Birthmark Removal

Birthmarks On Skin: Ways To Lessen Or Remove Birthmarks

Somewhere around five percent of all people are born with a skin discoloration of the sort that we commonly know as birthmarks on skin. Within this five percent there is a very wide variety of ways in which birthmarks on skin manifest. They may be smooth and flat, they may be raised, they may be superficial or run deep in the skin. They also vary in coloration from a pinkish through coffee brown, to a deep red or purple. Whatever there appearance, birthmarks on skin, particularly when they are on the face are often a cause of embarrassment and low self esteem. In rare cases, some types of birthmarks on skin can actually pose a health risk. For this reason, if you have a birthmark on your skin, you should contact a doctor to have it examined so that you will know if a treatment is necessary. Continue reading

What is Seborrheic Dermatitis??

Seborrheic dermatitis is a disease that causes flaking of the skin that typically affects the scalp (dandruff in adults, “cradle cap” in babies) though it can also appear on the face and chest as well as the creases of the arms and legs. For most people the onset occurs with puberty and peaks at age 40 years. Symptoms include: Continue reading

What is Psoriasis, Vitiligo, and Rosacea??


According to the Nation Institutes of Health Psoriasis is a chronic (long-lasting), non-contagious, skin disease of scaling and inflammation that affects greater than 3 percent of the United States population, or more than 5 million adults. There are five types of psoriasis of which plaque is the most common. Typical symptoms for plaque psoriasis include: Continue reading

Get Control of Rosacea Once and For All

Rosacea, for some, might call up memories of W.C. Fields, or even Santa Claus, with their ruddy cheeks and noses. There is no exact cause for rosacea; according to the National Rosacea Society, over 14 million Americans suffer from it. Many of us—roughly 78%—have no idea what it really is, or how to identify it. Continue reading

Aesthetic Medicine Today and Tomorrow (part 2)

Fillers, From Animals to Sugar

The fastest growing segment of cosmetic science has been in the area of fillers. Bovine collagen, porcine collagen, and synthetic versions of calciums and sugars in humans are the favored methods for plumping up lips and cheeks, as well as filling in wrinkles and facial folds.

“I’m not one to say no one should ever get a facelift, “ Dr. Ourian states, “but with the technology available now I do think it should be the final option, not the first. With dermal fillers we can plump up areas of the face that have sunken with age. The results look natural rather than pulled.”

Bovine collagen was the most popular filler two decades ago, but patients lost interest due to potential side effects and allergy problems. Fillers using synthetic versions of hyaluronic acid, a natural sugar in the body, and calcium hydroxyapatite, or bone particles, were created to replace bovine collagen. Radiesse, Juvéderm, and Restylane are all examples of these types of fillers, and patients love them.

Dr. Ourian’s preference is the calcium hydroxyapatite filler Radiesse. This is because the bone particle fillers trigger the body to surround the material with naturally made collagen. Chin and cheek implants, once a fixture before fillers, tended to look unnatural. Fat transplants were also a method of filling in sags and wrinkles, but since natural fat is absorbed back into the body, more was needed for the injection than looked appropriate. Also, the fat would not necessarily dissolve evenly. As a result, some patients would suffer through uneven lumps at the site of injection after it started to break down.

Nose Jobs On the Run

Got a less than a perfect nose bridge? If you’ve always wanted to get rid of that little bump or indentation, it can be done in minutes by a doctor. A filler injection is made and smoothed out around the area. You’ll even have time to grab a little food before heading back to work. Touch-ups may be required for the next couple of years, and by then, science may have evolved to the point that the next one is permanent.

Waxing? Not Any More…

How do you get rid of unwanted body hair? Depilatory creams came out first, but they only kept the hair away for a day or so. Waxing was more popular, but that lasted for two weeks and could be very uncomfortable. Electrolysis was permanent, but was just as painful as waxing, and required more than one lengthy session. This is partly because each hair had to be burned out with an electric current.

Fortunately, we have moved to the next stage in hair removal. Laser hair treatments get rid of hair without burning the skin or using harsh chemicals. The laser targets the dark pigment in the hair and destroys the hair at the root. Touchups may be needed, but long term hair reduction is possible.

In the Future, I See…

Because of the speed at which technology and medicine evolve, changes can happen in months, as opposed to years. In five years, Dr. Ourian feels, patients will be less likely to get a full scale surgical procedure and be much more interested in total body approaches to regaining the appearance of youth. Many practices have already started to include a holistic approach, with skin care, med-spa and non-invasive treatments available.

Fat and blood stem cells will be used to stimulate rejuvenation of the face over the next five years, according to Dr. Ourian. The fat can be harvested from anywhere, while the blood stem cells can be taken from near the belly button. The idea is to turn the body into a self healing organism. Dr. Ourian is also looking forward to great advances in treating cellulite using non-invasive procedures to treat the unsightly affliction that is said to impact 90% of all females.

Aesthetic Medicine Today and Tomorrow

As technology and medicine advance, doctors have found even better ways to get rid of wrinkles, laugh lines, and other signs of aging. Some use existing methods, like disease fighting drugs and others use more precise instruments. As a result, first generation treatments are being outstripped by their second generation heirs. Dermal fillers once lasted three to six months; now, they can last two years or more. New minimally invasive procedures mean that we can not only get work done during our lunch break, but we’ll even have time to meet up for a bite right afterward. Intense swelling and painful abrasion are being replaced by (nearly) painless light and lasers.

We no longer have to worry about finding a place to hide while a facelift heals. Today’s skin treatments show full results in days. And in the future, that time could be cut down to hours or even minutes.

In addition, not only are the older treatments being replaced by better, faster ones, but they are often are less expensive. The economy may be improving, according to some, but people are still putting off elective procedures in the interests of saving money. Plastic surgeons and other doctors understand this, and in turn, they have reduced their prices and created effective promotions.

Dysport Moving in On Botox’s Turf

“I don’t think the introduction of Dysport will spark a price war with Botox. But it will give us another tool we can use to better serve our patients, “ says Dr. Simon Ourian, a cosmetic Dermatologist with a thriving practice in Beverly Hills. Both drugs are made from the bacteria Chlostridium botulinum, a known toxin that causes botulism in food, in minuscule amounts. Dysport was recently FDA approved, and will also be used to fight wrinkles.

Lashes Like a Newborn

Lashes Like a NewbornAllergan Inc, the makers of Botox, have stumbled upon yet another exciting discovery. Their bimatopost ophthmalmic solution, first used to treat glaucoma, was found to stimulate the growth of eyelashes in a big way. Ophthalmologists noted that their patients’ lashes were longer, darker and thicker than before. The formula was changed slightly and went through the FDA process, and the result is Latisse.

Dr. Ourian has only positive reviews of this treatment. “The application process is simple, “ he says, “and each Latisse kit comes with sterile applicators so that when used properly there is no chance for cross-contamination.” There are potential side effects, of course—itchy eyelids and skin discoloration in the eye area—but the patients seem to have no problem with them. And they’re willing to do whatever it takes to grow their lashes. “Allergan really hit the mark with Latisse, “ says Dr. Ourian. “Women spend a billion dollars a year on cosmetics to achieve the appearance of longer, fuller lashes. Latisse can actually grow your lashes.”

Mommy Makeovers: Is it Right For You?

Many mothers are concerned about their bodies, and feel less attractive than they did before giving birth. Their stomachs are no longer as tight, their breasts may sag, and they may have gained weight in the process. But what to do about it? Kate Gosselin, of “Jon and Kate Plus Eight” fame, had a tummy tuck after having her multiple births. To cater to this specialized group, the “mommy makeover” is emerging as a solution among young mothers that want to restore their bodies to that pre pregnancy look. It is a single session combining a tummy tuck, breast augmentation or lift, and occasionally liposuction. This tackles most of the problems that mothers face, and many of them are pleased with the results.

Doctors feel that combining all of the procedures at once is not only efficient, but cosmetically best. The mother is able to see full results after recovery. However, multiple surgeries at one time can lead to a higher risk of complications and a longer recovery period. A major area of concern is how long the patient is anesthetized.

In addition, the doctor will have their own recommendation for how long the patient should wait after giving birth to have surgery. Six months is the usual suggestion, in order to give the body a chance to get back to full strength. Hormones also need a chance to return to regular levels. Last but not least, the surgery should only be done if the patient is done having children. Otherwise, the results will not last.

At Epione you can make an appointment with a physician to discuss the “mommy makeover”, but if you feel that having surgery is not best for you, we can also help you find other options. Our Coolbeam can help remove stretch marks, and Lipotherapy will get rid of cellulite. If you simply want to look good in your bikini again, Epione has a weight loss program that will help.

Skin Lightening Creates an Even Skin Tone

An uneven skin tone mars the appearance of the face and makes it look older, but the condition can be corrected with professional skin lightening products.

A baby is born with perfect, even skin. As that baby grows into adulthood, and especially into middle age, even skin tone turns into uneven skin tone. There are many factors that contribute to old looking skin, such as wrinkles, crevices and age spots, but one of them is certainly uneven skin tone.

In addition to aging, what are the reasons for the condition? Those with sufficient melanin in their skin may experience uneven melanin production. Therefore, some areas of the skin will appear lighter than other areas. This condition is complicated by the skin’s worse enemy – the sun. If you are darker skinned, you may wonder why discoloration of your skin takes so long to fade back to normal. That has to do with PIH or post inflammatory hyperpigmentation. The darker you are the darker the PIH. Fading can often take months and even a year.

Hormones, pregnancy, birth control pills and more can also contribute to uneven skin tone. For example, melasma or “the mask of pregnancy” is a condition that results in brown patches on the face.

Treating uneven skin tone does not mean resorting to products that can harm your skin and your face. Nor do most professionals suggest that the goal of skin lightening is to make your dark skin lighter for lightness sake. This type of message has the potential of harming darker women emotionally and psychologically. Therefore, the goal of professional skin lightening is to even out your skin tone and that should be done with professional products.

Effective skin bleaching products typically contain hydroquinone. Skin bleaching products should be applied to dark spots only and stopped once the look is achieved. Products that do not contain hydroquinone or contain very little are called other terms such as a skin lighteners.

Doctor Simon Ourian, Medical Director of Epione Beverly Hills, offers a professional-strength product known as EPIONE Signature Series Restoration Firm and Fade which is a skin brightener and lightener. It contains an active blend of 2% hydroquinone, kojic acid, azelaic acid and high potency vitamin C. It improves uneven skin tone and skin clarity, re-textures the skin and helps reduce fine lines and wrinkles and lightens or eliminates age spots, freckles and scars. The advantage of such a product is that is has been professionally blended and approved by a trained and experienced physician.

Taking care of your skin with skin lighteners or other products to create an even skin tone can be safely accomplished with the help and approval of a professional. The uneven skin tone that you have grown to accept can be made even with proper use of a skin lightening product, avoiding the sun and patience. Following your doctor’s advice can contribute to healthier and younger looking skin.

Professional Skin Care Fights the Signs of Age

Women and men who want young and healthy skin can attain it with the right skin care products.

Professional skin care products can keep adult skin looking young and healthy. Aging is a fact of life. However, if you take two people of the same age and place them side by side, one may look older than the other. The signs of aging are exacerbated by what we do to our bodies. Continue reading

Fight Dark Circles with Advanced Cosmetic Procedures

Dark circles mar the appearance of a person’s face. Today, dark circles can be reduced with the help of advanced cosmetic procedures.
Today, no one has to live with dark circles. Advanced cosmetic procedures are available.

For women and men who want faces that look as young and as healthy as possible, the last things they desire on their faces are dark circles. These are dark areas under the eyes that can mar the appearance of one’s face. Dark circles can make a person look old, tired and unhealthy.

What causes dark circles? In addition to factors such as lack of sleep, dark circles are caused by a variety of conditions. For example, heredity is a cause of dark circles. If they run in your family, chances are that could be why you have them. Or, there may be an excess amount of pigmentation under your eyes that runs in your family or ethnic makeup. Dark circles can be caused by skin conditions such as eczema. It can also be caused by allergies. (Rubbing your eyes in these conditions can make it worse.) Colds and infections can create dark circles. Aging is another reason why dark circles can appear under your eyes. Also, they can appear due to a lack of proper nutrition.

A good diet, exercise and plenty of sleep are cure alls for just about everything that ails us, but it is not enough for those with chronic dark circles.

There are plenty of under eye cosmetics to help with the condition of dark circles, and many of them do the job, temporarily. Once the makeup comes off, the dark circles are still there. There are also special creams that you can buy over the counter and professionally to help with dark circles. Depending on the quality of the brand, these creams have proven to show improvement for some people. Also, there are natural ways to treat dark circles, such as placing tea bags under your eyes.

However, one of the best ways to eliminate dark circles is with advanced laser treatments available from qualified doctors. These procedures are non-invasive, quick and require little recovery time. The new advanced therapies work for both light skin, but also dark skin, which in the past has not responded well to traditional laser treatments. Advanced laser treatments may also be combined with dermal fillers for the most attractive result. At Epione Beverly Hills, Medical Director Simon Ourian, M.D. offers the Coolaser, his proprietary laser system, for the treatment of dark circles. “Depending on the needs of the individual patient I like to combine Coolaser with a dermal filler such as Radiesse® for optimal results, “ says Doctor Ourian.

Minimally Invasive Aesthetic Surgeries Up in a Down Economy

Many plastic surgeons are suffering from the downturn in the economy as people postpone or cancel their costly cosmetic surgery procedures. But renowned cosmetic Dermatologist Dr. Simon Ourian M.D. says that these very same people are turning to him, and his center Epione Beverly Hills, for the minimally invasive procedures in which he specializes.

March 22, 2009 — The American Society for Aesthetic Plastic Surgery (ASAPS), just released a new survey showing there were more than 10 million surgical and nonsurgical cosmetic procedures performed in the U.S. in 2008. That’s about 1 million fewer than in 2007, representing a 12% decrease in the total number of cosmetic procedures. The survey does seem to indicate though a clear shift toward noninvasive procedures The ASAPS has been conducting these surveys since 1997 and cosmetic procedures are up and average of 65% since 1997, minimally invasive procedures are up 239%.

“It is important to appreciate the distinction between invasive surgical procedures and minimally invasive procedures, ” states Dr. Ourian, “in order to understand the numbers. In the simplest sense invasive procedures typically involve the skin being cut. While some invasive procedures are now performed in-office most still require an operating room of some sort. To make these procedures more appealing to potential patients plastic surgeons are performing some under a local, rather than general, anesthesia.”

“Some examples of invasive procedures are: breast augmentation, breast lift, liposuction, rhinoplasty and eyelid surgery. The costs are high because patients typically have to pay for the time of their plastic surgeon as well as the time of an anesthesiologist and the use of an operating theater. A hidden cost, but one which I’m sure is on the minds of more consumers than ever, is the downtime. If you can’t work, you can’t earn a living. And even if you’re taking paid time off to recover, I think people aren’t sure leaving their job for a week or more is a good idea these days.”

“Minimally invasive procedures on the other hand”, continues Dr. Ourian, “offer long-lasting results and little to no downtime, typically at a fraction of the cost of invasive cosmetic surgery.”

According to Allergan Inc. the manufacturer of Botox, Dr. Ourian’s Epione Beverly Hills is the busiest Botox office in Southern California. “I certainly pride myself on this, ” notes Dr. Ourian, “but minimally invasive procedures means a lot more than Botox these days. I am a big proponent of dermal fillers such as Radiesse, Restylane, Juvéderm, and Perlane. With a simple injection or series of injections I can eliminate wrinkles and facial folds.”

“I know that these are difficult times for some of my colleagues who are excellent plastic surgeons and Dermatologists, ” concludes Dr. Ourian, “but we still maintain a waiting list. Some procedures such as Botox and laser hair removal are as popular today as they’ve ever been. We also offer a line of skin care products.”

Dr. Ourian’s Epione Medical Corporation, located in Beverly Hills Golden Triangle, is among the most comprehensive and state-of-the-art laser and aesthetic surgery centers. Dr. Ourian has been a pioneer for laser technology and non-invasive aesthetic procedures including Restylane, Botox, Juvéderm, Radiesse and Sculptra. These treatments are used for correction or reversal of a variety of conditions such as acne, acne scars, acne scar removal, skin discoloration, lip enhancement, wrinkles, stretch marks, varicose veins, unwanted hair, and tattoos, cellulite, and tens of others. For further information please contact (888) 951-3377.

Turn Back the Clock on Sun Damage

Now that summer is over, it’s time to reverse the signs of sun damage and reveal healthier, beautiful skin! At Epione, we offer two revolutionary laser options to improve the overall quality of your skin, while helping eliminate damage the sun left behind this summer.

Coolaser is a procedure developed by Dr. Ourian and is only available at Epione. It treats wrinkles, evens out skin tone, and is safe for all skin types. Dr. Ourian can fine-tune the depth of treatment in accordance with each patient’s needs. The Coolaser will penetrate only as deeply as needed, allowing Dr. Ourian the ability to remove wrinkles and refresh your overall skin appearance. After the damaged skin is removed, new skin will quickly regrow in its place. Unlike other laser treatments, the Coolaser does not require a long recovery period, and the results are long lasting!

An additional option for erasing the damage done to your skin this past summer is CoolFractional Laser treatment. CoolFractional Laser treatment is designed to target aging and sun damaged skin, by affecting only a fraction of your skin at a time with thousands of tiny microscopic laser spots. This triggers the body’s natural healing process, accelerating the production of collagen and new, healthy skin cells.

Call today (888.931.3366) and ask about our Fall Specials on Coolaser and CoolFractional Laser treatments. Leave the summer sun damage behind, and start fall with luminous, healthier looking skin!

Exfoliate Your Way to Beautiful Skin

The easiest way to get glowing, luminous skin this fall is by exfoliating. Exfoliation is an essential component of skin care. When you exfoliate, you are sloughing off dead skin and exposing fresher, brighter, younger skin beneath.

Exfoliate up to 3 times a week with a gentle exfoliating cleanser for best results. After exfoliating, it’s very important to moisturize your skin. Exfoliating helps the moisturizing products penetrate more deeply into the skin, boosting their effectiveness. This can make the skin feel softer and give it a look of greater radiance.

Get rid of the summer damage and hydrate for the coming winter months ahead by exfoliating to unveil beautiful, glowing skin.

Summer’s Coming! Are you prepared?

Use Sunscreen!Sunlight injures the skin, particularly the epidermis. The cumulative effects of sun exposure are wrinkling, blotchy pigmentation and roughness. Sun damaged skin also becomes less flexible and more easily bruised. Finally, sun damage is the major cause of skin cancer.


  • To protect your skin always use a sunscreen with a sun protection factor (SPF) of 30 or greater (Epione’s Sunblock is SPF 40+).
  • If you burn easily, freckle or have light hair and eyes, use a sunscreen with a higher SPF factor and reapply every hour if perspiring or swimming.
  • Your tan won’t protect you from burning! Even if you already have a tan, use sunscreen to keep your skin even-toned, young-looking and safe.
  • Don’t be fooled by cloudy skies – you should still apply sunscreen if you’re outside. The sun can damage your skin even if it’s not sunny out.
  • For the best results, apply your sunscreen 20 minutes before going outside.
  • If possible, avoid being out in the sun between 10:00 am and 4:00 pm. Follow the “Shadow Rule” – if your shadow is shorter than you are, the sun’s damaging rays are at their strongest and you are most likely to sunburn.
  • When you’re out in the sun, especially midday, wear light, protective clothing: wide-brimmed hats, jeans or pants and long-sleeved tops.
  • Remember: It’s never too late to help your skin stay healthy. No matter how many times you’ve been sunburned or tanned before, you can start fighting blotches, wrinkles and skin cancer by using a sunscreen now.

To learn how Epione can treat sun damaged skin call us at 888.931.3366 and ask about Coolaser

Epione Skin Peels!

Come in and take care of your skin now to keep that healthy glow forever.

Organic Peel

For those who want to stay away from lasers and chemicals, this is the way to go. The Organic Peel is a medically developed method for skin peel based purely on a plant-based formula. It does not contain any chemical additives and accelerates blood circulation of the treated area and effects peeling of the upper skin layers. It’s great for wrinkles, premature aging of the skin, acne, enlarged pores, sun damaged skin, skin discoloration, etc. Continue reading

Laser Acne Scar Removal

Laser Acne Scar RemovalMost of us have had blemishes or acne at one time during our lives. Unfortunately, severe acne can lead to scarring and embarrassment. These scars can vary in shape, type and color. Laser resurfacing is the best recommended treatment for most of these scars.

The process is like sanding the surface of a damaged table so that the scars are less deep. Continue reading

Blue Light Therapy

Blue Light TherapyMost people who are exposed to the sun, especially during the summer when it is beach weather, experience those ever-present dark circles on their face and/or arms and makeup just isn’t enough to hide them.

Blue Light Therapy was developed by Dr. Simon Ourian for people who have sun spots, sun damage, freckles, broken capillaries, dark circles under their eyes, etc. and do not want to have a long procedure or a lengthy downtime. Continue reading