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A fractional CO2 laser handpiece held against the skin of a cheek, the aiming beam glowing red beneath the tip and the treated skin visibly damp.Photograph by Alice Pien, MD, via Wikimedia Commons, CC BY-SA 4.0. A CO2 laser treatment photographed at another practice. Not a patient of this one.
Birmingham, Michigan

A consultation. A plan. Time to decide.

Talk through your skin goals, treatment options and recovery time. Leave with a written plan and a price, then decide at home when you are ready.

Plate 01 Consultations are free and never same-day sold
  • 0Treatments sold at the consultation. You go home with a plan and think about it
  • MDOn site for every injectable appointment, not reachable by phone from another building
  • 2017Treating patients in Birmingham since. Same medical director throughout
  • AllPrices, downtime and duration published on this site before you call
How this works

Three things we tell you that most places leave out.

Aesthetic medicine has a habit of selling outcomes and staying quiet about the parts a person actually needs to plan around. These are the three questions everybody has and nobody answers on a website.

  • How long you will look like you have had something done

    Not “minimal downtime.” A number of days, and what it looks like on each of them. Bruising after filler is common and it is not a complication.

  • How long it lasts before you are back

    Every one of these is temporary. A treatment that lasts four months is a standing commitment, and you should decide about the second appointment before the first.

  • What it costs, in this building, today

    Per unit and per syringe, published. A price that only exists after a consultation is a price that depends on what you seem willing to pay.

The practice

A treatment room, not a spa with a laser in it.

You are having a medical procedure. The room should look like somewhere that is true, and you should be able to see it before you commit to lying down in it.

A bright treatment room with a reclining procedure chair on castors, a headrest, an instrument trolley beside it and cabinets along the far wall.
Plate 02 A chair, a light and a trolley — and a door that closes
Photograph by Julianrodag, via Wikimedia Commons, CC BY-SA 4.0. A treatment room in another practice. Not a room in this building.
The lounge of a med spa: a lit product cabinet against one wall, a herringbone floor, seating at the far end and planting by the window.
Plate 03 Reception, from the door you come through
Photograph by Eden-Med-Spa, via Wikimedia Commons, CC0. The lounge of a med spa in Naples, Florida. Not this practice's reception.
The corner of Maple Road and Old Woodward in downtown Birmingham, Michigan on a clear day: a limestone building on the far corner with storefronts beneath it, cars stopped at the light and people crossing.
Downtown Birmingham Maple and Old Woodward, a two-minute walk from the door
Photograph by Notorious4life, via Wikimedia Commons, CC0. A real street in Birmingham, Michigan. Not a photograph of the practice.
Where you are going

Second floor, above the pharmacy on Maple.

284 E Maple Rd, Suite 210, in the block east of Old Woodward. Parking is in the structure behind the building and the first two hours are free. There is a lift, and the door is marked with the suite number rather than a spa sign.

Tue–Fri 10–7, Sat 9–3, closed Sun & Mon. If none of those work, ask — it is a small practice and it is sometimes possible.

Who is holding the syringe

Ask this everywhere, including here.

Michigan lets a physician delegate procedures to somebody else under supervision, and that is entirely normal and entirely legal. What varies enormously between practices is who that person is, what they are licensed to do, and whether the supervising physician is in the building or on a phone.

Those are fair questions and a good practice answers them without getting defensive. Ours are answered on one page, along with the statute that governs it and how to look anybody up in the state’s register.

A laser handpiece with a gold ring aperture held against the back of a hand, treating age spots, the skin beneath it wet with coupling gel.
Plate 04 Hands are the second thing people ask about, and the first thing they show you
Photograph by Alice Pien, MD, via Wikimedia Commons, CC BY-SA 4.0. An age-spot treatment photographed at another practice. Not a patient of this one.
Getting started

A consultation is a conversation and a written plan.

Half an hour, free, and you will not be treated on the day unless you came in asking for something specific and we both agree it is right. You leave with what we would suggest, in what order, what each part costs and what it will and will not do.

If the honest answer is that you do not need anything, that is a normal outcome of a consultation here and you will not be talked out of it.

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