Expert Details

Expert in Cosmetic Dermatology products & services, including Neuromodulators/Dermal Fillers/Lasers/Peels

Expert ID: 731483 Florida, USA

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Expert began injecting Botox Cosmetic® when it was FDA-approved for strabismus, but not yet for wrinkles. Then a resident at the University of Miami Miller School of Medicine's Department of Dermatology & Cutaneous Surgery, she was among the first physicians in Miami to train in the off-label but legal new use of the product. Expert subsequently fine-tuned her injecting skills, primarily by attending international conferences to a degree that, when Botox Cosmetic® received FDA-approval for wrinkles she and her practice, the Miami Skin Institute, became a National Training Center of Excellence® for Allergan, Inc., the makers of Botox Cosmetic®. She trained dozens of physicians in South Florida in injection technique for Botox Cosmetic©, and continues to do so today at various local and national medical conferences, where she is a frequent workshop instructor and lecturer. Expert constantly strives to innovate her skills, and now uses Botox Cosmetic® not only for wrinkle effacement, but also for facial feature shaping and laxity reduction. Expert now continues to hone her injecting skills and is considered a national expert in the clinical nuances/differences between the newer neuromodulators Dysport® (FDA approval 2009), Xeomin® (FDA approval 2011), and Revance®/Neuronox®/Evosyal® (Pending FDA approval).

Expert has 15 year-experience with each of the following 4 laser types, in particular she has perfected
protocols to accentuate results while
minimizing recovery time.

VBeam® Pulse-Dye Laser: For over 10 years, studies show that pulse-dye technology is most consistently
effective in treating broken facial capillaries of all sizes. We can also treat generalized facial redness caused
by skin conditions such as rosacea, and even chronic redness on the face, neck and chest caused by years
of sun exposure. Best of all, new technological advances with this laser enable us to perform all of these
achievements without the need for bruising, thereby nearly eliminating recovery time.

GentleLase® Alexandrite and GentleYag® Nd: Yag Laser Hair Reduction: These lasers target the pigment in
the hair follicle, reducing dark hair count and caliber in all skin ethnicities. We realize that countless facilities in
South Florida perform laser hair reduction treatments, and we urge you to do your research carefully, realizing
that lower-energy-setting lasers will be less effective, necessitating infinite treatment sessions and perhaps
costing more in the long-term. More importantly, hair reduction lasers can cause burning, pigmentation and
scarring, which may be permanent, if used injudiciously at high settings especially in tanned or dark skin. At
consultation, she can advise you realistically which laser and how many treatments are necessary to meet
your expectations, depending on skin type, sun history, hair density and desired treatment site.

Nd: Yag Laser Tattoo and Brown Spot Removal: This longer wavelength targets medium-to-dark pigment
granules, breaking them into tiny fragments that are then invisible on the skin surface. This treatment is ideal
for sun spots and dark tattoos on lighter skin types. This laser can also be combined with VBeam® laser
treatment to create an all-encompassing skin rejuvenation procedure just like IPL, or intense-pulse-light, which
utilizes a variety of light wavelengths to erase pigmentation of various colors at various skin depths. The
effects of sun and aging differ among individuals, so expert can recommend which laser would best serve you.

Reliant Fraxel® Erbium Fractionated Ablative Laser Technology: The advent of this exciting new technology in
the last 5 years has enabled us to treat acne and other scars, dark undereye circles, enlarged pores and a
number of other textural skin issues much more effectively. This laser induces minimal recovery time, usually
only moderate redness in the treatment area for less than 3 days. This procedure creates thousands of
microscopic “wells” though the top layers of skin, causing new collagen to form and resurface the treated skin.
Because entire layers of epidermis are NOT removed, the collagen regeneration occurs quickly and safely in a
variety of skin types. Expert has improved fractional resurfacing laser energy protocols, most importantly
delivering surgical-type eyelid rejuvenation with minimal recovery.

Ulthera® Laser Treatment: The Ulthera® ultrasound laser is rapidly becoming the gold standard treatment for
lifting and tightening mild/moderate skin/fat sagging of the face and neck. Anyone who has been pregnant or
had any internal issue knows that ultrasound waves have been used safely, painlessly and effectively to
image and diagnose a variety of normal and abnormal medical issues. Ultrasound devices which penetrate into
internal organs such as the uterus, kidneys and heart have been proven safe and effective for 50 years. The
Ulthera® laser harnesses the power of ultrasound waves delivered at a very precise depth of deep (dermal)
skin and subcutaneous fat to tighten the fibrous connective

Since their approval in the last 3 years the hyaluronic acid filler Restylane®. Perlane® and Juvederm® have replaced bovine collagen as the most popular filling agent in the United States. They have already enjoyed widespread popularity in Europe and South America for over 15 years. Hyaluronic acid is a natural component of the matrix surrounding skin cells, just as collagen. However, the hyaluronic acid injectable fillers are synthetic and manufactured from non-allergenic substances and carry an even better safety record than collagen after years of use around the world. The hyaluronic acid-based substances carry such a low incidence of allergic reactions that skin testing before treatment is not necessary, so that patients can obtain the enhancement anytime, without prior planning. Transient local side effects, such as bruising and swelling, are similar to those of collagen. Since these substances do not have any anesthetic in their formulation, topical anesthetic cream prior to treatment is advised. In addition, she can perform dental nerve blocks for complete anesthesia of the lips and the deep grooves around the nose. However most of her patients do not find this necessary.

At the Expert's Firm, she has found that with her injection technique, all of these fillers generally last 2-3 times longer than collagen! Expert has found Restylane®,Perlane,®and Juvederm® to be most useful for superficial “etched” lines in the skin, such as “smokers lines” (around the mouth), lip augmentation, lifting the corners of a “drooping” mouth, and isolated indented scars (such as from chicken pox or single large pimples). She can discuss the nuances of each filler and which one is most appropriate for any given cosmetic issue. The FDA approved Sculptra® a polylactic acid (an ingredient in most dissolvable sutures) gel to fill in large volumes, such as deep frown and smile lines and hollowed cheeks and hands. Sculptra®, has also been used successfully throughout Europe for over 10 years, and carries with it a long safety record via its use in medical sutures. It is also inert, so skin testing is not necessary prior to therapy. Treatment protocols typically involve 2-3 injection sessions every 3-6 months, followed by long-lasting results—up to 18 months in some European studies. Topical anesthetic cream applied for 20-30 minutes is also used before Sculptra® injections, to minimize pain. Transient local side effects, such as bruising and swelling, are similar to hyaluronic acid injections as well. She spent time training other physicians nationally in Sculptra® injections and therefore has a wealth of experiencing injecting the product. In, addition, she has a special interest in treating new areas previously only helped by costly and invasive plastic surgery, such as under eye sagging/ hollowing/ jawline sagging/ hands/ deeply indented surgical scars and tissue loss from chronic injections, such as insulin. She can discuss which filling substance is most appropriate, depending on individual anatomy and lifestyle. The evolution of injectable fillers is one of the fastest growing segments of the cosmetic dermatology market, providing a less invasive and cost-effective way to postpone, or hopefully, avoid a facelift altogether! Most recently, Expert has culled her 15-year experience with the dermal fillers above to specialize in facial feature shaping in addition to rejuvenation, made popular by the 2013 FDA approval of the cheek-enhancer Juvederm Voluma®

Expert may consult nationally and internationally, and is also local to the following cities: Miami, Florida - Hialeah, Florida - Fort Lauderdale, Florida - Hollywood, Florida - Pembroke Pines, Florida - Miami Beach, Florida - West Palm Beach, Florida - Pompano Beach, Florida - Boca Raton, Florida - Deerfield Beach, Florida

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Education

Year Degree Subject Institution
Year: 1994 Degree: M.D. Subject: Dermatology Institution: University of Pittsburgh School of Medicine
Year: 1990 Degree: BA Subject: Biological Anthropology Institution: Harvard/Radcliffe College

Work History

Years Employer Title Department Responsibilities
Years: 2000 to Present Employer: Undisclosed Title: President and Medical Director Department: Solo Dermatology Practice Responsibilities: Providing general dermatologic care with an accent toward esthetics and skin wellness/age prevention. Cosmetic surgical procedures performed include laser surgery and hair removal, sclerotherapy, Botox and synthetic filler injections for wrinkles, and facial peeling.
Years: 1998 to 2000 Employer: Debra Price, M.D., P.A. Title: Dermatologist Department: Group Dermatology Practice Responsibilities: She worked at this Group Dermatology practice providing general dermatologic care, dermatology surgery and a wide range of cosmetic dermatology procedures.
Years: 1995 to 1998 Employer: University of Miami School of Medicine Title: Resident Department: Department of Dermatology and Cutaneous Surgery Responsibilities: Expert worked in the residency liaison to pharmaceutical industry, and was a member of American Academy of Dermatology Melanoma Task Force Committee.
Years: 1994 to 1995 Employer: Yale University School of Medicine Title: Intern Department: Department of Internal Medicine Responsibilities: She provided care at Yale-New Haven Hospital and West Haven Veterans’ Administration.

International Experience

Years Country / Region Summary
Years: to Present Country / Region: France Summary: Insrumental in US launch of Sculptra and its procurement from Frace 2004

Career Accomplishments

Associations / Societies
Fellow, American Academy of Dermatology
Leadership Forum Participant

Diplomate, American Board of Dermatology
Fellow, American Society of Dermatologic Surgery
Membership Outreach Workgroup
Government & Private Sector Relations Workgroup
Florida Society of Dermatology & Dermatologic Surgery
Board of Directors
Dermatology Foundation, Leaders’ Society
State Chair, Fundraising State Vice-Chair
American Society for Cosmetic Dermatology

Professional Appointments
Sanofi-Aventis Pharmaceuticals, Inc,
National Speakers Board
Galderma Laboratories, Inc.
Clinical Investigator

Pronational, Inc.
Regional Advisory Board
Biopelle, Inc., Neocutis, Inc.
Clinical Investigator

Valeant Pharmaceuticals, Inc., Procter & Gamble, Inc., Dermik Laboratories, Inc., Oclassen Pharmaceuticals, Allergan Inc., Dermamed Inc.
Dermatologic Consultant

Harvard Alumni Association Prospective Student Interviewer


Awards / Recognition
ASDS FDA Panel expert for Neuromodulators and Dermal Fillers, appointed 2014.
ASDS Press Expert for Aesthetic Dermatology, appointed 2014.
First Place Award for original research presented at Miami Dermatological Society Residents’ Research Day.
Golden Star Award for excellence in consult-oriented inpatient management from University of Miami School of Medicine.
Bernhardt A. Goldman Award, given annually to a 4th year student for excellence in Dermatology, from University of Pittsburgh School of Medicine
Medical / Professional
Yale University School of Medicine, New Haven, CT
Intern in Department of Internal Medicine, providing care at Yale-New Haven Hospital and West Haven Veterans’ Administration.
University of Miami School of Medicine, Miami, FL
Resident in Department of Dermatology and Cutaneous Surgery. Golden Star Award for excellence in consult-oriented inpatient management. First Place Award for original research presented at Miami Dermatological Society Residents’ Research Day. Residency liaison to pharmaceutical industry. Member of American Academy of Dermatology Melanoma Task Force Committee.
Publications and Patents Summary
80+ Publications, no patents, no books.

Additional Experience

Expert Witness Experience
She does not consult as an Expert Witness.
Training / Seminars
“My Top Cosmetic Pearls” and “What’s Hot: Cosmeceuticals”, Cosmetic Surgery Forum, Las Vegas NV.

“Neurotoxins of the Future” and “This is How I Do It: Cosmetic Dermatology Pearls”, Florida Society of Dermatology and Dermatologic Surgery Annual Meeting, Orlando FL.

“Cosmetic Practice Pearls: Roundtable Discussion”, “In-office Chemical Peels” and “Neurotoxin and Dermal Filler Injection Training Workshop”, Orlando Dermatology Aesthetic & Clinical Conference, Orlando FL.

“Building a Cosmetic Dermatology Practice” and “Neurotoxin and Dermal Filler Injection Training”, American Society of Cosmetic Dermatology and Aesthetic Surgery, Las Vegas NV.

“Laser and Hydroquinone Therapy for Hyperpigmentation” and “My Top Ten Cosmeceuticals”, Cosmetic Surgery Forum, Las Vegas NV.

“Periorbital Injection Techniques” and “Neurotoxins and Dermal Filler Injection Training Workshop”, Orlando Dermatology Aesthetic & Clinical Conference, Orlando FL.

“Treating Cosmetic Laser Complications” and “My Top Ten Cosmeceuticals”, Cosmetic Surgery Forum, Las Vegas NV.

“Improving Acne Treatment Outcomes in your Practice” Warner Chilcott Lecture Series, Coral Gables FL.

Round-Table Discussion: “The Use of Benzaclin in My Practice” Sanofi-Aventis Lecture Series, Miami Women’s Dermatologic Society, Coral Gables FL.

“Acne Vulgaris: Diagnosis and Treatment” Sanofi-Aventis Lecture Series, Coral Springs and Miami FL.

“Acne Vulgaris: Diagnosis and Treatment” Sanofi-Aventis Lecture Series, American Academy of Dermatology Annual Meeting, San Francisco CA.

“Acne Vulgaris: Diagnosis and Treatment” Sanofi-Aventis Lectures Series, Jacksonville, Palm Beach Gardens and Orlando FL.

“Acne Vulgaris: Diagnosis and Treatment” Sanofi-Aventis Teleconference Series, Miami FL.

“Cosmetic Dermatology Procedures in Skin of Color”, and “Skin of Color”, Symposium Moderator, American Society of Cosmetic Dermatology and Aesthetic Surgery, Las Vegas NV.

“Making Facelifts Obsolete”, University of Miami/ Miller School of Medicine Department of Dermatology and Cutaneous Surgery 50th Anniversary Conference, Miami FL.

“Optimizing Therapy Utilizing Combinations of Acidified Amino Acids with Prescriptions Agents”, Hawaii Dermatology.

“The Art and Science of Sculptra ®”, North Carolina Dermatologic Society Annual Meeting.

“What Dermatologists Do To Rejuvenate the Malar Area” and “Dispelling the Skin Care Myths of Cosmetic Dermatology”, Vail CO.

“Optimizing Combination Therapy with Cosmeceuticals and Therapeutics” and “Skin of Color”, American Society of Cosmetic Dermatology and Aesthetic Surgery, Las Vegas NV.

“Dispelling Cosmetic Myths”, First International Course on Cosmetic Dermatology, University of Pisa, Pisa Italy.

“The Art and Science of Sculptra®”, Florida Society of Dermatology and Dermatologic Surgery Annual Meeting, Boca Raton FL.

“The Art and Science of Sculptra®”, Dermik Aesthetics® Lectureships:
San Antonio TX,
Orlando FL,
Charlotte NC,
New York NY,
Pittsburgh PA,
Columbia SC,
Savannah GA,
Raleigh NC,
Apex NC,
Hilton Head SC,

“Biologic Basis of Cosmeceuticals”, California Society of Dermatology & Dermatologic Surgery, Santa Barbara CA.

“The Art and Science of My Favorite Facial Fillers”, Atlantic Dermatology Keynote Speaker, New York NY.

“Sculptra Poly-L-Lactic Acid as an Injectable Filler”, Dermik Aesthetics ® Lectureships, Charleston SC and Charlotte NC.

“New Paradigms in the Management of Actinic Skin Damage”, Dermik Labo
Vendor Selection
Gold Level Client for:
Allergan, MD Forte, Valeant Pharmaceuticals, Merz, Biopelle, Wellcare Compounding, Bionet, Dermavance, Expressions, Cardinal Health, American Medical, Dermaroller, Formula 3, Glytone, Neocutis, Obagi, Quintessence, Topix, Skin Medica, Mesoesthetic, Dysport, Sculptra, Restylane, Perlane, Allergan, Medics, Raddiesse, Asclera, Botox, Juvederm, Xeomin, Belotero, Bionet, Biomet, MD Solar Science, Blue Lizard.
Marketing Experience
Guidepoint Global Aesthetic Dermatology expert to the venture capital industry 2009-present.

Market Research Aesthetic Dermatology expert to various Aesthetic/Pharmaceutical companies via 3rd party market research coordinators.

Miami Skin Institute, Miami,FL. President and Medical Director of solo Dermatology practice providing general dermatologic care with an accent toward esthetics and skin wellness/age prevention. Cosmetic surgical procedures performed include laser surgery and hair removal, sclerotherapy, Botox and synthetic filler injections for wrinkles, facial peeling, superficial and deep microdermabrasion. Hospital staff privileges at Jackson Memorial Hospital. Mercy Hospital and Baptist/South Miami Health Systems. Editorial Board of Skin & Aging. Peer Review Panel, Cosmetic Dermatology. National Training Center for Botox Cosmetic®. Master Training Center for Sculptra® Injectable Polylactic Acid.

Debra Price, M.D., P.A., Miami, FL. Group Dermatology practice providing general dermatologic care, dermatology surgery and a wide range of cosmetic dermatology procedures.

University of Miami School of Medicine, Miami, FL. Resident in Department of Dermatology and Cutaneous Surgery. Golden Star Award for excellence in consult-oriented inpatient management. First Place Award for original research presented at Miami Dermatological Society Residents’ Research Day. Residency liaison to pharmaceutical industry. Member of American Academy of Dermatology Melanoma Task Force Committee.

Yale University School of Medicine, New Haven, CT. Intern in Department of Internal Medicine, providing care at Yale-New Haven Hospital and West Haven Veterans’ Administration.

Language Skills

Language Proficiency
English
French Tamil
Spanish She can speak minimal Spanish.

Fields of Expertise

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