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 or directly supervised by Dr. Peter Bittar or Dr. Julie de la Cruz — never delegated to non-physician staff. Our office features one of the most comprehensive laser and energy device suites in South Florida, including Fraxel FTX, Secret PRO CO2 and RF Microneedling, Excel V+, PicoWay, GentleMax Pro Plus and more, allowing us to match the right technology to your specific skin type, concerns, and goals.

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+

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 Resolve  |  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

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

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