Injectables & Botox
Botox
A popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. Botox works by blocking nerve impulses allowing the muscle to relax and appear smooth.
The most commonly treated areas are frown lines between the eyebrows, forehead creases, and crow’s feet near the eyes. Results last anywhere from 3-6 months.
Dermal Fillers
Dermal fillers improve the appearance of fine lines and re-volumize the face. Fillers are composed of hyaluronic acid which is a natural substance in the body that provides volume, hydration, and elasticity to the skin.
Common treatment areas lips, cheeks, and smile/laugh lines around the mouth. ​Results last anywhere from 6-18 months depending on patient, type of filler, and area treated.
Facial Rejuvenation
Microneedling
Microneedling stimulates collagen and elastin production, which can help improve skin texture, firmness, scarring, and elasticity. Each treatment builds on the results of the previous one, leading to more significant improvements and allowing your medical grade products to penetrate deeper.
Dermaplane
Microdermabrasion
Microdermabrasion is a non-invasive skincare treatment that exfoliates and rejuvenates the skin, leaving it smoother, brighter, and more even in tone. By gently removing the outermost layer of dead skin cells, microdermabrasion can improve the appearance of fine lines, wrinkles, acne scars, and sun damage. Microdermabrasion is suitable for all skin types and requires no downtime.
High Frequency
The benefits of a high frequency series include improved skin texture, reduced acne and breakouts, and improved circulation for a healthier complexion.
Ultrasonic
An ultrasonic is a skincare treatment that uses high-frequency sound waves to exfoliate, cleanse, and rejuvenate the skin with a custom serum chosen specifically for your skin’s needs.
VI Peels
All our painless medium-depth VI Peels are safe for all skin types and tones with results in as little as 7 days. These VI peels are uniquely formulated treatments designed to lift pigment, remove sun damage, alleviate acne and scarring, and fight fine lines and wrinkles.
BBL
BBL is a great aesthetic treatment that is able to improve a variety of skin conditions whether they are epidermal (texture) or dermal (pigment). Ideal candidates for BBL are those that have unwanted brown or red spots or pigmentation on the surface of their skin, often caused by years of sun damage.
KTP
The KTP Laser is best for treating small, red vessels on the face and cherry angiomas on the face and body. When treated, vessels disappear immediately, followed by slight redness and they are then reabsorbed back into the body over coming days/weeks.
MOXI
The newest favorite among the prejuvenation demographic, it’s ideal for patients who want to delay the appearance of aging or those looking to maintain beautiful skin with little to no downtime or discomfort. Moxi comfortably delivers non-ablative laser energy to correct the initial signs of sun damage and aging no matter the season.
MATRIX PRO
Laser Services
BBL Hero
The Forever Young and BBL Hero is Sciton’s in motion technology using intense pulsed light (IPL). Our BBL Hero treats redness, vessels, pigmentation, fine lines and skin tone in a matter of minutes. Research has shown that with continued use, aging can be reduced and delayed.
Moxi Laser
Moxi is a gentle fractionated laser designed to effectively treat the visible signs of aging and produce evenly toned, radiant skin in as little as a single treatment – although 2-4 are recommended. Moxi laser is ideal for patients wanting to delay the appearance of aging or for those looking for a light resurfacing option that can be performed any time of year.
KTP Laser
The KTP Laser is best for treating small, red vessels on the face and cherry angiomas on the face and body. When treated, vessels disappear immediately, followed by slight redness and they are then reabsorbed back into the body over coming days/weeks.
Sebaceous Hyperplasia can also be improved with the KTP Laser. Following treatment, tiny blisters form at the site of the lesions, and the lesions resolve in about one week.
MATRIX PRO
Laser Hair Removal
Laser Hair removal works by targeting the pigment in the hair follicle. We are able to treat all areas and all skin types using a series of treatments, typically 5-7, that are spaced about 4-6 weeks apart. We offer the Alexandrite for light skin tones and the Yag for darker skin tones. Laser hair removal is not effective for white, gray, blonde or red hair. Please ask us about Electrolysis options if you fall into one of those categories.
Aesthetic Services
Signature Dermaplane (65 mins)
This facial is suitable for all skin types and is particularly beneficial for dull, dehydrated, acne prone, and aging skin. It can help improve the overall texture and appearance of the skin, leaving it looking radiant and refreshed.
New to our cosmetic center? This is the facial for you as it comes with a complete skin analysis and homecare recommendation!
Revive & Reset MicroPeel (35 min)
This micropeel treatment is a popular skincare treatment that combines the benefits of a chemical peel with the gentleness of a facial. It is designed to exfoliate the skin, improve its texture, and promote a more youthful appearance with no down time or skin flakiness.
Purify Enzyme Extraction Treatment (35 min)
Trifecta Diamond Facial (65 min)
Skin Sculpt Facial (75 min)
The microneedling helps to improve the penetration and efficacy of skincare products, while the dermaplaning enhances the overall exfoliation and rejuvenation of the skin. The result is a more youthful, radiant complexion with improved texture and tone.
Glacial Gloss Facial (35 min)
The Glacial Gloss Facial is tailored for all skin types, even rosacea and sensitive skin. This innovative technology combines the soothing benefits of facial cryotherapy with the gentle exfoliation of a micropeel to calm and improve ​the appearance of inflammation-prone skin, giving you the coveted gloss skin appearance.
Lash Lift & Tint (45 min)
Brow Lamination & Tint (45 min)
Brow or Lip Wax (15 min)
Brow or Lash Tint (15 min)
Sclerotherapy
Sclerotherapy is a procedure that effectively treats varicose and spider veins. It is generally used for small varicose veins but can be used for larger ones.
Sclerotherapy involves injecting a solution directly into the unsightly vein. The solution then causes the vein to scar and eventually collapse and fade.
Chemical Peels
We are happy to offer VI Peels which offers six uniquely formulated VI Peel treatments designed to lift pigment, remove sun damage, alleviate acne and scarring, and fight fine lines and wrinkles.
All our painless medium-depth VI Peels are safe for all skin types and tones with results in as little as 7 days!
Skin Concerns
Aging Skin
During your custom skin consult you will talk about common aging triggers such as:
- Repeated facial expressions
- Lack of skincare
- Stress
- Sun exposure
- Lack of sleep
- Health conditions
- Lifetime sun exposure
The Best in Facial Rejuvenation. Try our Program!
FACIAL SKIN SCULPT REJUVENATION PROGRAM
This comprehensive program is great for anyone who wants overall skin rejuvenation by combining various treatments tailored to your skin’s needs, a facial rejuvenation program can provide comprehensive rejuvenation, resulting in a brighter, smoother, and more youthful-looking complexion.
Full programs include the HIGHEST discounts and 5 Full Size Products, 10 Facial Rejuvenation Treatments, and a post care kit. BONUS: 10% off any additional product or services during the course of your program and for 3 months following.
TREATMENTS FOR AGING
Skin Sculpt Facial (75 min)
The Skin Sculpt Facial is a transformative treatment that combines the benefits of microneedling and dermaplaning to rejuvenate and revitalize the skin. Combining these two treatments in the Skin Sculpt Facial results in a synergistic effect, enhancing the benefits of each treatment.
The microneedling helps to improve the penetration and efficacy of skincare products, while the dermaplaning enhances the overall exfoliation and rejuvenation of the skin. The result is a more youthful, radiant complexion with improved texture and tone.
Microneedling
Microneedling stimulates collagen and elastin production, which can help improve skin texture, firmness, scarring, and elasticity. Each treatment builds on the results of the previous one, leading to more significant improvements and allowing your medical grade products to penetrate deeper.
Dermaplane
Dermaplaning is a non-invasive skincare treatment that offers the removal of dead skin cells and vellus hair, dermaplaning can leave the skin looking smoother and more radiant. This can also help to improve the efficacy of skincare products, as they can penetrate more effectively into the skin.
VI Peels
All our painless medium-depth VI Peels are safe for all skin types and tones with results in as little as 7 days. These VI peels are uniquely formulated treatments designed to lift pigment, remove sun damage, alleviate acne and scarring, and fight fine lines and wrinkles.
BBL
BBL is a great aesthetic treatment that is able to improve a variety of skin conditions whether they are epidermal (texture) or dermal (pigment). Ideal candidates for BBL are those that have unwanted brown or red spots or pigmentation on the surface of their skin, often caused by years of sun damage.
MATRIX PRO
Acne Concerns
Acne is a common skin condition that affects millions of people worldwide. According to the American Academy of Dermatology, acne is the most common skin condition in the United States, affecting up to 50 million Americans annually.
During your custom skin consult you will talk about common acne triggers such as:
- Excess Oil Production
- Clogged Pores
- Bacteria
- Hormonal Changes
- Genetics
- Diet
- Stress
- Medications
- Cosmetics and Skincare Products
- Friction or Pressure on the Skin
The Best in Facial Rejuvenation. Try our Program!
FACIAL PURIFY REJUVENATION PROGRAM
Our comprehensive acne treatment program is a personalized plan designed to address the specific needs of individuals struggling with acne. It involves a combination of treatments and skincare products tailored to the severity and type of acne.
Full programs include the HIGHEST discounts and 5 Full Size Products, 10 Facial Rejuvenation Treatments, and a post care kit. BONUS: 10% off any additional product or services during the course of your program and for 3 months following.
COSMETIC
TREATMENTS FOR ACNE
Purify Enzyme Extraction Treatment
Natural fruit enzymes are applied to the skin to gently exfoliate the skin, removing dead skin cells and unclogging pores. This helps to improve skin texture, promote a more even skin tone, and make the extraction process more comfortable.
High Frequency
The benefits of a high frequency series include improved skin texture, reduced acne and breakouts, and improved circulation for a healthier complexion.
BBL
BBL is a great aesthetic treatment that is able to improve a variety of skin conditions whether they are epidermal (texture) or dermal (pigment). Ideal candidates for BBL are those that have unwanted brown or red spots or pigmentation on the surface of their skin, often caused by years of sun damage.
Microneedling
Microneedling stimulates collagen and elastin production, which can help improve skin texture, firmness, scarring, and elasticity. Each treatment builds on the results of the previous one, leading to more significant improvements and allowing your medical grade products to penetrate deeper.
VI Peels
All our painless medium-depth VI Peels are safe for all skin types and tones with results in as little as 7 days. These VI peels are uniquely formulated treatments designed to lift pigment, remove sun damage, alleviate acne and scarring, and fight fine lines and wrinkles.
Inflammation
During your custom skin consult you will talk about common inflammation triggers such as:
- Rosacea
- Hormonal Changes
- Genetics
- Diet
- Stress
- Medications
- Cosmetics and Skincare Products
- Friction
- Pressure on the Skin
The Best in Facial Rejuvenation. Try our Program!
FACIAL PURIFY REJUVENATION PROGRAM
Our comprehensive inflammation treatment program is a personalized plan designed to address the specific needs of individuals struggling with skin inflammation.
Full programs include the HIGHEST discounts and 5 Full Size Products, 10 Facial Rejuvenation Treatments, and a post care kit. BONUS: 10% off any additional product or services during the course of your program and for 3 months following.
TREATMENTS FOR INFLAMMATION
Glacial Gloss Facial (35 min)
The Glacial Gloss Facial is tailored for all skin types, even rosacea and sensitive skin. This innovative technology combines the soothing benefits of facial cryotherapy with the gentle exfoliation of a micropeel to calm and improve ​the appearance of inflammation-prone skin giving you the coveted gloss skin appearance.
Ultrasonic
An ultrasonic series is a skincare treatment that uses high-frequency sound waves to exfoliate, cleanse, and rejuvenate the skin with a custom serum chosen specifically for your skin’s needs.
Microneedling
Microneedling stimulates collagen and elastin production, which can help improve skin texture, firmness, scarring, and elasticity. Each treatment builds on the results of the previous one, leading to more significant improvements and allowing your medical grade products to penetrate deeper.
KTP
KTP is a great non- invasive aesthetic treatment that is able to improve a variety of skin conditions such as Rosacea, pigment disorders, and vascular lesions.
BBL
BBL is a great aesthetic treatment that is able to improve a variety of skin conditions whether they are epidermal (texture) or dermal (pigment). Ideal candidates for BBL are those that have unwanted brown or red spots or pigmentation on the surface of their skin, often caused by years of sun damage.
Pigment & Discoloration
During your custom skin consult you will talk about common inflammation triggers such as:
- Sun exposure
- Hormonal changes (such as pregnancy or oral contraceptives)
- Inflammation
- Skin injuries (such as acne or eczema)
- Environmental exposures
The Best in Facial Rejuvenation. Try our Program!
FACIAL PURIFY REJUVENATION PROGRAM
Our comprehensive inflammation treatment program is a personalized plan designed to address the specific needs of individuals struggling with skin inflammation.
Full programs include the HIGHEST discounts and 5 Full Size Products, 10 Facial Rejuvenation Treatments, and a post care kit. BONUS: 10% off any additional product or services during the course of your program and for 3 months following.
TREATMENTS FOR
PIGMENT & DISCOLORATION
Trifecta Diamond Facial (65 min)
Microdermabrasion
Microdermabrasion is a non-invasive skincare treatment that exfoliates and rejuvenates the skin, leaving it smoother, brighter, and more even in tone. By gently removing the outermost layer of dead skin cells, microdermabrasion can improve the appearance of fine lines, wrinkles, acne scars, and sun damage. Microdermabrasion is suitable for all skin types and requires no downtime.
Microneedling
Microneedling stimulates collagen and elastin production, which can help improve skin texture, firmness, scarring, and elasticity. Each treatment builds on the results of the previous one, leading to more significant improvements and allowing your medical grade products to penetrate deeper.
BBL
BBL is a great aesthetic treatment that is able to improve a variety of skin conditions whether they are epidermal (texture) or dermal (pigment). Ideal candidates for BBL are those that have unwanted brown or red spots or pigmentation on the surface of their skin, often caused by years of sun damage.
VI Peels
Cosmetic Skin Care Lines
Constant sun exposure is the biggest threat to your skin. Sunrays damage the connective tissue in the skin and are a huge factor in increasing the risk for skin cancer. Here at Dermatology Associates of Virginia, we believe in taking preventive measures to protect your skin. Available for purchase at any of our office locations; both the EltaMD and Neostrata cosmetic skin care lines are dermatologist approved and can help improve the look and feel of the skin, while promoting better long term skin health.
EltaMD
EltaMD sunscreens help prevent sunburn and decrease the risk of skin cancer and early skin aging caused by the sun, when used in conjunction with other sun protection measures. EltaMD sunscreens are formulated with transparent zinc oxide and are non-comedogenic, hypoallergenic, fragrance-free and paraben-free.
SkinCeuticals
SkinCeuticals products are formulated with high concentrations of pharmaceutical-grade active ingredients clinically proven to make a significant improvement in the health and appearance of skin. Committed to efficacy, their products help provide the healthiest skin possible by correcting signs of aging and preventing future damage.
SkinMedica
SkinMedica products are scientifically proven to correct past damage and protect skin from future damage. Using research and clinical data, their products are committed to promoting the long-term health of your skin.
Circadia
Experience science and nature in perfect rhythm with Circadia. These products work to regulate the skin barrier properties and hydration levels by defending from environmental damage during the day and stimulating internal repair mechanisms during sleep. Achieve healthy skin with the combinations of pure botanicals, stem cells, second generation vitamins, and peptide technology.
Glymed+
At GlyMed Plus, our mission is to provide you with professional skincare that delivers unparalleled results. The foundation of our products, services, and education comes from using the highest-quality pharmaceutical-grade ingredients to promote healthy, beautiful skin.
ISDIN
As Spain’s top sun care brand, we drive the future of skincare using decades of passion & experience. Our international network of scientists investigates how genetics, lifestyle, emotions, and above all, the sun, impact your skin. With leading cosmetic & pharmaceutical research, we craft advanced formulas with innovative textures.
Meet Our
Cosmetic
Experts
We’re excited to meet our new cosmetic patients! Our providers strive to educate our patients and provide medical-grade cosmetic skincare to address various concerns related to their skin health or skin care regimen.
CAROL BYRD, M.D., LASER SPECIALIST
E. BERKELEIGH LADD, MSN, FNP-C
“Dr. Byrd was both very professional and personable.”
Dr. Byrd was both very professional and personable. She explained each and every step of the procedure (IPL) and there was minimal discomfort.
“Dr. Byrd is excellent and makes you feel at home and like an old friend”
Dr. Byrd is excellent and makes you feel at home and like an old friend even when we haven’t seen each other in awhile. And she is the best at what she does.
“Very good at communicating with me about my treatment and the technology.”
I have already recommended Dr. Byrd to others! She is very good at communicating with me about my treatment and the technology.
“Dr. Byrd has such good people skills and deep knowledge.”
Dr. Byrd has such good people skills and deep knowledge. I highly recommend her.
“Berkeleigh was wonderful”
Berkeleigh was wonderful and took lots of time to answer my questions.
“Ms. Ladd was excellent and obviously knows her job well.”
Ms. Ladd was excellent and obviously knows her job well. She did a great job. Thanks!
“Always friendly, knowledgeable and efficient.”
Always friendly, knowledgeable and efficient. I am very pleased with my skin care.
“Wonderful experience!”
Love Berkeleigh. Wonderful experience!
Frequently Asked Questions
What is Botox?
Botox (botulinum neurotoxin) injections are shots that use a toxin to prevent a muscle from moving for a limited time.
How does Botox work?
It blocks certain chemical signals from nerves that cause muscle to contract.
What areas of the face can be treated with Botox?
FDA has approved Botox for worry lines along the forehead, crow’s feet along the outer eye areas and frown lines between the brows.
How long does a Botox treatment session typically take?
Typically a Botox procedure is very quick, anywhere between 15 to 30 mins.
How long does it take to see results after a Botox treatment?
Although you may start to feel the effects of Botox within a couple days, maximum results may take up to two weeks.
How long do the effects of Botox last?
Everyone metabolizes differently, but the norm is 3-4 months.
Can I resume normal activities after a Botox treatment?
We recommend no strenuous exercise, avoid bending over and nothing that will rub/constrict the treatment area post procedure.
Who is a suitable candidate for Botox?
18 years of age or older, in good physical health and not pregnant or nursing.
How often should I get Botox treatments for maintenance?
Every 3-4 months is recommended.
What are dermal fillers?
Dermal fillers FDA approved cosmetic treatments used to soften the appearance of facial wrinkles and restore volume to the face.
What areas of the face can be treated with dermal fillers?
Commonly treated areas are nasolabial folds, perioral lines, lips, cheeks and chin.
Is the injection of dermal fillers painful?
How quickly will I see results after dermal filler injections? You will see a difference immediately, however it takes up to 2-4 weeks for dermal filler to fully set in.
Can dermal fillers be used with other cosmetic procedures?
Yes
Who is a good candidate for dermal fillers?
People who are in good physical health and no underlying health conditions are suitable candidates.
Can dermal fillers be reversed if I’m not satisfied with the results?
It depends on the type of filler used. Hyaluronic acid fillers can be reversed while others you will have to wait for them to wear off.
What is sclerotherapy?
A procedure to treat unwanted leg veins (spider veins).
How does sclerotherapy work?
It involves injecting a medication directly into the vein with a needle.
What types of veins can be treated with sclerotherapy?
Varicose or spider veins
Is sclerotherapy painful?
Patients can experience minor stinging sensations when the needle is inserted into the vein.
How long does a sclerotherapy session take?
Anywhere from 15 to 30 minutes.
How many sclerotherapy sessions are usually required?
Several treatments are normally required.
Are there any side effects associated with sclerotherapy?
To be discussed at consultation.
Is there any downtime after sclerotherapy?
Normal light activity is permitted right away however no strenuous activity is allowed for 3 days.
When will I see results after sclerotherapy?
3-6 weeks for spider veins, 3-4 months for larger veins.
Who is a suitable candidate for sclerotherapy?
Generally, adults who are in relatively good health with concerns about spider veins or varicose veins are considered good candidates for sclerotherapy.
Is sclerotherapy a permanent solution for vein issues?
Yes, but it will not prevent other veins from forming.
What is a chemical peel?
Its a procedure in which a chemical solution is applied to the outer layer of skin.
How do chemical peels work?
It removes the outer layer of skin.
What skin concerns can be addressed with a chemical peel?
Acne, melasma, fine wrinkles and uneven skin tone among others.
Are there different types of chemical peels?
Yes, there are superficial, medium depth and deep peels.
Is a chemical peel painful?
There is a slight burning, tingling sensation on the skin until the peel is neutralized.
How long does a chemical peel session take?
A chemical peel appointment is typically 30 mins.
Is there downtime after a chemical peel?
Depending on the depth of the peel, there may be downtime.
Can chemical peels be performed on any skin type?
Some conditions and skin types may not be candidates for chemical peels.
Can chemical peels be combined with other cosmetic treatments?
Typically chemical peels are a stand alone treatment.
How long do the results of a chemical peel last?
Results are patient specific, however, our providers will discuss this with you.
What is laser hair removal?
Laser hair removal is a procedure that uses a concentrated beam of light to remove unwanted hair.
How does laser hair removal work?
A laser emits light that is absorbed by the pigment in the hair follicle and damages the hair follicle.
Is laser hair removal permanent?
Multiple treatments are needed for initial hair removal, and maintenance treatments may be needed.
Which areas of the body can be treated with laser hair removal?
Nearly every area, except the eyelid and surrounding area.
Is laser hair removal suitable for all skin types and hair colors?
Red, Blonde, White and Gray hair are not candidates for laser hair removal. All skin types can be treated.
How many sessions are typically required for effective results?
5-7 treatments are recommended for optimal outcome.
Is laser hair removal painful?
It can feel like an elastic snapping with each laser pulse. We do offer topical numbing cream to desensitize the area being treated.
Are there any side effects associated with laser hair removal?
Rarely, laser hair removal can cause blistering, crusting, scarring and other changes in skin texture.
Can laser hair removal be done on all parts of the body?
Most parts, yes, excluding the eyes and area surrounding.
How long does each laser hair removal session take?
15 to 60 minutes depending on the size of the area being treated.
Is there any downtime after a laser hair removal session?
No, you may return to normal activity after treatment.
Is laser hair removal safe, and are there any contraindications?
Before starting treatment, the first consultation will help to identify any contraindications and educate the risk posed with not following pre/post treatment requirements.
What is (BBL) treatment for photo-rejuvenation?
This is a treatment that uses light energy to heat the upper layers of your skin. The heat absorbed by the targeted areas will stimulate the skin cells to regenerate.
How does laser photo-rejuvenation work?
Light pulses penetrate the skin, heating the targeted areas and leading to improved skin color and texture. Redness and heat may be present for a few hours; healing is typically about 1 week after treatment.
What skin concerns can laser photo-rejuvenation address?
Rosacea, telangiectasias, sun damage
Is laser photo-rejuvenation suitable for all skin types?
A consultation is needed to see if laser photo-rejuvenation is suitable for your skin type.
How many sessions are typically required for noticeable results?
You will see improvement on pigment on the first session, upwards to 3 treatments for vascular conditions or rosacea.
Is laser photo-rejuvenation painful?
Some patients feel some discomfort during treatment.
Is there any downtime after laser photo-rejuvenation?
There are some minor restrictions post treatment but typically you may return to work and daily tasks immediately following treatment.
When will I see results after laser photo-rejuvenation?
1 – 3 treatments depending on the individual’s goals.
Can laser photo-rejuvenation be combined with other treatments?
Yes, depending on the condition being treated as well as skin type.
Are there any side effects associated with laser photo-rejuvenation?
A mild sunburn feeling may be present for an hour post treatment as well as some minor swelling or bruising.
How long do the results of laser photo-rejuvenation last?
With appropriate preventative measures and sun protection, patients may only need annual or biannual maintenance treatments.
Is laser photo-rejuvenation safe, and are there any contraindications?
Photo-rejuvenation laser procedures are safe when performed by a fully trained medical provider. It is not for every patient. It’s why we require a consultation with one of our trained medical providers to see if it’s right for you.
What is laser treatment for veins?
A specific light wavelength that is attracted to the red color in vessels that heats and destroys them.
What types of veins can be treated with laser therapy?
Small red vessels on the face are most successfully treated.
Is laser vein treatment painful?
The pulses feel like a hot needle, however the treatment is very fast. Usually no longer than 15 minutes
How many sessions are typically required for laser vein treatment?
1-3 sessions
Is there any downtime after laser vein treatment?
Typically we see the vessels disappear immediately, however this is followed by redness and swelling of the vessels within a few minutes which may persist for a few hours.
Are the results of laser vein treatment permanent?
Several treatments may be required as well as touch ups over time.
Are there any side effects associated with laser vein treatment?
Redness, swelling are common, risk of a slight depression, hyper or hypopigmentation are much less frequent.
How can I determine if laser vein treatment is right for me?
A consultation is necessary to see if you are a candidate.
Cosmetic services are generally not medically necessary in nature and therefore not filed with your insurance carrier. Payment in full will be required at the time the services are provided in our office. Please note that some cosmetic services are only offered by certain physicians and not at all locations.