Cosmetic Dermatology in Miami
At Miami Dermatology and Surgery, our board-certified dermatologists offer a full range of evidence-based cosmetic treatments designed to help you look refreshed, natural, and confident.
Located in Coconut Grove and serving patients across Miami and South Florida, including Brickell, Coral Gables, Key Biscayne and beyond, we combine advanced technology with the medical expertise that only board-certified dermatologists can provide.
Every cosmetic treatment at our practice is performed by Dr. Peter Bittar or Dr. Julie de la Cruz — never delegated. Our office features one of the most comprehensive laser and energy device suites in South Florida, including Fraxel FTX, Secret PRO CO2 and Radiofrequency (RF) Microneedling, Excel V+, PicoWay, GentleMax Pro Plus, BLU-U and more, allowing us to match the right technology to your specific skin type, concerns, and goals.
Our Cosmetic Offerings
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Customized Laser Resurfacing
Three levels of resurfacing — from gentle Fraxel to transformative CO2 + RF microneedling — customized to your goals and downtime. Learn More
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Redness & Vascular Treatment
Treat rosacea, broken blood vessels, and spider veins with Excel V+ precision vascular laser. Learn More
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Tattoo & Pigment Removal
Remove unwanted tattoos and stubborn dark spots with PicoWay picosecond laser. Learn More
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Laser Hair Removal
Permanent hair reduction for all skin tones with GentleMax Pro Plus dual-wavelength laser. Learn More
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Scar Treatments
Customized laser, RF, and injectable treatments for acne scars, surgical scars, stretch marks, and keloids. Learn More
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Skin Tightening
Firm and tighten skin on the face, neck, and body with RF microneedling and fractional laser treatments. Learn More
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Melasma & Hyperpigmentation
Expert treatment for melasma, dark spots, and uneven skin tone using PicoWay, Fraxel, and prescription skincare. Learn More
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Botox & Dysport
Soften frown lines, forehead wrinkles, and crow's feet with expert neurotoxin injections. Learn More
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Dermal Fillers & Biostimulators
Restore volume and contour with Juvederm, Restylane, Sculptra, and Radiesse. Learn More
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Prejuvenation
Preventative treatments to keep your skin youthful — start before the signs of aging appear. Learn More
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PRP — Skin & Hair
Harness your body's own growth factors to rejuvenate skin and restore thinning hair — from the vampire facial to scalp PRP for hair loss. Learn More
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Chemical Peels
A customizable range of medical-grade peels — from superficial brightening to medium-depth TCA and TCA CROSS for acne scars — matched to your skin and goals. Learn More
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Laser-Assisted Drug Delivery
An advanced technique that uses laser or RF microneedling channels to drive Sculptra, PRP, triamcinolone, or Levulan deep into the skin — combining resurfacing with targeted treatment. Learn More
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Stretch Mark Treatment
Improve the color, texture, and visibility of both red (early) and white (mature) stretch marks with laser, RF microneedling, and collagen-boosting add-ons. Learn More
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Medical-Grade Skincare
Custom skincare routines built by dermatologists for the South Florida climate. Learn More
Customized Laser Skin Resurfacing
Fraxel FTX | Secret PRO CO2 | Excel V+ | PicoWay
Can Combine With: Secret PRO RF Microneedling | Topical Sculptra
No two patients age the same way, and no two patients want the same amount of downtime. That’s why we’ve designed a tiered laser resurfacing system that can be customized from a gentle, no-downtime treatment to an aggressive, transformative session — and everything in between.
Using a combination of the Fraxel FTX laser and/or the Secret PRO fractional CO2 laser, we offer three levels of resurfacing tailored to your concerns, skin type, and lifestyle.
Each level can be further customized by stacking additional lasers and technologies in the same session. For patients with redness, rosacea, or visible blood vessels, we can add our Excel V+ vascular laser. For stubborn dark spots or pigmentation, we can layer in our PicoWay picosecond laser or GentleMax Pro Plus. Any level can also be combined with Secret PRO RF microneedling for deeper collagen stimulation, and our CO2 laser treatments can be enhanced with topical Sculptra applied through the freshly created microchannels to amplify collagen production over the following months.
During your consultation, we’ll evaluate your skin and recommend the right level of resurfacing, the right combination of devices, and the right treatment plan for your goals and lifestyle.
Treats:
Fine lines and wrinkles
Sun damage, age spots, and brown spots
Melasma and hyperpigmentation
Acne scars and surgical scars
Enlarged pores
Uneven skin tone and rough texture
Skin laxity and crepey skin
Stretch marks
Actinic keratosis (pre-cancerous sun spots)
Redness & Vascular Laser Treatments
Excel V+ | Laser Genesis
The Cutera Excel V+ is a high-powered vascular laser with dual wavelengths (532 nm and 1064 nm) designed to treat redness, visible blood vessels, rosacea, spider veins, cherry angiomas, and port wine stains. Its precision and built-in cooling make it one of the most effective and comfortable options available for vascular and pigment concerns. It is also effective for treating brown spots and sun damage with minimal downtime.
Treats:
Rosacea and facial redness
Broken blood vessels and spider veins
Cherry angiomas
Sun spots and brown spots
Leg veins
Tattoo and Pigment Removal
PicoWay
The PicoWay laser uses ultra-short picosecond pulses to shatter pigment particles that the body then naturally clears. It is one of the most advanced devices available for removing tattoos of all ink colors, including difficult blues and greens. Beyond tattoo removal, PicoWay is highly effective for stubborn dark spots, melasma, and overall skin revitalization through its PicoWay Resolve fractional handpiece, which stimulates collagen remodeling with minimal downtime. Its ultra-fast energy delivery means less heat, reduced risk of scarring, and suitability for a wide range of skin tones.
Treats:
Tattoo removal (all ink colors)
Stubborn pigmentation and dark spots
Melasma
Acne scars (PicoWay Resolve)
Skin tone and texture improvement
Laser Hair Removal
GentleMax Pro Plus
The Candela GentleMax Pro Plus is widely considered the gold standard in laser hair removal. Its dual wavelengths (755 nm Alexandrite and 1064 nm Nd:YAG) allow us to safely and effectively treat patients of all skin types, including darker skin tones that many other hair removal lasers cannot safely address. The patented Dynamic Cooling Device sprays a burst of cryogen onto the skin before each pulse, maximizing comfort. The GentleMax Pro Plus is effective for both large areas (legs, back, chest) and precision areas (upper lip, bikini line, underarms).
Treats:
Permanent hair reduction on the face and body
All skin types, including darker skin tones
Large and small treatment areas
Scar Treatments
Fraxel FTX | Secret PRO CO2 | Secret PRO RF Microneedling | PicoWay | Excel V+
Can Combine With: Subcision | Sculptra | Triamcinolone
Scars — whether from acne, surgery, trauma, or stretch marks — are one of the most common concerns we treat. Because no two scars are alike, we draw on multiple technologies to build a customized treatment plan based on your scar type, depth, skin tone, and goals. Our approach may combine fractional laser resurfacing, RF microneedling, vascular laser treatment for red scars, picosecond laser for pigmented scars, subcision for tethered scars, and injectable therapies like Sculptra and triamcinolone — often stacking several in a single visit for the most comprehensive results.
Treats:
Acne scars (pitted, rolling, boxcar, ice pick)
Surgical scars
Traumatic scars
Stretch marks
Burn scars
Red or vascular scars
Discolored or pigmented scars
Raised scars and keloids
Skin Tightening
Secret PRO RF Microneedling | Secret PRO CO2 | Fraxel FTX | PicoWay | Laser Genesis
As we age, the skin gradually loses collagen and elastin, leading to laxity, crepey texture, and a loss of definition along the jawline, neck, and around the eyes. Our primary tool for non-surgical skin tightening is the Secret PRO RF microneedling system, which delivers radiofrequency energy into the deeper dermis to stimulate new collagen and elastin formation. For more aggressive improvement, we can combine RF microneedling with the Secret PRO fractional CO2 laser or use the Fraxel FTX for a gentler approach. Results develop gradually over two to six months as new collagen matures.
Treats:
Mild to moderate skin laxity on the face and neck
Jowling and loss of jawline definition
Crepey skin on the neck, chest, and body
Under-eye skin laxity
Post-weight-loss skin loosening
General loss of skin firmness and elasticity
Melasma and Hyperpigmentation
Picoway | Fraxel FTX | Excel V+ | GentleMax Pro Plus
Can Combine With: Medical-Grade Skincare | Topical Prescription Therapy
Melasma and hyperpigmentation are among the most challenging cosmetic concerns to treat — and among the most common in South Florida, where year-round UV exposure can trigger and worsen dark patches. We offer multiple device-based and medical options including the PicoWay picosecond laser, Fraxel FTX, Excel V+ for the vascular component of melasma, and GentleMax Pro Plus for pigmented lesions. Because melasma is a chronic condition driven by hormones, UV, and heat, we combine device-based therapies with prescription-strength topicals and rigorous sun protection for lasting results.
Treats:
Melasma
Sun spots and age spots
Post-inflammatory hyperpigmentation
Uneven skin tone and discoloration
Freckles and sun-induced pigment changes
Botox, Dysport & Neurotoxin Treatments
Botox | Dysport
Neurotoxin injections are the most popular cosmetic treatment in the world — safe, effective, and requiring virtually no downtime. We offer Botox, Dysport, and other neurotoxin options to temporarily relax the facial muscles that cause dynamic wrinkles such as frown lines, forehead lines, and crow’s feet. Results are typically visible within a few days and last three to four months.
Because our injectors are board-certified dermatologists with deep expertise in facial anatomy, we take a conservative, natural-looking approach. The goal is to soften lines while preserving your natural expression and movement.
Dermal Fillers & Biostimulatory Injectables
Restylane | Juvederm | Sculptra
Dermal fillers restore lost volume, smooth deep lines, and enhance facial contours without surgery. We offer hyaluronic acid fillers (Juvederm, Restylane) for lips, cheeks, nasolabial folds, and under-eye hollows — with the advantage of being reversible. For gradual, long-lasting improvement, we offer biostimulatory injectables including Sculptra, which stimulates your body’s own collagen production.
During your consultation, we’ll assess your facial anatomy and discuss which products will best achieve the natural-looking results you’re after.
Prejuvenation — Preventative Cosmetic Treatments
Fraxel FTX | Botox | Laser Genesis
Supported By: Skincare | SPF Protection
You don’t have to wait until wrinkles and sun damage are visible to start investing in your skin. Prejuvenation is a proactive approach that focuses on preventing the signs of aging before they develop, and it’s one of the smartest things patients in their late 20s, 30s, and early 40s can do for their long-term appearance. A prejuvenation plan might include preventive Botox or Dysport, Laser Genesis, annual Fraxel FTX maintenance treatments and a dermatologist-designed skincare routine, especially critical in South Florida’s year-round UV environment.
Platelet-Rich Plasma (PRP) — Skin & Hair Restoration
Facial PRP | Under-Eye PRP | Vampire Facial | PRP for Hair Loss
Can Combine With: RF Microneedling | Laser Resurfacing | Hair Transplant
Platelet-rich plasma (PRP) uses growth factors concentrated from your own blood to stimulate natural healing and renewal, with no risk of allergic reaction since it comes entirely from your own body. For the skin, PRP is often paired with microneedling in the popular "vampire facial," driving growth factors deeper to improve tone, texture, fine lines, and under-eye dark circles.
For the scalp, PRP is injected to strengthen weak follicles and improve the thickness and density of thinning hair — on its own, with medical therapy, or alongside an FUE hair transplant to support graft survival. For both skin and hair, PRP is delivered as a series, with results developing gradually over the following months.
Treats — Skin:
Dull, uneven tone and texture
Fine lines and early signs of aging
Under-eye dark circles, hollowing, and crepey skin
Acne scarring (with microneedling or laser)
Treats — Hair:
Androgenetic (pattern) hair thinning
Early-stage hair loss and reduced density
Weak or miniaturizing follicles
Healing and graft support after a hair transplant
Chemical Peels
Melaspeel | Salipeel | Ferulac | Pyruvic Peel | TCA | TCA CROSS
Can Combine With: Nano-Additive Boosters | C-Peel Vitamin C | RF Microneedling
Chemical peels are one of the most versatile tools in dermatology. Because no two skin concerns are alike, we offer a customizable range of medical-grade peels from superficial to medium depth, using professional Mediderma systems alongside TCA peels prepared at the right strength — often layering formulas in a single treatment.
For melasma and pigmentation, our Melaspeel peels pair exfoliating acids with brighteners like kojic acid and arbutin. For acne and oily skin, salicylic-based Salipeel and pyruvic peels clear pores and control oil. Antioxidant Ferulac peels refresh dull tone and texture. For deeper correction, medium-depth TCA peels treat pigmentation and sun damage, while TCA CROSS targets pitted acne scars. Treatments can be finished with nano-additive boosters and C-Peel vitamin C serum.
Treats:
Melasma and hyperpigmentation
Sun damage, dark spots, and uneven tone
Acne and congested, oily skin
Acne scars (TCA CROSS for pitted scars)
Fine lines and early signs of aging
Dull, rough texture and enlarged pores
Laser-Assisted Drug Delivery (LADD)
Secret PRO CO2 | Fraxel FTX | Secret PRO RF Microneedling
Delivers: Topical Sculptra | PRP | Triamcinolone | Levulan (Photodynamic Therapy)
Laser-assisted drug delivery (LADD) uses a fractional laser or RF microneedling to create thousands of microscopic channels in the skin, then applies a therapeutic agent immediately afterward so it penetrates far deeper and more evenly than it could alone. In effect, it turns a resurfacing treatment into a precise delivery system — amplifying results for everything from collagen rebuilding to scar treatment and precancerous sun damage.
Using the Secret PRO CO2, Fraxel FTX, or RF microneedling to create the channels, we deliver topical Sculptra to stimulate collagen, PRP to support rejuvenation, triamcinolone to soften raised scars, and Levulan for laser-assisted photodynamic therapy — treating sun damage and precancers while resurfacing in the same session.
Treats:
Acne scars and surgical scars (Sculptra, PRP, triamcinolone)
Raised, hypertrophic, and keloid scars (triamcinolone)
Sun damage and actinic keratoses / precancerous spots (Levulan PDT)
Fine lines, texture, and collagen loss (Sculptra, PRP)
Overall skin rejuvenation, tone, and radiance (Sculptra, PRP)
Stretch Mark Treatment
Secret PRO RF Microneedling | Secret PRO CO2 | Fraxel FTX | Excel V+
Can Combine With: PRP | Topical Sculptra
Stretch marks (striae) form when rapid stretching — from growth, pregnancy, weight changes, or muscle gain — breaks down collagen and elastin in the deeper skin. Because they respond differently depending on their age and color, we tailor the approach to the stage. They can rarely be erased completely, but the right combination of treatments can dramatically improve their color, texture, and visibility.
For red or purple early marks (striae rubra), we target the vascular component with the Excel V+ laser. For white, mature marks (striae alba), we rebuild collagen and smooth texture with Secret PRO RF microneedling, fractional CO2, and Fraxel FTX. Treatments can be enhanced with PRP and topical Sculptra, and a series is typically recommended for the best results.
Treats:
Red and purple early stretch marks (striae rubra)
White and silver mature stretch marks (striae alba)
Striae on the abdomen, hips, thighs, breasts, and arms
Post-pregnancy and post-weight-change stretch marks
Related skin texture and mild laxity
Medical-Grade Skincare
Completely Customized Skincare Routines
Great cosmetic results don’t end when you leave the office. We work with each patient to build a personalized, medical-grade skincare routine that complements your in-office treatments and helps maintain your results long-term. Our dermatologists can recommend evidence-based products including retinoids, antioxidants, growth factors, and SPF protection tailored to your skin type and the South Florida climate.
Frequently Asked Questions About Cosmetic Dermatology
Still have questions? Take a look at the FAQ or reach out anytime.
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Botox results typically last three to four months, though this varies by individual. Factors that influence duration include the area treated, the dose used, your metabolism, and muscle activity. With regular treatments, some patients find that results last somewhat longer over time.
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Both are FDA-approved injectable neurotoxins that temporarily relax muscles to smooth wrinkles. Dysport tends to spread over a somewhat broader area, which can be an advantage for larger zones like the forehead. Your dermatologist will recommend the best option based on your treatment goals.
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We offer hyaluronic acid fillers (Juvederm and Restylane), plus biostimulatory fillers including Sculptra and Radiesse. Each has specific properties suited to different areas — lips, cheeks, jawline, under-eye hollows, or nasolabial folds — and your doctor will recommend the right product for your goals.
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We offer several approaches depending on scar type and skin tone. The Fraxel FTX uses non-ablative fractional technology for moderate improvement with less downtime. The Secret PRO combines fractional CO2 with RF microneedling for more aggressive scar revision. PicoWay Resolve uses picosecond pulses to promote collagen production with minimal downtime. During your consultation, we'll evaluate your scars and recommend the best approach.
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We offer three customizable levels. Level 1 uses the Fraxel FTX non-ablative laser for gentle resurfacing with 1–3 days of downtime. Level 2 uses the Secret PRO fractional CO2 for light ablative resurfacing, optionally combined with RF microneedling and topical Sculptra, with 3–5 days of downtime. Level 3 uses the Secret PRO at higher settings for medium to heavy ablative resurfacing, also with optional RF microneedling and topical Sculptra, with 5–7+ days of recovery. Your dermatologist will recommend the right level during your consultation.
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While some clinics charge per unit, we charge based on the areas treated such as the upper face, neck, masseters, etc. We recommend scheduling a consultation for a personalized plan and estimate. Contact us at (305) 456-1425.
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Most patients experience minimal downtime. Mild swelling, bruising, and tenderness are common and typically resolve within a few days. Most patients return to normal activities immediately.
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Our laser suite includes the Fraxel FTX for fractional skin resurfacing, the Secret PRO for combined CO2 laser and RF microneedling, the Excel V+ for vascular and pigment concerns like rosacea, the PicoWay for tattoo removal and pigment correction, and the GentleMax Pro Plus for laser hair removal.
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Board-certified dermatologists have deep expertise in skin science, facial anatomy, and aging. They can diagnose underlying conditions that affect outcomes, select the safest products for your skin type, and manage rare complications. At our practice, every cosmetic treatment is performed by a board-certified dermatologist.
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Platelet-rich plasma (PRP) uses growth factors concentrated from your own blood to stimulate natural healing and renewal. For the skin, it is often paired with microneedling — the vampire facial — to improve tone, texture, fine lines, and under-eye dark circles. For the scalp, it is injected to strengthen thinning hair and support early-stage hair loss, on its own or alongside a hair transplant. Because PRP comes entirely from your own body, there is no risk of allergic reaction. Treatment is done as a series, with results developing gradually over the following months.
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We offer a customizable range of medical-grade peels from superficial to medium depth. These include professional Mediderma systems — Melaspeel for melasma and pigmentation, salicylic-based Salipeel and pyruvic peels for acne and oily skin, and antioxidant Ferulac peels for tone and texture — as well as TCA peels at various strengths for deeper correction and TCA CROSS for pitted acne scars. During your consultation, your dermatologist selects and often combines the right formulas for your skin and goals.
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Laser-assisted drug delivery (LADD) uses a fractional laser or RF microneedling to create microscopic channels in the skin, allowing a topical medication or therapeutic agent applied immediately afterward to penetrate much deeper and more evenly than it otherwise could. We use it to deliver agents such as Sculptra and PRP for collagen and rejuvenation, triamcinolone for raised scars, and Levulan for photodynamic therapy that treats sun damage and precancers, combining resurfacing and targeted treatment in a single session.
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Stretch marks can be significantly improved but rarely erased completely. The best results come from matching the treatment to the stretch mark's stage: red or purple early marks (striae rubra) respond well to vascular laser treatment, while white, mature marks (striae alba) improve with collagen-building treatments like RF microneedling and fractional laser resurfacing, often enhanced with PRP or Sculptra. A series of treatments produces the most noticeable improvement in color, texture, and visibility.
Schedule an Appointment
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