Cosmetic Surgery & Dermatology of Issaquah, Inc.

10/08/2025

We have a Botox Week happening now!
This applies to Botox and Xeomin treatments in the office.
Give us a call at 425-391-2500 to schedule.
Use your Alle points or earn more in the process!

10/08/2025

This post is a great reminder how indoor tanning can negatively affect the health of your skin.

Dispute the warnings of increase skin cancer risks, and premature skin aging indoor tanning is still sought out.

If this sounds like you, make sure to incorporate self skin exams into your routine. Get an annual skin exam also, skin cancers can show up in unexpected places and are not always dark or irregular looking.

10/03/2025

This is something we can get behind and the The Skin Cancer Foundation blog is worth the read.
The number of misleading or false claims made on social media is out of control.

Misinformation about sun protection is spreading fast online, especially when influencers push myths like “tanning is healthy” or “a base tan will help prevent sunburn.” In fact, a 2024 survey found 59% of Gen Z believe tanning myths. 😱

Our latest article highlights how social media can amplify false claims, even when they endanger public health. When dangerous social narratives like this start trending, it can be hard to separate fact from fiction.

The take away: fact check what you hear online. Many reputable organizations, like The Skin Cancer Foundation, work tirelessly to combat the spread of misinformation.

Read the full article: https://www.skincancer.org/blog/skin-health-misinformation-the-dark-side-of-social-influencers/

10/02/2025

October specials are out! We have extended our Fraxel promotion to allow more time for scheduling.

New patients to aesthetics will require a consultation with Leslie Carney, LME prior to treatment.
Fraxel treatments take about an hour, and topical numbing is provided. All treatments are supervised by Dr. Michalak, Board Certified Dermatologist who is on the premise.

☎️ 425-391-2500 to schedule.

For more details: https://drmichalak.com/fraxel-facial/

09/25/2025

What’s the difference between Fraxel and Fortified Fraxel, part two:

This is a common question for us that can be confusing because Fraxel Laser is one device.

Fraxel: The laser we have is Fraxel Dual. This is a dual wavelength laser that treats superficially and deeper in the dermis. Also referred to as Thullium, 1927 nm. Or 1550nm, indicating the depth of treatment.
Fraxel treats sun damage, hyperpigmentation, skin texture, wrinkles, and some types of acne scars. Fraxel is also used as a preventative treatment for skin cancer.
Your treatment may be one or both wavelengths depending on what we are targeting.

Fortified Fraxel: Very similar with less energy. Unless indicated we use both wavelengths. Primary difference is different setting. Additional benefit is the use of topical antioxidants. Bonus, we get better pe*******on of topicals because Fraxel creates tiny open channels or micro columns.

Determining treatment: Consultations determine what Fraxel is best for the individual. We often have patients who get yearly Fraxels and use Fortified as a maintenance treatment, it can also be more comfortable because the energy is different. Fortified Fraxel is also less expensive and our patients really appreciate having different customizable options.

To learn more visit our website: https://drmichalak.com/fraxel-facial/

To schedule a consultation
☎️ 425-391-2500

09/19/2025

More exposure means increased skin cancer risk and skin aging. You can do something about it!

In the U.S., nearly 45 million people work outdoors regularly—yet many don’t get the education they need about sun protection. Daily exposure doesn’t just speed up skin aging; it also increases the risk of skin cancer. Protect yourself with a smart sun safety strategy, which includes UPF clothing, sunglasses and sunscreen.

Learn more: https://www.skincancer.org/risk-factors/working-outdoors/

09/16/2025

Fraxel is a key treatment we offer because it addresses common concerns in dermatology like sun damage, hyperpigmentation, skin texture, and has now been shown to help prevent the development of non melanoma skin cancers.
We offer three different Fraxel options in the office and for this post we are focused on the two most popular Fortified Fraxel and Fraxel.
Having the ability to adapt to different degrees of skin damage is a key reason why Dr. Michalak created the milder versions of this treatment. Not everyone needs a full Fraxel and some people have difficulty tolerating the full Fraxel Dual setting but want the benefits.
The beauty of it is, we can use the dual setting which targets your dermis where collagen lives and epidermis where your skin cells are. Fortified Fraxel targets both with less energy so it’s more tolerable. Included are post treatment topical antioxidants that we do not do with the stronger Fraxel treatment.

The goal of this is to offer the best treatment for the individual, with the most efficacy, and safety at the same time.

Laser treatments are complicated, and not one fits all.

A consultation determines your skin issue and goals so we put you in the right treatment.

09/12/2025

It’s never too late to improve the health of your skin! Skin can start looking a little worn out if you’ve had a lot of sun exposure as summer comes to a close.
These are all solid treatments that can make a difference in the way your skin looks.
Here’s our favorites:
✅ Vitalize peel
✅ Fraxel
✅ VBeam
✅ Microneedling
✅ Laser Resurfacing
✅ Laser Dynamic Light Therapy
✅ Retinoids
✅ Sunscreen always

Cosmetic procedures like chemical peels, injectables, microdermabrasion and laser / light treatments can help refresh and rejuvenate your skin.

Consult an ASDS board certified dermatologist to find the right procedure for you.

asds.net/find

09/05/2025

Like it or not exposure to the sun without protection damages your skin showing up as brown spots, redness, blotchy uneven skin texture.
Photo damage can also create premature loss of elasticity, wrinkles, and dry skin.
Let’s not forget about skin cancer. 90% of skin cancer cases are related to sun exposure.

There are things you can do to correct the damage.

What can help:

✅Topical retinoids like Tretinoin.
✅Lasers like Fraxel, laser resurfacing or Vbeam ( pulsed dye laser) for redness. Sometimes it’s a combination of these modalities.
✅Chemical Peels
✅LDT-Laser dynamic therapy or PDT. This is a topical product that targets damaged cells followed by a laser light.
✅ Efudex, also a topical that treats precancerous actinic keratosis and superficial skin cancers.
✅ Microneedling that helps stimulate collagen and improve skin texture.

These are some of the most recognized treatments in dermatology.

We know end of summer is when exposed skin cancer really start to show accumulated damage. If it bothers you your dermatologist can help. Rejuvenating your skin cancer also serve as a preventative for future development of skin cancer.

09/04/2025

It’s a new month and a great time to check your skin for anything new, changing, or looks suspicious.
Early detection is key! This includes precancerous actinic keratosis, which can look “suspicious.”

If you live around we continue to take new patients.

☎️ 425-391-2500

09/02/2025

And just like that fall is right around the corner. Starting it off with our most popular treatment portfolio, Fraxel laser. Fraxel is one of the best lasers out there to help with pigmentation, textual issues, sun damage, and so much more. Dr. Michalak and his team have been incredibly successful helping patients improve their skin with this device and why it’s a staple in the practice. Bonus, this is a non- ablative laser, meaning the downtime is less than skin resurfacing. The differences in each treatment are explained in your consultation, but in short we customize the treatment. Not everyone needs a full Fraxel, our goal is to suggest the right treatment for you, with the best outcome possible. ☎️425-391-2500 to schedule.

09/02/2025

🍁Fraxel Season Is Here! - http://eepurl.com/jmuu3Y