Aesthetic Solutions

02/13/2026

Hands are often one of the first places where aging changes quietly appear, yet they are easy to overlook. For many patients, visible volume loss, uneven tone, and more prominent veins become noticeable concerns over time. Check out our blog for a review on why this happens and how we typically approach this concern.

Learn the causes of visible hand veins and all the options available for noninvasive treatment from board certified dermatologist Dr. Lisa Ishii.

02/11/2026

I’m so honored to be named a NC Top Doctor for the 21st consecutive year. The NC Top Doctor list reviews physicians based on education & training, years in practice, continuing education, licensing, publications, charitable work and more.

Visit nctopdocs.com to find more physicians in your area by specialty!

02/05/2026

Ever wondered about the difference between a needle and a cannula? It’s likely you’ll find us using both during your injectables session depending on the area and goal.

Needles are stiff, short and have a sharp tip. They allow for very precise placement, often along bone or more superficially in the skin. Needles are great for injecting small aliquots or thin strands of product.
�Cannulas are long, flexible and blunt tipped, making them helpful for treating larger areas with fewer entry points. This is optimal for injecting longer strands of product. Cannuals are preferred in highly vascular areas for their ability to displace blood vessels rather than pass through them, in turn reducing bruising and vascular risk.

Demonstration by .ishii 💉

02/04/2026

A full circle moment! In 2022, I began work as Principal Investigator for the Saypha filler clinical trial. Fast forward to 2025, I had the honor of visiting the manufacturing facility in Vienna and seeing the process firsthand. Now, it has officially made its way to the shelf!

I am incredibly honored to be selected as an ALOHA (Aesthetic Leadership with Obagi Hyaluronic Acid) Launch Partner with . It’s been a long time in the making, and I’m grateful to be a small part of it.

01/22/2026

It is always an honor to be recognized as a Castle Connolly Top Doctor. The 2026 Top Doctors list was released today, and I am truly grateful to be included.

With more than 1.1 million physicians in the United States, Castle Connolly recognizes just 7% as Top Doctors. This distinction is peer nominated and vetted by a physician led research team, meaning it has to be earned - not bought.

I am continually thankful to be able to do what I love. As my dad always said, “Make your vocation your avocation and you will never have to go to work.” How true that is.

01/08/2026

A new year means a fresh start!✨ In 2026, we’re avoiding shortcuts, curating routines that actually work, and skipping the social media hype. Mindful, intentional choices are here to stay.

12/23/2025

Happy holidays to you and yours. We wish everyone a joyful and restful holiday season, filled with warmth and time with those you love. Thank you for being part of our community. Here’s to a wonderful 2026 ahead.

12/22/2025

Beautiful results on my patient after three sessions of fillers and neuromodulators. As filler fear continues to be a hot topic, misconceptions are growing.

Thoughtful product selection and precise placement (in the hands of an experienced injector) make all the difference in achieving balanced, natural looking results. Fillers remain a cornerstone of a well-rounded treatment plan!

12/19/2025

I’m excited to have been included in this 50 year anniversary issue of Body Sculpting!

As Dermatologic Surgeons we have pioneered many of the advances including tumescent liposuction and my topic non invasive fat reduction with Coolsculpting.

Authors: William Coleman, MD, , myself, .m.donofrio and Kyle Coleman, MD.

12/17/2025

Considering treating visible leg veins? We are right in the middle of the most popular time of year to address this common concern. Read our recent blog for a clear overview of different vein types and how to plan treatment, explained by board certified dermatologist Dr. Kamrani.

Discover what to expect from vein treatment and recovery, including sclerotherapy and EVLA procedures, healing timelines, aftercare, and how to achieve the best results.

12/16/2025

Beautiful progress after one full face treatment and two focused sessions to the cheeks with the PicoSure Pro laser performed by Dr. Ishii.

This treatment improves tone, texture, and overall clarity by targeting pigment and stimulating collagen. We love this laser because its short picosecond pulses deliver powerful results without significant heat damage.

Subtle changes in skin tone and radiance can make a big impact, and we are loving this result!