Laser Surgery and Aesthetic Dermatology

Teledermatology consultations are available. Call 401-738-1120.

To make an appointment for laser or aesthetic dermatology, please call 401-738-1120.


Several cosmetic procedures are performed at The Warwick Medical Building and Rhode Island Hospital by Brown Dermatology staff members. All patients have a consultation appointment before any procedure. Because these procedures are cosmetic, insurance plans usually do not cover treatment costs.


Cosmetic procedures include:


  • VBeam Perfecta for treatment of vascular and pigmented lesions such as spider veins, broken blood vessels, lentigines, birthmarks
  • Fraxel for acne scarring and resurfacing
  • Picoway for tattoos, pigmented lesion, resurfacing
  • CO2RE for scars, resurfacing, skin tightening, stretch marks, vaginal rejuvenation


  • Botox
  • Dysport
  • Juvederm
  • Kybella
  • Restylane
  • Restylane Lyft
  • Radiesse


  • Salicyclic Acid
  • Glycolic Acid
  • Lactic Acid
  • Mandelic Acid
  • Jessner’s solution
  • Retinoic Acid
  • TCA
  • Phenol-croton oil deep chemical peel

Laser light is a revolutionary treatment option for spider veins and skin pigment problems.The most common laser procedures are treatment of spider veins on the face, legs, ankles or feet. Spider veins are reddish or purplish in color and can appear raised or flat, and treatment is primarily for cosmetic purposes. The laser can treat either single or matted spider veins.Cosmetic laser treatment can be used for

  • Broken capillaries
  • Age spots
  • Liver spots
  • Wrinkles
  • Acne scars
  • Birthmarks
  • Spider veins
  • Stretch marks
  • Unsightly hair
  • Strawberry hemangiomas
  • Warts
  • Rosacea
  • Scars


How it works

The laser device delivers a focused, coherent beam of light that penetrates the skin. The light is absorbed by the lesion and converted to heat, which destroys the lesion, taking the unsightly color with it. Despite the intensity of the light, the procedure is remarkably gentle. The light is only absorbed by the lesion, and the surrounding tissue is not affected. Because the treatment is so selective, it is considered safer than other treatment options. It is so safe that it can be used to treat infants with birthmarks. The recovery time is also shorter than other options.


Possible side effects

Immediately following treatment, the area that has been treated may appear redder than usual or discolored, and some patients report an increase in skin pigmentation. Skin color usually returns to normal over time.


How long does it take?

A laser light treatment session usually takes 15 to 30 minutes. For some conditions, such as small spider veins, only one session may be required. Additional sessions may be necessary depending on the condition and where on the body the treatment is needed. For facial resurfacing procedures, patients are asked to come in earlier for application of topical numbing anesthetic medication.

Where do you put the Botox?

Botox can be used in almost any facial location where there are unwanted wrinkles. The most common areas are between the eyebrows, forehead, around the eyes, and around the lips for smoker’s lines.


When does Botox start to work, and how long does it last?

The results of Botox treatment can take up to 14 days to appear. The treated muscles will gradually regain their action over three to five months. When the frown line starts to reappear, a simple repeat treatment is all that is necessary to maintain the desired results.


Who can perform Botox treatment?

Botox therapy should only be performed under the direction of a physician experienced and trained in the use of Botox.


Has Botox been tested?

Botox has been used since 1980 for the treatment of strabismus (lazy eye), and blepharospasm (uncontrolled eye blinking). Botox has been used for treatment of wrinkles since 1989 and is very safe.

Where do you put the filler?

Filler can be used in almost any location where there is loss of volume.  The most common areas are the cheeks, under the eyes, nasolabial folds, marionette lines, and hands.


When does filler start to work, and how long does it last?

The results of filler are noticeable immediately after treatment. Depending on the location and type of filler used, filler can last 6 months to 2 years.


Who can perform filler treatment?

Botox therapy should only be performed under the direction of a physician experienced and trained in the use of filler.


Are fillers safe?

Hyaluronic acid fillers are very safe, since they are a synthetic form of the naturally occurring hyaluronic acid made by your body.

Where do you put the Kybella?

Kybella is used for treatment of excess fat underneath the chin.


When does Kybella start to work, and how long does it last?

The results of Kybella can take up to 1 month to appear.  During the first week after treatment, you should expect the treated area to feel swollen and very firm. The results of Kybella are long-lasting, since the medication causes permanent fat cell destruction.


Who can perform Kybella treatment?

Kybella can only be performed by a trained physician.


Has Kybella been tested?

Kybella has been rigorously tested in several large scale clinical trials.