"Ask Our Aesthetique"
Debbie Marinucci, RN, CPSN, LT and Nikki Rothrock, LMA represent The Austin-Weston Center for Cosmetic Surgery in Reston, Virginia.
Both Debbie and Nikki are available to answer any questions you may have in regards to clinical skin care by using the form provided below:
Any information in the publications, messages, postings or articles on this website should not be considered a substitute for consultation with one of our board-certified plastic surgeons to address individual medical needs. Your particular facts and circumstances will determine the plastic surgery treatment which is most appropriate for you.

Hi Ladies, I had a consultation with Dr. Poindexter last week and am considering a mini face lift in the fall. In the meantime I would like to have botox and or filler and a skin regimen to help brighten my complexion. Should I make an appointment with one of you or with one of the doctors? Thanks
Nikki Reply:
May 2nd, 2013 at 12:45 pm
I would be more than happy to have a complimentary consultation with you regarding skincare. I can discuss different skin care treatments such as peels or laser treatments that would help to meet your specific needs as well and prescribe you a customized home care regimen to maintain in between treatments.
Dr. Poindexter would be able to meet with you regarding fillers and Botox as he performs these types of procedures. I have knowledge of these procedures, however, getting a professional opinion from your doctor is advised as you may also be have these enhancements at the same time as your consultation.
I recommend you book two appointments on the same day and see me first because having a facial treatment before injections is more appropriate.
Sincerely,
Nikki Rothrock, LMA
Can the Miradry be used on the face to control facial sweating?
Dr. Byron Poindexter Reply:
February 22nd, 2013 at 12:21 pm
Dear Jenny,
miraDry is FDA-approved for excessive sweating in the underarm area only, so it would not be an option for your facial sweating. Botox injections to the forehead may temporarily control facial sweating in that area. If you would like, please call 703-893-6168 for a free consultation with me to see if you are a candidate for Botox treatment.
Dr. P
I’ve been using obagi nu-derm system for one month and seeing results. How long will I have to keep using this? For life? And if so, do I use the entire system or just certain steps for maintenance.
I’ve read that around 3-4 month mark, we should switch to glycolic products. Thanks for your response.
Nikki Reply:
November 7th, 2012 at 3:08 pm
Liz,
Obagi Nu Derm is as medical grade skin care line that helps to even out skin tone and improve the texture of skin resulting in smoother, softer, clearer skin.
I can create customized skin care plans for each of my patients depending on what they would like to achieve. The Obagi system entails four phases of transformation. Phase one is weeks 1-6 Out with the old, phase 2 is week 7-12 in with the new, phase 3 is week 13-18 healthy glow, and phase 4 is creating lasting results through maintenance.
Please call 703-893-6168 to schedule a consultation with me so I can create a customized regimen to help meet your specific skin care needs as every patient is different.
Debbie Reply:
November 15th, 2012 at 10:37 am
Liz
In response to your questions regarding the Obagi Nu-Derm system you are currently using. My recommendation is to be sure you are under the care of a qualified skin specialist when using this system. They should be following you and your progress on a regular basis. Depending on your goals ultimately will depend on the amount of time you will be using the system.
In regard to the Glycolic products, you may already have some in the product you are currently using depending on the cleanser you use. Your skin care specialist should be able to recommend what would be best for your individual skin care needs after using the Obagi Nu-Derm system.
Debbie,
I had the fraxel dual-laser treatment about a year ago. I was surprised at the long “down time” I experienced. I was very red and peeling for several (5) days, even though I followed all the instructions for post-laser care. I am considering a second treatment. Should I expect the same (long) post-laser recovery?
Debbie Reply:
October 1st, 2012 at 6:36 pm
Dear Annie,
Yes, this is a normal response to Fraxel Dual. Everyone experiences different responses to Fraxel depending on their own skin and on the level of treatment. You should plan to have the same response after your next treatment – if your recovery is shorter, that’s great, but past experience is the best predictor of future results.
How can I remove small moles from my face?
Debbie Reply:
July 19th, 2012 at 1:56 pm
Annette,
The moles should be evaluated by a physician and treatment done accordingly to their recommendation. You can either seek the advice of a dermatologist or plastic surgeon for evaluation, and either of them for removal, if that is what they recommend.
A year ago I used corn remover which left my toes very unattractive, I’ve try everything in the book but nothing worked I was surfing the web and run across Mayo Clinic which suggest that laser resurfacing can restore the skin color back to normal. Can you tell me if this is true or any advice.
I have lots of pretty sandals but refuse to wear them because of the way my toes look.
HELP NEEDED
Debbie Reply:
June 5th, 2012 at 3:14 pm
Simmone,
I am not familiar with using lasers on the toes to restore discoloration from using corn removers. You may want to check with a dermatologist office to see if this is something they may offer.