Cosmetic Dermatology

Dr. Laura Phieffer and Dr. Christopher Gorman are trusted and experienced specialists who offer the latest cosmetic dermatology treatments.  Using their expertise and your goals, they create a personalized treatment plan for you.  We offer the following treatments at our office to improve and maximize your appearance.


BOTOX Cosmetic relaxes lines in your face to give you a more rested, relaxed and youthful appearance.  It is a simple, 10 minute, non-surgical procedure; the discomfort is minimal and brief.  The physician injects the Botox directly into muscles that cause the wrinkles.  The most common areas treated are the frown lines (“the 11’s”), the crow’s feet around the eyes, the horizontal forehead lines, and the lines around the mouth.  We also offer the “Nefertiti Lift,” which tightens the jawline and improves the appearance of the neck.  There is no recovery time.  Within 2 to 7 days, you will see a dramatic reduction in wrinkling.  Botox can last up to five months.

We also use Botox to treat hyperhidrosis (excessive sweating) under the arms or of the palms or soles.


DYSPORT is an alternative to BOTOX Cosmetic; it has been called the “new Botox”.  It was approved for use in 2009 and has many very similar properties to BOTOX Cosmetic. 

FILLERS (Contouring and Volumizing)

Dr. Phieffer and Dr. Gorman offer Juvederm Ultra Plus XC and Juvederm Voluma XC at their office.  These injectable fillers are all hyaluronic acid gels that closely resemble the body’s own hyaluronic acid, which is essential to firm youthful skin.  As we age, the amount of hyaluronic acid in the skin decreases, leading to the characteristic signs of aging.  The physician will inject the fillers at designated areas in the patient’s face to replace lost hyaluronic acid to soften the signs of aging and enhance features.

Juvederm Ultra Plus XC and Juvederm Voluma XC differ in their thickness and the amount of time they last (varying from 9-24 months).  The physician will help determine which filler you should have in which area of your face.  The most common areas treated are the “parentheses” around the mouth, the marionette lines, under the eyes, the lips and the apples of the cheeks.  Filler in the lips can be performed either to rejuvenate the lips by redefining the lip borders or to “plump” the lips.

Juvederm Voluma XC is the newest filler which is used to add volume back to the apples of the cheeks, creating a much more youthful appearance in the most natural way.  The results last 2 years.


Chemical peels have been used for centuries to enhance and rejuvenate the skin.  They decrease the appearance of fine lines, wrinkles, dark spots, enlarged pores and acne scars.  Chemical peels help improve clarity, color and overall texture of the skin.  The peels give the skin a fresh, radiant and youthful glow.  We offer a variety of different chemical peels to treat your unique skin’s needs.  Glycolic acid peels, the B-lift peel and the ViPeel are all available at our office.  The peels exfoliate the superficial layers of the skin and stimulate underlying collagen regeneration.  Each peel requires a differing amount of down-time.

Glycolic acid peels and the B-lift peels are referred to as “lunchtime” peels because they are superficial and do not require down-time.  This is a great way to look fresh and radiant without changing your routine.

The ViPeel is a medium depth peel which is virtually painless; however, the skin will peel extensively for an entire week.  This peel is more aggressive and your skin will look radiant for months afterwards.

DERMAPEN (Fractional Micro-needling)

The DermaPen is a micro-needling device that tightens, lifts and rejuvenates the skin.  It reduces fine lines, wrinkles and scars by stimulating new collagen production.  The DermaPen is as safe and effective as IPL and Fraxel laser, however, there is minimal discomfort and virtually no down-time.


Avenues Dermatology offers a full line of skin care products that prevent and reverse signs of aging.  These products enhance the treatments received at our office.  Each product has been hand selected by Dr. Phieffer; she, Dr. Gorman and the entire staff use and stand behind all the skin care products available here.

To learn more about cosmetic dermatology services available at Avenues Dermatology, call (804)288-4410, or schedule a consultation today!

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