Andrew P. Giacobbe, MD FACS

Board Certified Plastic Surgeon

7 Hopkins Road | Williamsville, NY 14221 | 716-634-5555

Skin Care

Medical Spa Services

Laser Therapy:

Using the Palomar Starlux 500 series Pulsed Light and Laser System
We offer a variety of treatment options utilizing this state of the art laser system for:

  • Photofacials skin rejuvenation
  • Permanent hair reduction
  • Pigmented lesions
  • Wrinkle reduction
  • Acne treatments
  • Vascular lesions
  • Rosacea treatments
  • Ablative and Non ablative Fractional Skin Resurfacing

Microdermabrasion:

Using the Diamondtome Skin Resurfacing System
This medical grade, crystal free, skin resurfacing system can be used for gentle to more aggressive micro exfoliation and skin resurfacing.

  • Softer smoother skin
  • Reduction in the appearance of pores and acne scarring
  • Skin tone and vibrancy improvement
  • Reduction of fine lines and wrinkles

Chemical Peels:

Improves color, freshness, texture, and tone of the skin.
We use only the highest quality Medical grade peels.

  • AHA peels (Alpha Hydroxy Acids-glycolic) this peel comes in 30%, 50%, and 70%. They may be used in conjunction with microdermabrasion and/or other skin rejuvenation procedures.
  • TCA peels (Trichloroacetic Acid) this peel is considered a medium depth peel. Fine surface wrinkles, superficial blemishes and pigment problems are commonly treated with TCA. Again, these may be used in conjunction with other modalities for increased effectiveness as approved by your clinician.
  • BHA peels (Beta Hydroxy Acids- salicylic.) This peel comes in a variety of strength’s and is excellent for acne prone skin. It is also used in combination with our TCA and AHA peels to treat other skin specific concerns.

Facials and Skin Care:

  • Naturalia Sintesi is an innovative and revolutionary line of skin care products based in Rome Italy. The cosmetic division of a pharmaceutical company specializing in dermatological products for 20 years is exclusive to physicians and certified medical aestheticians for not only the prevention of skin care issues, but also the treatment of the specific conditions.
  • Naturalia Sintesi offers a wide variety of remarkably effective, full range active, result-oriented facials that are patient skin specific and results driven. With over 20 years experience in distribution throughout Europe, Naturalia Sintesi has established its credentials as the world leader in research and development of skin care products.

Waxing:

There needs to be at least ¼ to ½ inch of hair to wax effectively. This usually means about 2 to 3 weeks of growth. Waxing clients cannot tan 24 hours prior to waxing or 24 hours after waxing and/or having received a chemical peel. We perform facial and body waxing.

Restore the beauty of your skin.

StarLux 1540 Fractional Laser Resurfacing

Palomar has developed and patented Fractional Photothermolysis to create a revolutionary treatment: soft tissue coagulation and non-ablative skin resurfacing with high efficacy and no downtime.

The Palomar LUX 1540 Fractional Laser Handpiece delivers light in an array of high precision microbeams. These microbeams create narrow, deep columns of tissue coagulation that penetrate well below the epidermis and into the dermis, while sparing the tissue surrounding the columns from damage. 1540 is great for lines, wrinkles, acne scars, pigmentation disorders, sun damage,etc. Super results on face, neck, chest, back of hands...

Deep Penetration for Best Results

The Palomar LUX 1540 microbeams penetrate deeper (up to 1 mm) than other devises. These deep columns of coagulated tissue initiate a natural healing process that accelerates the formation of new, healthy tissue to fill in the damaged treatment zones; the deeper the columns, the more new tissue. Coagulated collagen and cellular debris is expelled as skin is resurfaced. Throughout the process, the integrity of the top layer of skin is maintained, which protects the tissue from infection as it heals. Even one or two treatments can often help the texture of the skin.



High Efficacy, No Downtime, Safety and Comfort with simultaneous active contact cooling. LUX 1540 treatments are significantly more comfortable than systems that deliver beams over longer periods of time.

Dermal fillers:

What are facial dermal fillers?

Dermal fillers are substances that are injected just below the surface of the skin to fill in lines, wrinkles, and scars. Unlike face-lifts that stretch the skin, fillers add volume for a more natural youthful appearance. Fillers can also increase the fullness of the lips and lessen the downward slant of the corner of lips. The most common areas treated are the smile lines around the nose and mouth, fine lines above the mouth, frown lines between the eyes, loss of volume around the eye and cheek area, and acne scars.
Hyaluronic acid is a natural substance found in skin and works to trap water and maintain the intercellular space within the dermis. As our skin ages, hyaluronic acid, collagen and elastin are gradually lost from the dermis. The end result is volume loss, skin laxity, and wrinkles.

We use Restylane®, Perlane® and Juvederm™

Restylane®, Perlane® and Juvederm™ are non-animal stabilized hyaluronic acid based dermal fillers. They are FDA approved for the treatment of moderate to severe facial wrinkles and folds. The difference between Restylane and Perlane is the gel particle size. Perlane gel particles are larger and designed for deeper injection than Restylane. Juvederm comes in different formulations as well, Juvederm ultra and Juvederm Ultra Plus. Dr. Giacobbe will decide which product is right for you and you specific areas of concern.
The dermal fillers are used to replenish the dermal volume loss that allows wrinkles to form. It is also used to enhance lips and fill in acne scars. Because it is a natural occurring substance they have a low incidence of hypersensitivity reactions and require no skin testing prior to treatment. The chemically stabilized hyaluronic acid found can remain in the dermis up to one year. This is significantly longer than the collagen based dermal fillers.
Once injected, they integrate into the dermis and bind with water. The results are immediate. It does nothing to hinder the normal metabolism and movement of nutrients and oxygen. Over time, they are gradually reabsorbed without a trace. For this reason, follow up treatments are needed to maintain your results at 6 to12 month intervals. The amount used during your treatment depends on the desired correction. Side effects include redness, swelling, and injection site pain that may last for up to one week.

Botox®:

What is Botox®?

BOTOX® Cosmetic is a simple, therapeutic, nonsurgical muscle-relaxing agent. Botox® is physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

One 10 to 15 minute treatment just a few tiny injections, and within 3 -7 days there's a noticeable improvement in moderate to severe frown lines between the brows, around the eyes or wherever your physician treats the wrinkles. Given its unique mechanism of action, Botox® offers sustained relief, dose after dose over the course of long-term treatment. The relief you will feel from a single treatment of Botox® will normally be sustained for approximately three to four months. You will notice a gradual fading of its effects. At this point, you will return to your doctor for your next treatment.

Usually, Botox® treatments are required only three or four times a year. Symptoms may vary throughout the course of the condition, and so the degree of relief and duration of effect varies from person to person. Consulting with our physicians, who have special knowledge about how to achieve the best possible results with Botox® for your individual case is the best way to get long lasting and effective results.

Giacobbe Plastic Surgery

Andrew P. Giacobbe, MD, FACS

Board Certified Plastic Surgeon

7 Hopkins Road
Williamsville, NY 14221
716.634.5555

Luxurious Spa