- Treatment of diseased skin
- General care for skin
- Surgery by Laser
- Fillers (Restylane, Perlane, Juvederm)
- Fat Transfer
Tips & Wisdom
Dermatology + Cosmetic Surgery
Allan S. Wirtzer, MD, Medical Director
There have been tremendous advances in recent years for laser removal of unwanted facial or body hair.
Lasers produce intense light that is absorbed by the pigment in hair called melanin. The melanin absorbs the light and heats up. This heat damages the hair follicle without hurting the surrounding tissue. The damaged hair follicle stops producing hair or replaces thick adult hair with a fine, light-colored hair (vellus hair).
Traditional hair removal methods, such as waxing, shaving, and plucking, remove only the hair shaft. This leaves the hair follicle in place to grow new hair. Electrolysis delivers an electrical current to each follicle that can lead to permanent hair removal. However, it is painful and slow and usually requires multiple treatments over months or years.
Laser hair removal is a safe, effective, and convenient alternative to those methods. Lasers can treat large areas quickly, often in the time it takes to shave. Improvements may be seen after only one treatment, but repeat treatments are usually required to achieve desired results.
During treatment, you will experience mild to moderate discomfort similar to being snapped by a rubber band. Most patients tolerate the procedure without anesthesia, but anesthesia may be recommended for sensitive areas. This may include a numbing cream applied to the skin one hour before treatment.
After treatment, the area may appear swollen and feel like a mild sunburn.
Results of laser hair removal depend on several factors, including:
- Hair color—Lasers are most effective for dark hair. Light hair lacks sufficient melanin to absorb the light and heat up the hair follicle.
- Hair thickness—Thicker hairs respond better than thinner hairs.
- Skin color—Previously, only fair-skinned people could be treated with lasers for hair removal. Now dark-skinned individuals can also be treated, but gentler and more numerous treatments may be required to deliver the same results.
- Body area—Arms, legs, underarms, and hair in the bikini area respond best to treatment. Facial hair (chin and lip) tends to be more resistant.
People of all skin colors and hair types will benefit from some delayed hair re-growth for as long as 6 months after one treatment. However, because not all hair follicles are active at the same time, multiple treatments are usually needed to remove all hair from each area. Most people require 3–6 treatments, 4 to 6 weeks apart. After the initial round of treatments, your doctor may recommend maintenance treatments once or twice per year.
Along with mild side effects, some people may experience scarring or changes in skin color, although these changes are rare and usually resolve quickly. You can minimize these risks by carefully following your pre- and post-treatment instructions.
Patient Education Resources
Allan S. Wirtzer, MD, Medical Director What Are Some Rosacea Self-Care Tips? The chronic, relapsing nature of rosacea makes it a particularly vexing disorder to keep under control. Flare-ups, seemingly unpredictable, can be stressful. By observing certain lifestyle modifications, you may be able to ensure long-term success in managing your rosacea symptoms. While no lifestyle modification is foolproof, the following tips may help you prevent or minimize flare-ups. Common Triggers - Identify Yours The following list of common triggers can help you identify possible triggers for your rosacea symptoms. People with rosacea respond differently (or not at all) to each trigger, and it may take some time to determine what your triggers are. Many people find it helpful to keep a daily diary of food, activities, weather, and other factors that may cause flare-ups. You and your doctor can use the diary to discuss what to do to control your symptoms. Weather and the environmen...
Dermatology + Cosmetic Surgery. Allan S. Wirtzer, MD, Medical Director Scabies is an infestation of the skin with the microscopic mite Sarcoptes scabei. Infestation is common, found worldwide, and affects people of all races and social classes. Scabies spreads rapidly under crowded conditions where there is frequent skin-to-skin contact between people, such as in hospitals, institutions, child-care facilities, and nursing homes. What are the signs and symptoms of scabies infestation? Signs of scabies include the following: Intense itching, especially at night and over most of the body. Pimple-like irritations, burrows or a rash of the skin that appears in the webbing between the fingers, the skin folds on the wrist, elbow, or knee, the penis, the breast, or shoulder blades. The scalp is not usually affected. Sores on the body caused by scratching. These sores can sometimes become infected with bacteria. How did I get scabies? By direct, prolo...
Dermatology + Cosmetic Surgery Allan S. Wirtzer, MD, Medical Director Skin cancer occurs when skin cells start growing abnormally, causing cancerous growths. Most skin cancers develop on the visible outer layer of the skin (the epidermis), particularly in sun-exposed areas (face, head, hands, arms, and legs). They are usually easy to detect by examining the skin, which increases the chances of early treatment and survival. What types of skin cancer are there? There are different types of skin cancer, each named for the type of skin cell from which they originate. The majority of skin cancers fall into one of the following categories: Basal cell carcinoma (also called BCC) comes from the basal cells in lowest part of the epidermis. 80-85% percent of skin cancers are BCCs. Squamous cell carcinoma (also called SCC) comes from the skin cells (keratinocytes) that make up the top layers of the skin. About 10% of skin cancers are ...
At the USC Department of Dermatology, Dr. Reyter holds the position of Assistant Clinical Professor. Here, Dr. Reyter created an innovative lipodystrophy program that assists patients in the fight against disfiguring facial fat and volume loss. Dr. Reyter uses this program to teach his fellow physicians techniques to reduce facial fat loss, a problem common for aging individuals, but especially prevalent in those suffering from a number of diseases, including HIV. By using new methods to harvest and move fat from the patient, Dr. Reyter is able to eliminate the physically wasted, hollow look that is difficult to control through other means.
A Los Angeles native, Dr. Reyter attended the University of California Los Angeles, where he graduated magna cum laude as a Distinguished Scholar. Afterwards, he went to medical school at the University of California San Francisco. Finally, Dr. Reyter came back to Los Angeles to complete his dermatology residency training at USC, a position that saw him elected Chief Resident.
Following his residency, Dr. Reyter became a part of USC’s clinical faculty and started his own Beverly Hills-based private practice, which has grown in popularity. In recent times, Dr. Reyter was offered a fellowship position at Mohs Surgery/Procedural Dermatology, which he decided to accept. In the dermatology field, this fellowship is the most advanced surgical training, which means that Dr. Reyter is well equipped to serve his patients with his expertise as a dermatologist and dermatological surgeon.
American Skin Institute
American Skin Institute is a leading provider of dermatology services in Southern California.
The practice was formed in 2012, when the office of Ilya Reyter M.D. merged with the office of Allan Wirtzer M.D. With locations in Sherman Oaks, Beverly Hills and Westlake Village, American Skin Institute provides excellence in medical, surgical and cosmetic dermatology.
Our founder and Medical Director, Ilya Reyter, M.D., is fellowship-trained in dermatological surgery, specializing in Mohs skin cancer surgery and reconstruction as well as minimally invasive cosmetic surgery.
The board certified dermatologists and staff of American Skin Institute are dedicated to treating all aspects of skin disease utilizing the most advanced technology. Our facilities include:
- Mohs treatment center, for the most advanced surgical treatment for skin cancers
- Medicare-certified Ambulatory Surgery Center, offering the highest level of surgical care
- Comprehensive laser treatment center, with lasers for the treatment of blood vessels, sun damaged skin, sun spots, tattoo removal, hair removal, and skin rejuvenation
- Photodynamic treatment center, utilizing Blu-U light therapy for the treatment of acne and pre-skin cancerous lesions
- Psoriasis treatment center, including ultraviolet light therapy and the X-Trac laser system
- Acne treatment center
- Radiation oncology department, offering non-surgical treatment for skin cancer
- Plastic Surgery department