Cosmetic Concerns

Acne Scars

Acne scarring is a common problem amongst individuals who have had severe and/or prolonged untreated acne. People with noticeable acne scarring are often self-conscious about the uneven contour of their skin, especially under certain lighting where the depressions in the skin cast fine shadows mimicking discoloration.


Angiomas, also called “cherry angiomas”, are benign (non-cancerous) growths of blood vessels that appear anywhere on the skin, and may become more numerous as we age. Angiomas are often 1-2mm in size and bright red in color. Angiomas are usually a cosmetic concern for people who notice increasing numbers scattered throughout their skin.

Benign Growths

Many people desire remove of benign skin growths to improve the appearance of their skin. It is always important to remember that any growth should always be evaluated by your dermatologist first, prior to any procedure. Once a growth has been diagnosed as benign (non-cancerous) by your dermatologist, removal for cosmetic purposes can be considered.

Blood Vessels and Facial Redness

Persistent facial redness and broken blood vessels may be a source of distress for many people who want a clear, blemish-free complexion.

Discoloration / Brown Spots

Skin discoloration is a common concern for people of all ages and cultures and can be a significant source of distress. Any departure from the surrounding baseline skin color results in discoloration.

Leg Veins

Leg veins can be an unsightly condition for many people. Factors that promote leg vein development are many and include genetics, hormones, pregnancy, prolonged standing, and age. There are different types of leg veins, classified based on size.


Melasma is a common condition of the skin in which brown patches appear almost symmetrically over the face and sometimes the arms. It is a condition that is caused by a variety of factors including genetics, hormones, pregnancy, and is always exacerbated by sun exposure.


Scars are problematic for many people not only because of the unsightliness of the scar itself, but because it can serve as a reminder of the surrounding events associated with the scar. There are different types of scars, classified based on how the scar formed and scar bulkiness.

Stretch Marks

Stretch marks are a common cosmetic concern amongst men and women. Stretch marks appear as reddish to whitish, thinned out lines in the skin. Early stretch marks are often reddish in color, while older stretch marks are whiter in color.

Wrinkles and Loose Skin

The appearance of wrinkles and loose skin is a common concern for both men and women. As people age, the loss of collagen compounded with years of sun damage causes thinning of the skin and hence wrinkles formation and skin looseness.

Volume Loss

Volume loss of the face is one of the most common cosmetic problems of aging that goes quietly unnoticed. People recognize that they appear tired and aged but do not notice the subtle facial contour changes that produces this overall undesirable effect.

Dr. Julia Tzu

Dr. Julia Tzu is a double board certified dermatologist who specializes in Mohs and reconstructive skin surgery, laser surgery, and cosmetic dermatology. She is one very few dermatologists in the world who has devoted additional years of formalized fellowship training in both Mohs surgery as well as dermatopathology, making her amongst the most highly trained and elite dermatologists.


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