Aesthetic Solutions

08/28/2025

Beautiful results after just one treatment combining the Fraxel Dual and Alexandrite Lasers for the chest.

Sun damage on the chest can lead to wrinkles, dark spots, and a leathery texture due to years of UV exposure. This delicate area is often overlooked in daily sun protection, making it especially prone to premature aging.

08/15/2025

Just two treatments in and I’m so happy with this patient’s results! By mixing a lower G prime hyaluronic acid filler with a biostimulator, we’re able to boost collagen production, improve skin quality, and reduce wrinkling. It’s always rewarding to see the skin respond so beautifully!

08/14/2025

Most men don’t realize how much sun damage the scalp can accumulate - especially once the hair starts to thin. Brown spots, rough patches, even depigmented areas are common signs of chronic sun exposure. And while they’re easy to ignore, they’re worth addressing, both for appearance and skin health.

In this blog we walk through:
• What scalp sun damage looks like
• Why prevention still matters
• What treatments can actually help

An in depth review on what causes scalp sun damage and a comprehensive review on that the treatment options are.

08/07/2025

✨Before & After: Rhinophyma Transformation✨
One session of fully ablative Erbium laser with Dr. Lisa Ishii = life changing results. We’re honored to be part of this patient’s journey. What an incredible transformation!

07/30/2025

Stretch marks are incredibly common - but did you know their color can reveal where they are in the healing process?
🔴 Red stretch marks (striae rubra) are newer and may respond more effectively to early treatment.
⚪ White stretch marks (striae alba) are older and typically require multi-modality approaches.
From lasers to microneedling, different treatments target different stages. Read more about stretch marks in our blog!

In this blog we review what causes stretch marks, topical options that may help, and cosmetic treatments to lessen their appearance.

07/29/2025

Radial cheek lines are fine lines or wrinkles that radiate outward from the mid-cheek area. They typically form due to a combination of dynamic muscle activity (like smiling) and intrinsic skin aging, including dermal thinning and decreased elasticity. Sun exposure, genetics, and volume loss in the midface may also play a role.

Here you can see improvement to radial cheek lines after one session of Skinvive. Unlike traditional fillers, Skinvive uses a unique microdroplet hyaluronic acid (HA) formula designed to deeply hydrate the skin and create a smooth, “soft focus” effect. It’s an ideal option for those seeking subtle radiance and skin “blurring,” rather than the structural enhancement provided by conventional dermal fillers.

07/28/2025

Quick weekend trip to Dallas with Galderma! ✈️💉 Honored to be part of a small group of physicians in the U.S. who served as a principal investigator in the FDA trial of Restylane Contour for the temples. The trial has concluded, so we met to review findings and share experiences.

The temples have long been overlooked, but this area plays a significant role in overall facial balance. Chasing lines is a thing of the past - it’s all about facial shaping. I’m excited about the advancements this trial is bringing to the field and what it means for natural, safe results.

07/18/2025

Impressive results for a patient treated for telangiectasia using pulsed dye laser. Dr. Ishii successfully reduced facial redness and visible capillaries caused by prior radiation therapy. For individuals managing rosacea, the Vbeam laser remains the gold standard laser. It effectively targets dilated blood vessels, helping to minimize redness and improve overall skin tone..

07/17/2025

When Mohs surgery is behind you, the next phase begins: healing. Thoughtful, expert-led scar management can significantly influence how the skin heals. From optimal timing of treatments like laser resurfacing to foundational practices like sun protection, there are proactive steps that promote smoother, less visible outcomes.
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Read our blog to explore a few of the strategies and frequently asked questions we hear that support healing and minimize scarring post MOHs.

Proper post operative instructions can set the stage for optimal healing and a more cosmetically pleasing end result for a MOHs scar.

07/08/2025

Subtle yet powerful results with HA filler to the lower face for this male patient! The goal was to restore structural definition and enhance lower face masculinity without creating an overfilled or ‘done’ appearance. Using a slow and steady approach, we rebuilt support lost over time and ended with this natural result.

07/03/2025

We are so incredibly honored to be named "Best of Chapel Hill" in the "Best Dermatologist/Cosmetic Services" again this year. Awards like this, given right here in our backyard, always mean so much! When I started the practice nearly 30 years ago I never would have been able to predict the incredible love and support from this community. Check out the latest issue of Chapel Hill Magazine to explore a treasure trove of amazing local businesses!

06/26/2025

Cherry angiomas (those small red spots on the skin) are common, harmless, and treatable. Read our latest blog to see the 5 questions patients ask most before removing them.

In this blog , we'll dive into the causes behind cherry angiomas, how pregnancy can play a role, and what treatment options exist to remove them.