Clinical treatments in Newport News.

Multi-modality protocols — Er:YAG resurfacing, microneedling, and PRP — sequenced to the scar type and your skin. For atrophic acne scars, surgical scars, and traumatic scars. Scars are improved, not erased; we’ll tell you how much change is realistic before we begin. The scar types, how the tools get sequenced, and the full pricing are on the scar revision page.

What it addresses

• Atrophic (pitted) acne scarring
• Surgical and traumatic scars
• Texture and post-inflammatory color, with supporting topicals

Five different things produce the same complaint, and filler only corrects one of them. Thin skin showing the vessels underneath, pigment in the skin itself, a shadow cast by a hollow, orbital fat that has pushed forward, and lax skin all read as “tired” in the mirror. Which one you have decides whether the answer is laser, microneedling, PRP, midface support, or a referral to an oculoplastic surgeon. The exam that sorts them, what each treatment can and cannot do, and the pricing are on the under-eye page.

What it addresses

• Dark circles from vascular show-through or pigment
• Tear-trough hollowing and midface volume loss
• Crepey lower-lid skin and fine lines

Excessive sweating that goes well past what the body needs for cooling. Botulinum toxin is the best-established treatment for the underarms, and it lasts months per treatment. Before injections there’s a topical ladder worth working through; many people never need to climb past it. The full detail — the FDA-approved dose, palms and soles, where RF microneedling honestly fits, and the insurance question — is on our hyperhidrosis page.

Razor bumps: chronic inflammation where shaved hairs curl back into the skin. It is most common in people with tightly curled hair, and it is often mistaken for acne and treated as though it were — which doesn’t help and can make it worse. Left to run, it leaves post-inflammatory dark marks and, in some people, raised scarring.

Shaving technique and topicals come first, and for some people that is enough. When it isn’t, the durable answer is reducing the hair itself, and we use the 810nm diode at conservative settings chosen for the beard and your skin rather than for speed. The mechanism, the evidence, the risks and what a first visit looks like are all on the razor bumps and PFB page.

PFB care here starts the way skin problems should: a free consultation, a look at the follicles under the dermatoscope, and an individualized plan — technique and topicals first, laser where the exam says it will actually help.

A pseudofolliculitis barbae treatment session is $300. The consultation that decides whether you need one is free, and most people start with technique and topicals, which cost nothing here at all.

What it addresses

• Recurrent razor bumps on the beard and neck
• The dark marks they leave behind
• Shaving that has become painful or impractical to keep up