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Tuesday, November 6. 2018

Category : Darker Skin

Tuesday, November 6. 2018

Do Dermatologists still perform Chemical peels? YES TCA peel, Jessner peels, Glycolic peel, Phenol peel

Chemical peels

I have 30 different laser and light sources but still use a variety of chemical peels at my office.

Some patients don’t respond well to lasers and have a better experience with chemical peels.

Chemical peels are generally speaking milder and more superficial than lasers.

The drawback is that here is no heat (as is the case with lasers) and not a drastic tightening.

On the other hand certain conditions such as Melasma do respond better to a series of less invasive chemical peels.

We offer:

  1. Glycolic facial peels (10%, 20%, 30%, 50%, and 70%)
  2. TCA peels (Tri- Chlro-Acetic Acid) 10%, 20%, 30%, 50%
  3. Jessner peels
  4. Phenol  Peels

Glycolic peels are mild and basically have little to no downtime.

TCA and Jessner peels are considered medium depth peels and help with fine lines, discolorations, and sun spots such as Actinic and Seberrhoic Keratosis. Phenol peels are rarely done these days. It can be toxic to the kidneys and the healing time can be several weeks.

Lasers are much more effective and safer than Penol Peels. The reason for this is that lasers have a very predictable and controlable depth of penetration.

I always ask my patients about history of cold sores. When performing a medium or deep peel the patient may need to be pre-medicated with an antiviral medication such as Acyclovir.

Chemical peels can be combined with other procedures such as laser or Ultrasound tightening and more. Finally; chemical peels can be very affordable. Glycolic peels are $150 and full face TCA peels of face, neck, chest with sedation are between $1000-$1500

Come in for a complimentary consultation to see if you are a good candidate.

Please click under procedures and Chemical peels and rteview our before and after photos.


Dr David Rahimi

323 653 7700


Thursday, October 11. 2018

Category : Darker Skin

Thursday, October 11. 2018

Scar-less mole removal; is it possible??


As a Dermatologist I see several patients a week who want to have their moles removed. Mole removal for a purely cosmetic reason is quite tricky and I spend a considerate amount of time educating my patients on this topic.

Pigmented moles or moles that have increased in size or changed color or bled need to be removed and examined under a microscope. We diagnose many basal cell cancers, squamous cell cancers and the occasional nodular melanoma this way.

However; most of my patients wish to remove their moles for purely aesthetic reasons. If the mole is skin colored it can be shaved off flush with the skin. No sutures are required and the scar is practically erased using a Co2 fractional laser.

Darker cosmetic and benign moles need to be cut and sutured to fully eliminate their roots. On the face this can leave an unsightly and largely unacceptable cosmetic result. I generally discourage my patients from having flat dark moles cut from their faces. The scars are usually worse than the mole.

I hope this was helpful to you.

Cosmetic Consultation is free and we would be happy to schedule an appointment for you


Dr David Rahimi

323 653 7700

Wednesday, March 6. 2013

Category : Darker Skin

Wednesday, March 6. 2013

Acne Scarring: We offer 3 Lasers; 3 Wavelenghts.

In addition to Mixto fractional co2 laser wi have 2 other wavelengh lasers for the treatment of active acne and acne scarring.

Comparison of a 1450-nm diode laser and a 1320-nm Nd:YAG laser in the treatment of atrophic facial scars: a prospective clinical and histologic study.


Washington Institute of Dermatologic Laser Surgery, Washington, DC, USA.



Atrophic scar revision techniques, although numerous, have been hampered by inadequate clinical responses and prolonged postoperative recovery periods. Nonablative laser treatment has been shown to effect significant dermal collagen remodeling with minimal posttreatment sequelae. Although many studies have been published regarding the effectiveness of these nonablative lasers on rhytides, there are limited data demonstrating their specific effects on atrophic scars.


To evaluate and compare the efficacy and safety of long-pulsed 1320-nm Nd:YAG and 1450-nm diode lasers in the treatment of atrophic facial scarring.


A series of 20 patients (skin phototypes I-V) with mild to moderate atrophic facial acne scars randomly received three successive monthly treatments with a long-pulsed 1320-nm Nd:YAG laser on one facial half and a long-pulsed 1450-nm diode laser on the contralateral facial half. Patients were evaluated using digital photography and three-dimensional in vivo microtopography measurements at each treatment visit and at 1, 3, 6, and 12 months postoperatively. Histologic evaluations of cutaneous biopsies obtained before treatment, immediately after the first treatment, and at 1, 3, 6, and 12 months after the third treatment were performed. Clinical assessment scores were determined at each treatment session and follow-up visit. Patient satisfaction surveys were obtained at the end of the study.


Mild to moderate clinical improvement was observed after the series of three treatments in the majority of patients studied. Patient satisfaction scores and in vivo microtopography measurements paralleled the photographic and histopathologic changes seen. Side effects of treatment were limited to mild transient erythema, edema, and hyperpigmentation. No scarring or adverse textural changes resulted from the use of either laser system.


Nonablative long-pulsed 1320-nm Nd:YAG and 1450-nm diode lasers each offer clinical improvement for patients with atrophic scarring without significant side effects or complications. The 1450-nm diode laser showed greater clinical scar response at the parameters studied. The use of nonablative laser systems is a good treatment alternative for patients with atrophic scarring who are unable or unwilling to endure the prolonged postoperative recovery process associated with ablative laser skin resurfacing procedures.

[PubMed - indexed for MEDLINE]

Wednesday, August 15. 2012

Thursday, October 13. 2011

Category : Darker Skin

Thursday, October 13. 2011

Ethnic Skin

Dermatological and Cosmetic Services for
Patients with Dark and Olive-Toned Skin

Some physicians shy away from treating Hispanics, Asians, and African Americans because their skin heals differently than those with white or European skin. African American skin is prone to developing thick and unsightly scars and Hispanic and Asian post-op patients can develop light or dark skin discolorations.

These risks often prompt less-experienced physicians to discourage patients with darker skin tones from seeking laser treatments, chemical peels or cosmetic surgery. This isn't the case at with Dr. Rahimi and the Forever Young clinic.

With over 10 years of conducting and perfecting his treatments in such ethnically diverse cities as Washington D.C., New York, and now LA, Dr. Rahimi has become an expert in treating dark and olive-skin complexions. The following procedures have been tailored by Dr. Rahimi to specifically treat darker and olive skin tones. All of these treatments are minimally invasive, requiring only local anesthesia and minimal sedation. What's more, when the treatments are done in combination with each other, the results are far greater than when one treatment is done alone.

Chemical Peel

Chemical peels improve irregular color and fade deep lines. A superficial chemical peel removes the top skin cell layers, eliminating dead skin, tightening pores, and producing new collagen and elastic fibers. Recovery takes about seven to 10 days. Results may not be completely evident for up to a year but will last for many years.

Manual Epidermal Dermabrasion

Manual Epidermal Dermabrasion (MED) works to diminish fine lines, wrinkles, traces of acne and pigmentation. A scalpel is used to exfoliate superficial epidermal layer of skin before using a compressor to extract milias, tiny subcutaneous cysts, keratosis, and superficial rough spots. Carbon dioxide mixed with acetone is then applied, creating a "local freezing" that penetrates through the skin and is long-lasting. The procedure immediately refines and tightens the skin and promotes new collagen synthesis that lasts for weeks.

Commercial Fillers and Fat Transfers

Commercial fillers and fat transfers can be used to smooth out lines in the skin or lips. Commercial fillers include Restylane, a naturally occurring substance in the body that is based on non-animal hyaluronic acid. Restylane dissolves safely and naturally within the body over time. The longevity of the results depends on many factors such as the structure of the skin, lifestyle and age, as well as on the degree of perfection sought. The fat transfer technique involves removing fat from one part of the body, such as the thigh, and painlessly injecting it into the treated area. Excess fat can be frozen for future fat transfer procedures (Forever Young has a licensed & State approved Tissue Bank). The results from both commercial filler and fat transfer procedures last for years.

Thermage CPT

Thermage CPT is a highly advanced, non surgical technique used to achieve lasting skin tightening with no down time. This treatment involves heating the skin and underlying structures with radio-frequency followed by external cryogen cooling. The combined effect creates an immediate collagen contraction giving the appearance of tighter, younger skin. The Thermage CPT system is the most effective noninvasive, non-ablative (meaning no injury to the skin and hence no oozing, bleeding, etc.) radio-frequency system available. Improvement appears slowly over weeks as collagen remodels and the skin and underlying structures tighten. Results last from one to two years.

CoolTouch 3 Plus Laser Treatment

CoolTouch 3 Plus Laser Treatment removes acne scarring gradually and without surgery. This laser treatment is particularly used for deep acne scarring. Unlike other laser treatments, the CoolTouch laser protects the outer skin and sensitive nerve endings with a unique cooling spray while the precise laser pulses light onto the skin to stimulate fibroblasts cells (the cells that produce natural collagen in the skin's foundation). The laser pulses of light penetrate the skin, giving a sensation similar to a slapping of a tight rubber band. Because this is a cellular process, the results of the CoolTouch 3 Plus Laser Treatment happen over a period of months. Multiple treatments are encouraged.

Tuliplift Facelift

This mini-facelift procedure has been personally developed and patented by Dr. Rahimi himself. Dr. Rahimi has designed the Tuliplift Facelift to work very well with dark and olive skin tones. The minimally invasive procedure lifts sagging skin and tightens the neckline. And because the Tuliplift Facelift is done entirely under the skin, it requires only small incisions and produces a minimal risk of scarring. Patients usually recover within seven to 10 days, and have results that last for years.

And the newest Additions:

Mixto Fractional CO2 laser

(For the treatment of Acne scarring and discolorations)


Clear and Brilliant Laser

(This laser was introduced in 2011 to tone and refine the skin and remove brown spots.)

Read about these procedures under the "Procedures" section. Watch videos and look at dozens of Before and After photographs.


Tuesday, April 24. 2007

Category : Darker Skin, : Facelift / Tuliplift, : Fat Transfer, : Thermage / ThermaCool

Tuesday, April 24. 2007

Facelift alternative for Asian and African American patients

My practice is in Southern California and a large percentage of my patients have a darker skin complexion. Asian and African American patients with a history of keloids or unsightly scars are often hesitant to have a facelift.

Often I'm asked--in regards to the sagging of the jowels and neck area--if there is a more conservative approach one can take: a solution not requiring "any cutting". Here is the answer...

Continue reading "Facelift alternative for Asian and African American patients"