress while others believe it poses a serious threat to public health. In either case, it is clear that Botox® is working in a much more complex way than initially conceived. Where this drug is concerned, wrinkles are only the beginning! Stay tuned to our blog as we will post more informationon this subject as it becomes available.

ALL HANDS ON DECK – it’s time to Rejuvenate!

March 13, 2017
2:58 pm

Your hands are one, if not the, biggest teller of age! Let our Total Hand Rejuvenation Package help with thinning skin, pronounced veins, and sun spots contributing to that aged appearance. You can protect your hands from environmental exposure with gloves, sunscreen, and moisturizer as recommended to prevent signs of aging, but precautions are difficult to follow regularly.

Now in the dermatological world, “turning back the hands of time” is possible with a volume producing filler! Radiesse® hand filler has the dual purpose of plumping the skin and tightening fine lines. This newly released injectable also stimulates the body to produce more collagen which is imperative for skin elasticity. Unfortunately, as we age our bodies produce less and less collagen. With the help of Radiesse® injections, collagen levels can improve over time and may last up to a year or more given the patient.

Next, to eliminate the appearance of sunspots and freckles from UV damage, we use an Intense Pulse Light Laser administered to the backs of the hands. (This laser treatment can be used on any part of the body to treat sunspots and freckles - most commonly the face and chest). It is normal for sunspots to appear more noticeable days following the laser treatment as these hyper-pigmented areas are moving to the surface of the skin before sloughing away entirely to leave behind a substantially reduced appearance of sun damage.

Combined, Radiesse® and IPL Laser technology create the Total Hand Rejuvenation Package! Dr. Greene is a Radiesse® Certified Hand Injector, treating more and more patients as hand rejuvenation procedures gain popularity. To learn if you are a candidate for Radiesse® Filler and IPL treatment, schedule a consultation with Dr. Greene today.

The All-in-One Treatment for Skin Rejuvenation:

January 18, 2017
3:23 pm
Three For Me Treatment

‘Three for Me’ is the first laser treatment that targets up to three different skin concerns: Sun Damage, Wrinkles, and Facial Vessels. Why be forced to prioritize your skin issues when you can now benefit from a SINGLE laser that targets all three skin conditions?

It's likely that if you have sun–causing brown spots, you may also experience a second side effect of UV exposure: wrinkles – a whopping 80% of wrinkles are due to sun damage! With our Three for Me’ laser, brown spots are uplifted (revealing skin free of discoloration and wrinkles) and there is a reduced appearance of facial vessels. For instance, patients with Rosacea (aka global redness) have seen significantly less redness after 2–4 treatments of Three for Me. Face veins usually disappear instantly, so no more than one laser session may be required for certain vascular issues.


  1. How many treatments of ‘Three for Me’ are required for results? -- Depending on your skin’s needs, 2–4 treatment sessions are necessary to achieve optimal results.
  2. Is ‘Three for Me’ painful? -- To reduce discomfort, a topical numbing agent is applied to the skin undergoing treatment before your procedure.
  3. Is there down-time associated with ‘Three for Me’? -- Some social downtime may be necessary due to possible side effects of swelling and redness lasting an average of 2–3 days.

Ready to learn more and see if you are a candidate for Three for Me’ laser treatment? Call us today to schedule a no-charge consultation with our Medical Esthetician, Rene Steele. During the consultation, Rene will educate you on all aspects of the laser procedure and review pre and post treatment instructions. Choose Three for Me’ and be amazed as your skin becomes tighter, brighter, and rejuvenated!

Volbella® Lip Injection

December 19, 2016
6:16 pm
Vobella by Juvederm

Pucker up underneath the mistletoe this holiday with fuller, natural-looking lips. Juvederm Volbella® lip injection is an FDA approved filler that smooths vertical lip lines, increases volume, and accentuates the contour of your lips. Why stop at plumping, when you can enhance the overall natural beauty of your lips with Volbella®?

What sets Volbella® apart from other lip fillers is the unique technology that allows the product to absorb less water resulting in considerably less swelling. The outcome is a subtle, yet improved difference!

Volbella® is right for you if...

  1. You would like to add volume to your lips
  2. You would like to soften the appearance of vertical lines on your lips
  3. You desire long-lasting results

The effects of Volbella® injectable are instantaneous and will last up to 1 year. This treatment is made as pain-free as possible due to a built-in anesthetic. Patients are able to resume normal activities immediately following the treatment.

If you are interested in scheduling an appointment for Volbella® treatment please reach out to our office!

So Long Summer Sun Damage

November 15, 2016
5:26 pm
IPL Phototherapy

In case your skin is showing negative signs of summer fun, IPL Phototherapy can help erase skin damage! Consult with our Medical Esthetician to find out if you are a candidate and take advantage of the winter months for the most optimal results of your treatment.

How does IPL work?

What does IPL treat?

What to expect during the consultation:

Your IPL consultation with Master Esthetician, Rene Steele, will encompass all aspects of your skin health. A state-of-the-art photography system called the VISIA device is used at your consultation to capture three-dimensional images of your face under UV lighting. These photos reveal sun damage, wrinkles, red and brown spots, pore size, texture, and areas on the skin where bacteria accumulates. By monitoring your progress using the VISIA, you are able view photos taken from before your first IPL session to photos taken after your final IPL treatment. Above are a series of before and after photos for IPL Phototherapy treatment:

To learn more about IPL or other services offered at our office, please visit the SERVICES tab on our menu and schedule a cosmetic consultation by calling 206-402-4797

Newest Trends in Male Aesthetics

October 15, 2016
9:58 pm

Male aesthetics in the way of non-surgical facial enhancements and body sculpting procedures are on the rise!

Currently, the most popular cosmetic procedure performed on men is Botulinum Toxin (Botox®) Injections. Wrinkles, a noticeable teller of age, are often deeper and more obvious on men than women due to skin thickness. Botox safely smooths frown lines that appear between the brows and can eliminates crow's feet all together!

Growing in popularity is PRP Hair Rejuvenation Therapy which is recommended for patients that struggle with hair loss. PRP stimulates the production of thicker, stronger, and healthier hair from roots to tips. This treatment is less expensive and requires less down time for healing than a surgical hair graft.

Some men battle with the opposite issue–unwanted hair. Laser Hair Removal is a non-invasive, efficient, and ultimately rewarding treatment. Your work schedule and social calendar will be left undisturbed as there is no down time with LHR so you can resume normal activities after every appointment. Common areas for Laser Hair Removal for men include the back, chest, buttocks, tops of feet/hands, and face.

No matter how much we diet and exercise, some still struggle with eliminating those last few stubborn pockets of body fat. For areas like “love handles” (above the hips), abdomen, and inner thighs–our Body Sculpting and Skin Tightening Laser is the answer! We can target and destroy fat cells with radio frequency energy to help you achieve the optimal results from your diet & workouts.

Adult and teenage acne is a very common skin ailment in both men and women. Meet with our Master Esthetician for an evaluation of your skin and recommendations for your best daily skincare routine. For an extra boost to improve your skin, ask about our in-office treatments such as the HydraFacial and VI Peel which are favored among our male clients.

Dr. Greene is more than happy to meet with you to discuss your options for cosmetic treatment. Contact us today or visit our website for more information on additional services.

The Game Changer

October 11, 2016
8:29 pm

The year was 1993 and the revolutionary wrinkle destroying solution that would change the beauty industry forever was discovered. Cosmetic effects of Botulinum Toxin, also known as Botox®, was found by a husband and wife team--Dermatologist, Alastair Carruthers, and Ophthalmologist, Jean Carruthers. Jean treated patients for various conditions of the eye, one such condition being Blepharospasm. Blepharospasm is an uncontrollable spasming of the muscle around the eye area. To temporarily paralyze the spasming muscle, Jean administers an injection of Botulinum Toxin into the affected muscle for patients with this particular condition. By Jean's account, one of these patients requested an injection of Botulinum Toxin in the forehead. When asked why, the patient responded "because it makes my wrinkles go away."

Intrigued, Jean shared her patient's feedback with Dermatologist and husband, Alastair Carruthers. Several of Alastair's cosmetic dermatology patients shared a common concern--wrinkles. Once Alastair saw the results of Botulinum Toxin for himself on a test patient, he created a clinical study to present to the American Society of Dermatologic Surgery. "I had the patients and Jean had the toxin," said Alastair. The idea of Botox® to treat wrinkles and fine lines received initial skepticism, but the Carruthers continued conducting trials. Now Botox® has become a worldwide leading product in the skincare industry.

In June of 2015, Dr. Steven Greene of Advanced Dermatology and Laser Institute completed a Preceptorship with Drs. Alastair and Jean Carruthers sponsored by The American Society of Dermatologic Surgery to further advance his technique for using Botox® in his cosmetic dermatology office. Learn more about Botox® and other cosmetic services under the Services menu.

Click here to view an online lecture starring Dr. Jean Carruthers

René Steele: Master Esthetician

September 27, 2016
7:10 pm

Meet René Steele, Advanced Dermatology's, Master Esthetician. With over twenty years of experience, René is your professional guide to achieving and maintaining healthy skin.

René is a veteran trainer on the Palomar Icon 1540 laser, a medical-grade device that reduces the appearance of sunspots, scars, and unwanted hair. Feel safe and comfortable in René’s care knowing that she customizes every laser session for the specific skin type of her patients. Results to most laser treatments are observed after a series of 2-3 sessions (with the exception of laser hair removal). Acne, a common skin concern, may be treated by Rene in the form of a facial or chemical peel. There are several peels to choose from at our office–each a varying form of exfoliation for mild, moderate, and heavy peeling.

Lastly, René treats patients with a radio frequency device called the Exilis Elite to tighten loose or sagging skin on the body while simultaneously eliminating stubborn pockets of fat. This device is ideal for patients who have not seen results from dieting and exercise. Similar to other laser procedures, Exilis Elite is an ‘over-your-lunchbreak’ treatment requiring little to no downtime.

Feel free to learn more about Rene and other cosmetic services available at our office or call 206-402-4797 to schedule a complimentary consultation with René.

Sculptra Aesthetic® Filler: Love the skin you're in!

September 12, 2016
7:40 pm
Sculptra Aesthic

Sculptra® is a dermal (skin) filler that treats wrinkles, folds, and volume loss in the face. Facial volume loss contributes to the appearance of sunken cheeks, depressed temples, and sagging jowl lines. Sculptra® is unique in its functionality because once injected under the skin, it begins to gradually stimulate your body’s natural supply of collagen growth. Lost facial volume is then replenished by your own collagen production rather than by a synthetic filler substance.

So what exactly is collagen and why is it so important? Collagen is the protein responsible for elasticity in the skin. As we age, our skin thins due to collagen depletion. Wrinkles and volume loss are visible signs of collagen depletion. When our body produces more collagen, our skin becomes more structurally supported to combat signs of aging.

Many patients wonder how long the effects of their filler will last. After three treatments, Sculptra® lasts up to two years! The life of most facial fillers lasts anywhere between 6-12 months.

At Dr. Greene's office, we believe you should 'love the skin you're in!' With Sculptra® -- look natural, feel younger, and see the results. Call our office today to set up a cosmetic consultation with Dr. Greene to learn more about Sculptra® and other cosmetic services.

Cosmeceuticals and Acne

August 7, 2016
11:28 pm

“Once you have acne past the age of twenty-five, it's highly likely you'll have acne until you're forty-five,” states Dr. Hillary Baldwin, Medical Director of the Acne Treatment and Research Center in Morristown, N.J.

Her words resonate with many people who struggle with acne on an occasional or daily basis. In regards to treatment, several options including prescription-based and over-the-counter therapies are popularly recommended. But which option is right for your skin? Research reveals that women in particular are longtime veterans of cosmeceuticals. Perhaps it is the feeling of control–as though they are taking action every day with a new miracle cream or serum to improve their skin. However, “There are few studies performed on cosmeceuticals to reveal biological function,” says Dr. Baldwin, “...and the research that does exist tends to be weak.” Why then, are cosmeceuticals, one of the top leading industries?

“The one thing we know for sure is that patients may be able to more easily use acne medication if the barrier of their skin is repaired,” Dr. Baldwin continues. Example products that repair the skin’s barrier are sunscreen and moisturizer–both cosmeceuticals and both essential for healthier, stronger skin. According to Dr. Baldwin, these products reduce inflammation, provide sun protection, and improve the appearance of hyperpigmentation (dark spots). Your dermatologist should regularly broach the subject of cosmeceuticals with you at appointments. The better prepared your skin is before and during application of acne medications, the more effective those medications are for reducing acne break outs. “No dermatology visit is complete without a discussion of skincare,” declares Dr. Baldwin.

In terms of acne, cosmeceuticals hold the potential for eliminating acne through the following mechanisms:

  1. Reduction of post inflammatory hyperpigmentation: i.e., using SkinMedica's Lytera Brightening Complex for discolorations
  2. Exfoliation: i.e., using Lira Clinical's Pro Exfoliating Cleanser (face wash), SkinMedica's AHA BHA brightener (exfoliate), SkinMedica's Retinol (for skin cell turnover) and the Mia Clarisonic (sonic cleansing brush).
  3. Boosting sun protection: i.e., using EltaMD sunscreen to eliminate UVA and UVB sun damage
  4. Moisturizing: i.e., using SkinMedica's HA5 Hydrator (for smoothing and moisturizing) and Lira's Ice Balancing Lotion (moisturizer).

Schedule an acne evaluation with Dr. Greene to discuss your options for treatment. For more information on acne and other skin conditions visit the SERVICES tab on the homepage of our website.

SOURCES: Dr. Hilary E. Baldwin and Randy Dotinga–Staff Correspondent

The Future of Cosmetic Consultations

July 11, 2016
10:16 pm
Cosmetic Consultations

Before beginning cosmetic skincare treatment (i.e. chemical peels, laser skin resurfacing), the most important appointment to schedule with your dermatologist is a consultation. The consultation allows both you and your doctor to discuss any skin-related concerns, prioritize these concerns, and finally--formulate an effective treatment plan to resolve your concerns. Before your consultation begins, ask yourself, "What are my long-term goals regarding skincare?"

At Advanced Dermatology and Laser Institute, we deliver results! In order to achieve results, it's critical that the consultation encompass all aspects of your skin health. With the VISIA Complexion Analysis--our skin experts are able to provide a comprehensive report on your current and future skincare needs. How is this possible, you may wonder?

The VISIA device works as a visual platform, capturing three-dimensional photos of your face under UV lighting. VISIA technology reveals sun damage, wrinkles, red and brown spots, pores, texture, and areas on the skin where bacteria accumulates. Many cosmetic patients who come to Advanced Dermatology may learn through their VISIA Complexion Analysis about medical skin conditions that contribute to their cosmetic concerns. For instance, one component of the VISIA platform separates color signatures to distinguish acne, rosacea, and spider veins--each of these a medical issue with potential cosmetic side-effects.

Now more than ever, patients are better prepared to begin their cosmetic treatments due to Dr. Greene and the state-of-the-art VISIA device. Whether your most pressing concern is sun damage, acne, wrinkles, or pore size–the VISIA Complexion Analysis reveals everything you need to know about the health of your skin. Above are a series of photos taken with the VISIA photo system displaying common skin conditions.

The Doctor Greene Difference!

June 27, 2016
9:12 pm

Tired of bruising, swelling, and discomfort associated with injectables? Come experience the Dr. Greene Difference!

Here at Advanced Dermatology and Laser Institute of Seattle, Dr. Steven Greene employs the use of a micro cannula, also known as a blunt-tipped needle for filler injections. This ultra-thin, flexible device causes less trauma and bruising to the areas undergoing treatment, as well as fewer injection sites needed. One other great benefit from using the micro cannula is that it allows the doctor to place the filler more precisely which gives our patients an even, natural look.

ZIKA- What to know!

May 26, 2016
2:50 pm
Zika Virus

Information regarding the Zika Virus has stirred concern in many people–especially those traveling abroad. It’s important to not only understand the facts regarding Zika, but to educate yourself on proper preventative measures.
How to protect yourself against the Zika Virus:

Speak with a board-certified dermatologist if you have questions or concerns regarding the proper usage of bug repellent on yourself or a child.

Centers for Disease Control and Prevention
National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)
Division of Vector-Borne Diseases (DVBD)

Is Skin Cancer Preventable?

April 22, 2016
6:27 pm
Skin Cancer

While outdoors, protect yourself and your family with a broad spectrum sunscreen containing a high SPF and be certain to reapply regularly throughout the course of a day. Unprotected exposure to natural and artificial UV light increases your risk of skin cancer. Although skin cancer may be treatable with an early diagnosis, melanoma (the deadliest form of all skin cancers) accounts for more than 9,700 of 13,000 skin cancer deaths each year according to research by the American Cancer Society. Without proper sun defensive care, a blistering sunburn or unchecked mole has the potentiality to cause serious health complications.

Is skin cancer preventable? Absolutely–although there are certain predispositions to higher risk individuals of skin cancer. This includes fair skin, severe sunburn(s) from the past, family history of skin cancer, tanning (from natural and artificial light), and of course–unprotected exposure to UV rays. However, everyone no matter their skin type, should safeguard themselves with a medical-grade sunscreen. Strategies to keep in mind for optimum sun protection include:

Lastly, ALWAYS wear sunscreen of at least 30 SPF.

Schedule an appointment with a board-certified dermatologist for a comprehensive skin exam. The sooner, the better–timing makes a life-changing difference! When administering a self-spot check, follow the ABCDE’s of skin cancer and differentiate between what appears normal versus a suspicious mole.

Asymmetrical shape - One half of the spot is unlike the other half.

Borders – Irregular, scalloped, or poorly defined borders around the spot.

Color – Certain shades of tan, brown, black, white and red are considered abnormal colors.

Diameter – If the spot in question is larger than the width of a pencil eraser, this may be considered cancerous.

Evolving shape - The shape and size of the spot has changed over time.

Tanning myths to keep in mind...

Indoor tanning is safer than tanning from natural sunlight–false. Whether you are receiving UV radiation from the sun or from a tanning bed you are at great risk of developing skin cancer and premature aging. In fact, The Skin Cancer Foundation has found that more than 419,000 cases of skin cancer in the US are linked to indoor tanning

More than 90% of visible signs attributed to skin aging are caused by the sun and indoor tanning–true. The most effective product to protect your skin from developing wrinkles, red or brown spots, and skin laxity is sunscreen.

Individuals who use a tanning bed before the age of 35 are seventy-five percent more likely to develop melanoma–true. Teens account for an alarming number of indoor tanners. As of September 2, 2014, ultraviolet (UV) tanning devices were reclassified by the FDA from class 1 (low to moderate risk) to class 2 (moderate to high risk devices).


Wehner M, Chren M-M, Nameth D, et al. International prevalence of indoor tanning: a systematic review and meta-analysis. Jama Dermatol 2014; 150(4): 390-400.

Lazovich D, Vogel RI, Berwick M, Weinstock MA, Anderson KE, Warshaw EM. Cancer Epidem Biomar Prev 2010 June

Gilchrest BA. Skin and aging process.

What is PRP and Micro-needling?

March 9, 2016
3:41 pm

Fine lines, enlarged pores, acne scars, and stretch marks--these common skin conditions are stubborn, sometimes impossible to cosmetically improve. Where chemical peels or medical-grade facials have failed to repair the skin's surface, a Microneedling/PRP combination therapy may be the right treatment for you!

A sterile pen tip consisting of microneedles is expertly administered across the surface of the affected area. This pen creates minor traumas to the skin which stimulates the body's natural supply of collagen and elastin growth. Collagen production is responsible for structural support to skin cells for lending a smoother, more youthful looking apperance. PRP stands for Platelet Rich Plasma--a concentrated substance in the blood that aides in wound healing. Used simultaneously with microneedling and this treatment becomes one of the most effective procedures for skin resurfacing.

What to expect from a microneedling/PRP treatment:

Patients are numbed with a topical anesthetic one hour prior to the procedure to eliminate discomfort. A small blood draw is required to extract the PRP that is applied topically to the skin in conjunction with microneedling. Following the treatment--redness, swelling, and peeling are reported as common side effects although every skin type may react differently. Patients typically notice an immediate glow following the procedure but significant results are observed 2-4 weeks following the treatment. It is advisable to schedule 4-6 sessions of microneedling/PRP for optimum results.

Kybella – Your Cure for a Double-Chin

January 14, 2016
5:20 pm

Tighten the appearance of your profile, showcase a well-defined jaw-line, and finally discard your scarves and turtle-neck sweaters because you no longer need to cover up! Now, at Advanced Dermatology and Laser Institute of Seattle, we are providing a safe, in-office procedure for eliminating the ever-dreaded double-chin. Where dieting and exercise have failed to yield results in fat reduction below the chin area-dermatologists are recommending Kybella.

Kybella is a newly released injectable approved by the FDA for reducing moderate to severe submental fullness or excessive fatty tissue, also known as a double-chin. Patients are typically considered good candidates for Kybella if they are eighteen years of age or older and unhappy with the appearance of a double-chin.

This common concern of a double-chin was traditionally treated with surgery, such as liposuction or a neck lift. With Kybella-patients can achieve youthful and healthy-looking results without the expense or downtime of an invasive procedure. To learn more about Kybella, please schedule a cosmetic consultation with Dr. Greene by emailing, or calling 206-402-4797.

Commonly asked questions regarding Kybella:

How does Kybella work?
• When the deoxycholic acid formula is injected, fat cells begin to dissolve and leave the body through metabolic processes.

Is the injection painful?
• Dr. Greene and his team of medical professionals at Advanced Dermatology are committed to patient comfort and safety. Before the procedure, patients will be given the choice to numb the injection site. Post treatment instructions for residual pain control will be provided at the end of your appointment.

What are side effects of the treatment?

• Patients infrequently experience mild swelling, bruising, and redness at the injection sites. These side effects are temporary and should dissipate within a few days. However, there are rare cases when swelling may last up to two weeks before clearing.

When should I see results?

• As the injected deoxycholic acid is absorbed by the targeted fat cells, a more desirable profile contour may be observed. For most patients, two to four treatment sessions are needed-spaced one month apart per appointment. Results are long lasting, sometimes permanent given the patient.

Mole Removal - Medical or Cosmetic?

August 4, 2015
6:33 am

Have you noticed a new mole on your skin recently? Does its appearance bother you? First thing–schedule an appointment with a board-certified dermatologist for a full skin exam. Dr. Greene of Advanced Dermatology and Laser Institute of Seattle has over twenty five years of experience diagnosing and treating every type of skin cancer.

During the full skin exam, Dr. Greene may use the word benign to describe your mole. In medical terms benign means non-cancerous. If your mole is classified as benign, it is not detrimental to your health that it be removed. In these cases, Dr. Greene allows his patients to decide whether or not they would like to proceed with an elective benign growth removal, also known as a cosmetic mole removal. Patient who are unhappy with the appearance of their mole often times elect for this procedure.

Common questions regarding a cosmetic mole removal:

What is the cost?

Is this a painful procedure?

Will there be a scar?

Schedule an appointment for a full skin exam and possible same-day mole removal by calling our clinic at 206-402-4797 or email Feel free to peruse our website as well for more information on cosmetic services!

Rise of the Retinols

August 4, 2015
6:30 am
Retinol Results

Among the most popular questions asked of any dermatologist is, “Will this work for my skin?” The key word in that question being, my. Skincare needs are customized to specific skin types–whether acne-prone, sensitive, dry, mature, etc.–your skin is yours and therefore a ‘one size fits all’ concept rarely applies when choosing the right skincare products.

Now imagine a miracle ingredient existed that could clear acne blemishes, reduce the appearance of fine lines, unclog pores, and even your overall skin tone. This particular ingredient relishes a challenge. It won’t rest after defeating one skin concern, but rather several! Must be the next front-line creation in skincare, yes? Actually, no. Retinol was discovered decades ago and has since undergone developments to ensure its efficacy on ALL skin types.

So why now, years after its introduction, is Retinol suddenly gaining popularity? Tretinoin, the most common retinoid prescription, contains a much more potent formula than the over-the-counter derivative, RetinOL. To a person struggling with acne, Retin-A appears more desirable for its fast-acting effects. However when using Retin-A, patients often experience dryness, irritation, peeling, and redness at the site(s) of application . In fact, the lowest concentration of tretinoin is up to twenty times stronger than FDA regulations for OTC distribution. These side-effects to Retin-A discourage patients from using the drug regularly and thus, results are not achieved.

Available at Advanced Dermatology and Laser Institute of Seattle, a more cosmetically elegant formula than Retin-A yields the same skin health benefits. Consider our distinct Retinol complexyour ‘little black dress’ of skincare. This product is a MUST-HAVE staple for anyone who struggles with their skin or is simply over the age of twenty-five.

One of the more costly mistakes consumers make regarding Retinol is improper usage. Only a pea-size amount for the entire face or affected area is needed. Our Retinol complex will last you 90 plus days when used correctly. This is a night time treatment only and should be applied 2-3 times per week until your skin has acclimated to its strength. Patients who observe side-effects to Retinol are likely using too much and too often. Talk with our board-certified dermatologist, Dr. Greene of Advanced Dermatology, for further instruction on Retinol usage or schedule an appointment today. Contact our clinic at 206-402-4797 between 8 am and 5 pm or email and we will happily accommodate your skincare needs.

The link below will take you to additional information on retinols:

Say Goodbye to Spider Veins!

August 4, 2015
6:26 am
Spider Veins

Often times painful and aesthetically unsightly–spider and varicose veins can now be treated for removal at Advanced Dermatology and Laser Institute of Seattle. This vascular condition is typically found on the legs as thin, blue and red veins or bulging rope-like cords raised above the surface of the skin. To prepare yourself for summer when the weather permits shorts and swimsuits–make the treatment of your leg veins a priority! Timing is critical in regards to using laser technology offered exclusively at our clinic for safe and effective leg vein removal. Seek treatment now and results may be observed upon the arrival of summer.

What causes spider and varicose veins?

How are spider and varicose veins treated?

How many treatments are necessary?

Is laser treatment painful?

The last and most important question patients ask regarding the Excel V laser is, “When will I see results?”

Click on link below to view a video of the Excel V Laser:

Schedule a cosmetic consultation with Dr. Greene today for summer-ready legs! Contact our office at 206-402-4797 or email and we will gladly accommodate your skincare needs.

Finally a Facial that Works!

August 4, 2015
6:23 am
Getting a Facial

Glowing skin after a spa facial is desirable, but temporary. If you are seeking medical-grade treatment and lasting results–a HydraFacial promises both! This dermatological system sets itself apart from a spa facial in that it uses healing serums formulated to combat individual skincare needs–from acne to wrinkles. As a vacuum-based skin abrasion device, the HydraFacial exfoliates while simultaneously infusing anti-oxidants, polypeptides, and hyaluronic acid into the treated area. These serums serve to:

For brides-to-be desiring photo-ready skin on their wedding day or patients struggling with continual acne break-outs, the HydraFacial is your skin solution. This is a non-invasive procedure, under an hour in length, with no discomfort or down-time following. To achieve radiant, smoother, and youthful-looking skin–your dermatologist may recommend a series of HydraFacials spanned one month apart for skincare upkeep.

During the procedure you should expect:

What are our patients saying about the HydraFacial?

“I suffer from occasional acne breakouts and my skin has never felt smoother after the HydraFacial procedure. The fresh-from-the-spa glow is not a myth! My face looks radiant and clear of blemishes.” –Caitlin, 26

“The fine lines around my eyes and mouth have diminished. This experience was both therapeutic and medically enhancing for more mature skin types like mine.” –Margaret, 50

To schedule a HydraFacial appointment at Advanced Dermatology and Laser Institute of Seattle, please call/email our clinic at (206) 402-4797 or We look forward to accommodating your skincare needs!

New Year, New Skin – Benefits of a Chemical Peel

August 4, 2015
6:20 am
Chemical Peel

The new look for 2015 is clear skin! This goal may be achieved in the form of a chemical peel treatment available at Advanced Dermatology and Laser Institute of Seattle. Improve the tone, texture, and overall health of your skin with a convenient, in-office treatment. Where other skincare options fail to yield results, patients at Advanced Dermatology have observed dramatic improvement in the quality of their skin only days following their first chemical peel procedure.

What does a chemical peel do for your skin?

What should you expect from a chemical peel?

During the application process of the peel, it is quite normal to experience a mild tingling sensation. This feeling subsides due to a cooling unit directed at the site of treatment. One of our most popular peels–the VI peel–consists of five acids: Salicylic acid for exfoliation, Trichloracetic acid for collagen stimulation and scar repair, Retinoic acid to battle wrinkles, Vitamin C for its antioxidant properties, and finally–Phenolic acid to reach deep skin penetration. Following the completion of the peel, a protectant product is applied.

Your skin may feel particularly tight on the first and second day of the peel. Any previous skin discolorations are much more pronounced at this stage (i.e. dark spots). Visible peeling will take place on the third day and gradually become more extensive as the peel progresses to completion at the seven day mark. It is highly advised that you do not pick or peel your skin as this may result in scarring. A moisturizer will be recommended by your dermatologist to keep the peeling under control. For optimum results, stay on a regimen of chemical peels every one to two months in conjunction with your at-home skincare routine. Chemical peels are not for every skin type. A board-certified dermatologist, like Dr. Steven Greene of Advanced Dermatology and Laser Institute of Seattle, is highly trained to evaluate your skin beforehand for appropriate guiding.

Botox - A Treatment for Depression?

August 4, 2015
6:11 am
Botox Treatment

Botox—or Botulinum Toxin A—is traditionally a cosmetic treatment used for the reduction of facial wrinkles. As a neuromodulator, Botox blocks nerves from transmitting signals between the brain and the injected muscle. When these signals are interrupted a safe, controlled weakening of the muscle results and the appearance of fine lines diminishes.

It isn’t commonly known that this specific injectable has proven in several studies to also improve major depression. Dermatologist and author of The Face of Emotion, Eric Finzi, developed a theory regarding the correlation of a patient’s mood and their outward expressions. Finzi’s research suggests that while frown muscles are responsible for portraying sadness, anger, and fear—it is impossible for a patient who has been treated with Botox to physically convey these same emotions. Frowning itself reinforces feelings of negativity while suppressing a frown quiets the facial muscles associated with negativity.

“Your emotions are created, in part, by your face,” Finzi told TODAY’s, Tom Costello. For Finzi, this idea began as a young child watching his mother suffer from depression. “I will never forget the etched and furrowed brow of my depressed mother – her suffering became a memory that inspired me to try and figure out what role our facial expressions play in our mental health.”

The largest study to date revealed that 52% of patients diagnosed with moderate to severe depression found significant relief after a single Botox injection to the glabella area (between the eyes). In three double-blind placebo-controlled trials, BTA was associated with a statistically substantial reduction in depressive symptoms. More information on this particular study is found in the August 2014 issue of the Journal of Clinical Psychiatry.

Further trials are warranted to determine if Botox is indeed a viable option for depression. If larger trials can replicate earlier findings, BTA may become an innovative treatment in the management of major depressive disorder.

What are other benefits of Botox?

Click on the link below to view a segment of Dr. Finzi on NBC’s The Today Show:

Finzi E, Rosenthal NE. Treatment of depression with onabotulinumtoxin A: a randomized, double-blind, placebo controlled trial [published online ahead of print December 16, 2013]. J Psychiatr Res.

Magid M, Reichenberg JS, Poth PE, et al. Treatment of major depressive disorder using botulinum toxin A: a 24-week randomized, double-blind, placebo-controlled study. J Clin Psychiatry [published online ahead of print May 13, 2014]. Abstract

Cryoshape - Your Keloid Cure

August 1, 2015
4:10 am

A highly innovative advance in the dermatological world that is safe and effective for removing keloids is available at Advanced Dermatology and Laser Institute of Seattle. What exactly is a keloid? Our body’s natural supply of collagen is stimulated when a trauma to the skin occurs. This skin tissue takes the appearance of a firm, rubbery nodule varying in size and color that is also known as a keloid.

Keloids pre-dominantly occur in patients with skin of color at the site of a piercing, burn, acne and surgical scar, or an insect bite. Common areas for keloid growth include the earlobes, chest, back, and shoulders. Although keloids are benign (non-cancerous) and not contagious, they can be very painful and aesthetically displeasing. When left untreated, keloids may even hinder the body’s ability to move effortlessly. Quality of life plays a significant role in these more severe cases.

What are your options for keloid removal? Despite minimal outcomes achieved by various treatment modalities such as pressure therapy, steroid injections, lasers, and surgical excision–the Cryoshape device delivers superior results. A unique, hand-held probe employs liquid nitrogen into the keloid and freezes unwanted scar tissue from the inside out. Other methods of removal are unable to penetrate the scar tissue deeply enough to not only remove the keloid but also reduce its chances of a re-occurrence. Before Cryoshape, patients were forced to re-adjust their day-to-day activities around an inhibiting skin condition–but not any longer! There is now life-changing treatment available for keloid removal.

Common questions regarding Cryotherapy:

How long does the average treatment take?

Is this a painful procedure?

How is Cryotherapy different from other keloid removal options?

Board-certified Dermatologist, Dr. Greene of Advanced Dermatology and Laser Institute of Seattle, has successfully treated numerous sufferers of keloids with the Cryoshape device. To schedule an appointment with Dr. Greene for Cryoshape treatment please contact our clinic at 206-402-4797 or email

FDA CLEARED | CE MARK | Holds US & EU Patents

CryoShape is not to be used on patients that were previously treated using surgery and radiation to treat the Keloid or Hypertrophic Scar.
Copyright © 2013, All Rights Reserved.

Play Sun SmartTM with Major League Baseball

July 30, 2015
6:01 pm
Be sunsmart

Since 1999, the American Academy of Dermatology (Academy), Major League Baseball (MLB) and the Major League Baseball Players Association (MLBPA) have partnered on the Play Sun Smart™ program, a public service partnership to raise skin cancer awareness while encouraging baseball fans to conduct skin self-exams and practice sun-safe behaviors.

Each year, chances are good that skin cancer will affect members of the baseball community, whether directly or indirectly through a family member or friend. In addition, with incident rates of skin cancer on the rise, the need to educate the public about the importance of sun safety has never been greater. Whether cheering from the stands or preparing to swing the bat, it is vital to know the facts and take protective measures. By educating baseball players and fans about this serious health threat, the Play Sun Smart™ program is committed to decreasing these odds among those who share America’s favorite pastime.

The 2013 Play Sun Smart™ initiative launched throughout the league on Sunday, June 2nd. Clubs will help spread the message about skin cancer awareness and detection in a variety of ways, including first pitches and on-field ceremonies for special guests affected by skin cancer, young fans delivering sunscreen to dugouts, and the launch of a new, league-wide scoreboard race to educate fans about playing safe in the sun. Additionally, MLB players, coaches, and staff from the clubs will serve as role models for fans by participating in skin cancer screenings and practicing sun-safe behaviors throughout the season.

Program information