Services > Medical Aesthetics

Medical Aesthetics



Please visit for a comprehensive before and after gallery of patients and
for further details regarding MAI Founder and Medical Director, Joseph H. Chang, M.D.

upper bleph

The most commonly done eyelid surgery is an upper eyelid blepharoplasty.
The surgery takes less than half an hour and is done under conscious or general anesthesia with
an anesthesiologist present. The excess skin and fat is removed from above the upper eyelid.
Return to normal function is within days, and return to normal appearance is within weeks.
Stitches are removed at 10 days postoperatively. Complications, such as excessive bleeding and
scarring, are rare.

lower bleph

The most commonly done lower eyelid surgery is a transconjunctival lower blepharoplasty.
In contrast with the uppers, lower eyelids take less time, approximately 15 minutes.
There is no skin incision, so there are no stitches and no external scarring.
The orbital fat pads are removed. Complications, such as excessive bleeding, are rare.

Preoperatively, patients dislike the appearance of the lower eyelid area.
They often report "puffiness" around the eyes. Symptoms can vary by the time of day.

Lower blepharoplasty is commonly combined with upper eyelid surgery.
Whether or not upper eyelid surgery is covered by insurance, lower blepharoplasty is always
considered cosmetic. Combined surgeries have advantages for recovery time, convenience, and cost.


Ectropion is an abnormal sagging of the lower eyelid, such that it does not stay in proper position
constantly in contact with the eyeball. Patients dislike seeing an abnormal amount of the
white part of the eye showing beneath the colored part ("scleral show'). It can lead to medical symptoms
such as excess buildup of tears on the eyes, tears running down the cheeks ("epiphora"), irritation, discomfort,
redness, inflammation, infection, scarring, and more; in these cases medical insurance often covers all or part
of the cost of surgery.

Surgical ectropion repair involves tightening and/or rotating the eyelid. Self-dissolving stitches are usually utilized.
Recovery time is quick. Sometimes multiple procedures are required.

Lesion Removal:

Lesions that can grow on the eyelid are too numerous to list. Some of the more common benign lesions are:
sebhorrheic keratosis, actinic keratosis, nevus, papilloma, verruca, sebaceous cyst, keratin cyst, chalazion, hordeolum.
Surgery is usually very quick and involves a complete excision.

Malignant lesions are rare. By far the most common is a basal cell carcinoma, Luckily it behaves unlike most cancers
and tends not to go elsewhere ("metastasize"). Surgery involves complete excision with clear margins.

It is possible to have other skin cancers on the eyelids, but squamous cells carcinomas, sebaceous cell carcinomas,
and melanomas are very rare.

Skin Rejuvenation

Skin Rejuvenation

Laser Skin Resurfacing

(Peri-Oral, Peri-Orbital & Full Face).
The most up-to-date technology in laser resurfacing combines the dramatic results of the classic CO2 laser
with the safety of the fractional laser, yielding effective skin tightening with shorter recovery times than ever before.
The tunable features of modern aesthetic laser technology allow full customization of your treatment according to
desired effects, recovery time limitations, facial regions (lower eyelids, face, peri-oral, forehead) and skin type
(including darkly pigmented skin.) Dr. Chang's artistic technique of subtly blending treated and untreated areas
produces naturally beautiful results.



Facial Rejuvenation
Facial Rejuvenation

Botox®, Dysport®, Xeomi® (relaxers):

Many of the cosmetic effects of aging are due to the over-action of certain facial muscles that can lead to raised
contracting and bundling of the overlying skin--commonly know as wrinkles. Recent FDA approval of agents like
BOTOX® Cosmetic, Dysport® & Xeomin® have given us the ability to selectively relax these muscles in order to
reduce wrinkles and to provide a smoother, more youthful appearance.

Dermal Fillers:

Restylane®, Perlane®, Juvederm Ultra®, Juvederm Ultra Plus®, Radiesse®
Read more about Dermal Fillers

Volumizing 'Facelift' with fillers

Read more about Volumizing at


A photofacial is a cosmetic dermatology procedure that treats several different skin conditions.
A photofacial utilizes Broad Band Light (BBL) or laser light to penetrate the skin and reduce brown sun spots
and red blood vessels. Photo facials also promote collagen production and overall skin rejuvenation.
Usually a series of treatments are needed for optimal results. Dermatologists recommend 3-4 total treatments
roughly 4 weeks apart to get the best results.

What conditions can be treated with an IPL photofacial?
• Age spots
• Liver Spots
• Hyperpigmentation
• Wrinkles
• Enlarged pores
• Facial veins
• Freckles
• Acne

Downtime: Photofacials require very little downtime, infact you can have your treatment on your lunch
break and return to work. You may experience some redness that should resolve within a few hours.
For some pigmented lesions you will see a darkening of the treated areas followed by fading and flaking
off at a later stage. Your treated skin will feel smoother, fine wrinkles and pores will be less noticeable,
and sun spots or uneven pigmentation will fade.

• Stop using Renova, Retin-A and AHAs-which can make skin fragile and sensitive-several days prio
to waxing, using a depilatory or laser hair removal. If taking Accutane, ask your physician about hair-removal options.
• Typically you face will look worse for 3-4 days before it looks better. Plan your treatment around your social life.
• Avoid sun exposure and tanning before and after treatment.
Before treatment - Stop taking any medication that may increase the skins sensitivity.
• Who can't get an IPL treatment: pregnant, skin cancer sufferers, People with open lesions, people with Keloid.
People with a very dark skin tone or tanned skin


Body Rejuvenation

Laser Hair Reduction

A concentrated beam of light is aimed at hair. The light is absorbed by the pigment, which damages the follicle enough to retard future growth. Lasers can remove hair for anywhere from several months to years, as the results differ widely from person to person. The procedure isn't permanent - Hair grows in indeterminate cycles, and it needs to be caught in the growth phase for the procedure to be effective. Depending on a person's pain tolerance, lasers can feel like a gentle pinch or the snap of a hot rubber band.


• Stop using Renova, Retin-A and AHAs-which can make skin fragile and sensitive-several days prior to waxing, using a depilatory or laser hair removal. If taking Accutane, ask your physician about hair-removal options.
Avoid chlorine, saltwater and the sun for a day after shaving, waxing or using a depilatory and for a week after laser hair removal (to prevent irritation and burning.)
• Don't subject sunburned skin to any hair removal; wait until the burn subsides.
• Shave the area the day of the treatment.
• Tanning-from either the sun or a bottle-is a no-no before a laser treatment, since darker skin absorbs the light before it can reach the follicles.

B12 Injections:

Vitamin B12 (cobalamin) is an essential water-soluble vitamin that the body uses to maintain healthy nerve cells, produce RNA, DNA and red blood cells and help iron to function properly. B12 also works with folate to produce the amino acid SAMe which controls mood and supports immune function. B12 injections have many benefits and are often prescribed for deficiencies that cause fatigue, shortness of breath, diarrhea, numbness and neurological damage.

Chemical Peels

The Vi Peel contains a synergistic blend of powerful ingredients suitable for all skin types. This peel provides dramatic results with virtually no pain, no skin preparation and little downtime.
The VI Peel will improve the tone, texture and clarity of the skin; reduce or eliminate age spots, freckles, and hyper-pigmentation, including melasma; soften lines and wrinkles; clear acne skin conditions; reduce or eliminate acne scars; and stimulate the production of collagen, for firmer, more youthful skin. Vi Peel also works well in conjunction with lasers, injectables and post procedure.

Services > Medical Aesthetics