Cosmetic Dermatology in Miami

A woman with clear skin and brown hair smiling gently, touching her face with both hands, against a light blue background.

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

  • 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

  • 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

  • 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

  • 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

  • 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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