Skinpeccable has every modality available to best treat active acne. An acne visit begins with a consultation with our physician. Based on your acne history, our physician will tailor a treatment strategy best suited for your needs. Items that may be recommended include topical creams and lotions, oral pills (ie. antibiotics, birth control, hormone regulators, etc.), chemical peels, facials, lasers (Laserfacial, IPL Photofacial, Photodynamic Therapy, etc.), cortisone injections, and/or Accutane. Active acne is often associated with acne scars which can be addressed by a variety of ways including Fractionated lasers and filler injections.

Acne Scars

Acne is a condition that generally affects most individuals at some time during their lives. For some, the acne condition may lead to pigmented or disfiguring scarring. Our body attempts to get rid of the acne with an inflammatory response. As our white blood cells attack the acne causing bacteria, they also attack the surrounding tissue, destroying collagen, elastin and healthy skin cells, leading to permanent texture changes in the skin. Scars may range from a change in the skins pigmentation, such as red or brown spots, to deep pits in the skin, also known as “ice pick” scars.

Age Spots

Age spots, also known as brown spots and solar lentiges, are the result of cumulative sun exposure. Our body naturally produces melanin to protect itself from UV rays, resulting in a tan. As we age, our body’s ability to defend itself against from the sun’s damage begins to deteriorate, resulting in unwanted pigmented spots on the skin.

Aging Skin

Aging is a continuous process that generally begins in our mid-20s. Intrinsic aging is the natural aging process our body experiences, such as loss of collagen and elastin production, decrease of new skin cell production and the slowing of desquamation, the body’s natural shedding of dead cells. Extrinsic aging is caused by external factors, which cause premature aging. Sun exposure, smoking, pollution, and repetitive facial expressions are common causes of extrinsic aging.

Fine lines, wrinkles, thin transparent skin, and hyper pigmentation are all distinctive changes in the skin associated with the aging process. With the use of dermal fillers, Botox® and highly-effective laser treatments, Dr. Raphael Darvish can reduce and eliminate signs of premature aging.

Brown Spots

Brown spots, red spots, and pigmented lesions combine to create a blotchy, uneven skin tone known as sun spots. Sun spots (also called age spots or liver spots) appear over time in response to overexposure to sunlight. Our body naturally produces melanin to protect itself from UV rays, resulting in a tan. As we age, our body’s ability to defend itself against from the sun’s damage begins to deteriorate, resulting in unwanted pigmented spots on the skin.

Loose Skin

When collagen begins to break down due to sun exposure, family heredity, and gravity, your skin begins to sag and wrinkle. Pregnancy, weight loss, age and environmental stress can cause the skin on your body to lose firmness and the smooth texture once present. Men and women alike suffer from a loss of elasticity of their skin, causing them to be insecure and embarrassed by the effects of premature aging.

Nasolabial Folds (Smile Lines)

Nasolabial folds, commonly referred to as smile lines, are creases on the sides of the nose that extend to the corners of the mouth creating an undesired “parentheses” appearance. Many individuals experience this as they age and their skin looses collagen which leads to loss of elasticity. Nasolabial folds often deepen over time, leaving one’s appearance as tired or aged.

Red Spots

As many as seventy-million Americans have undesirable redness and/or sun-damaged skin. Sun exposure, alcohol, medication, stress, and aging often worsen the appearance of red blotchy skin.

Common characteristics such as redness, flushing skin and Telangiectasia, dilated superficial blood vessels, can easily be treated at Skinpeccable with a series of Intense Pulsed Light (IPL) treatments. Without damaging the skin, the light penetrates the skin and is absorbed by the abnormally dilated vessels or pigmentation. Heat then impairs the targeted vessels or lesions, and the body begins a natural healing process.


Wounds produce scars as they heal. How severe or noticeable the scar is depends on the type and location of the injury.

Unfortunately, scarring can be a source of embarrassment and low self-esteem. Luckily, new surgical procedures, skin resurfacing technologies, and other treatments are making it possible for scars and scar tissue to be successfully erased or minimized, greatly improving the skin’s appearance, and your self-esteem! Dr. Raphael Darvish can treat your scars using a variety of treatment options, improving the size, texture and color of the scar.

Spider Veins and Varicose Veins

Spider veins are benign vascular lesions including enlarged blood vessels and capillaries that appear on the surface of the skin as splotches, dots, bulges and spider shapes. They can show up in a variety of colors ranging from red to purple to brown. Weakness in the walls and valves of the veins cause blood to stagnate rather than to be properly circulated. Some vascular lesions are so tiny that they are not visible under normal conditions. Others, such as varicose leg veins can be quite prominent.

Stretch Marks

Stretch marks are a form of scarring caused by the rapid stretching of skin due to weight gain or pregnancy. The rapid stretching of skin causes small tears in the skin and a reduction of the collagen and elastin fibers resulting in scars.

Hyperhidrosis (Sweaty Palms or Underarms)

Hyperhidrosis is a condition marked by excessive sweating and may lead to undesirable sweaty palms (palmar hyperhidrosis) or underarms (axillary hyperhidrosis). Excessive sweating can interfere with daily activities by causing embarrassment or discomfort in social interactions such as hand shaking and raising ones arms.

Thin, Dull Eyelashes

Hypotrichosis is a condition marked by a reduced amount of hair on the head and/or body. Specifically, Hypotrichosis of the eyelash is described as inadequate or not enough eyelashes. Those suffering from Hypotrichosis complain of having short, intermittent lashes.

Many eyelash conditioners and enhancers have become available to the public, promising longer, thicker lashes. LATISSE(TM) is the first and only science-based treatment approved by the FDA to enhance eyelash prominence as measured by increases in length, thickness and darkness of eyelashes. Available only through a physician, Dr. Darvish is now prescribing LATISSE(TM), a once-daily prescription treatment applied to the base of the upper eyelashes with a sterile, single-use-per-eye disposable applicator, which can be easily purchased at Skinpeccable.

Thin Lips

Full lips with an accentuated border have long been associated with beauty and youth. While some individuals are born with thin or uneven lips, others may experience the effects of aging such as atrophy of facial fat including the lips, as well as loss of elasticity and volume.

Under Eye Circles

Dark circles under our eyes can make us look tired and unhealthy. Some may be genetically prone to having darker pigmentation around the eye area, while others may have problems as such as iron deficiency, lack of sleep, or hyperpigmentation. Dark circles may be enhanced due to an atrophied suborbicularis oculi muscle (the muscle of the lower eyelid) or due to loss of fat in this area, giving the under eye a sunken and hollow appearance.

Unwanted Hair

Excessive unwanted hair can be embarrassing for anyone. Laser treatment for unwanted hair is a non-invasive approach to permanent reduction and long-term hair removal. Treatment is specifically designed to eliminate undesired hair from all parts of the body. Unlike many other treatment methods, Laser Hair Removal leaves your skin looking and feeling smoother and softer!


Wrinkles are defines as lines that are visible even when your face is totally relaxed. Wrinkling in the skin is caused by habitual facial expressions, aging, sun damage, smoking, poor hydration, and various other factors.


Melasma, literally meaning dark skin, is a condition that causes darkening of the facial skin, most commonly affecting the apples of the cheeks, the mid forehead, jawline and areas around the mouth. While this condition most often affects women, an estimated six million people throughout the U.S suffer from melasma, only 10% being men. Individuals with darker skin tones, including those of Latin, Asian, Indian, Middle Eastern, Mediterranean, and North African descent tend to have more melasma related symptoms than others.

Rosacea Treatment

Rosacea is a common skin disorder. It affects an estimated 14 million Americans, but almost 80% of us have never heard of Rosacea. Why? Because even many people with Rosacea don’t know that they have the disorder, and they believe the redness, bumps, and pimple-like lesions are acne or a simple complexion problem.


The history of decorative tattooing dates back thousands of years. The desire to remove them has probably existed just as long. Early attempts to remove tattoos have had less than desirable results. The advent of Q-Switched lasers has permitted the removal of tattoo inks with a very low risk profile. The tattoo laser delivers light of specific wavelengths in ultra-short and very high peak energy pulses which are absorbed by the pigment in the tattoo and result in an acoustic shockwave. The shockwave shatters the pigment particles, releasing them from their encapsulation and breaking them into fragments small enough for removal by the body. These tiny particles are then eliminated by the body.