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

  • Customized Laser Resurfacing

    Three levels of resurfacing — from gentle Fraxel to transformative CO2 + RF microneedling — customized to your goals and downtime. Learn More

  • Redness & Vascular Treatment

    Treat rosacea, broken blood vessels, and spider veins with Excel V+ precision vascular laser. Learn More

  • Tattoo & Pigment Removal

    Remove unwanted tattoos and stubborn dark spots with PicoWay picosecond laser. Learn More

  • Laser Hair Removal

    Permanent hair reduction for all skin tones with GentleMax Pro Plus dual-wavelength laser. Learn More

  • Scar Treatments

    Customized laser, RF, and injectable treatments for acne scars, surgical scars, stretch marks, and keloids. Learn More

  • Skin Tightening

    Firm and tighten skin on the face, neck, and body with RF microneedling and fractional laser treatments. Learn More

  • Melasma & Hyperpigmentation

    Expert treatment for melasma, dark spots, and uneven skin tone using PicoWay, Fraxel, and prescription skincare. Learn More

  • Botox & Dysport

    Soften frown lines, forehead wrinkles, and crow's feet with expert neurotoxin injections. Learn More

  • Dermal Fillers & Biostimulators

    Restore volume and contour with Juvederm, Restylane, Sculptra, and Radiesse. Learn More

  • Prejuvenation

    Preventative treatments to keep your skin youthful — start before the signs of aging appear. Learn More

  • 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.

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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

  • 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.

Schedule an Appointment

Click the link below to schedule an appointment.

Contact Us