The health of your skin,and the beauty of it.
A balanced, conservative approach to cosmetic medicine.
Cosmetic care here rests on the same foundation as our medicine: healthy skin, honestly assessed. Our cosmetic services address the aesthetic concerns that arise from the skin, whether these changes come with age or with conditions such as acne and rosacea, through a select menu of proven, non-surgical treatments for Fresno and the Central Valley.
A select menu of treatments.
Injectables
Precise, conservative injectable treatments that soften lines and restore balance, never overdone.
Laser & light
A gold-standard laser, chosen and vetted for safety across skin types, for unwanted hair.
Skin renewal
Treatments that work with your skin's own renewal to refine texture, firmness and glow.
- Microneedling with Platelet-Rich PlasmaFine, controlled micro-channels that prompt your skin's own collagen for firmer, smoother texture.
- Chemical PeelsMedical-grade peels that lift away dull, damaged surface layers to reveal softer, smoother skin.
- HydraFacial MD®A deep cleanse, gentle exfoliation and intense hydration in one soothing treatment.
- DiamondGlow®Diamond-tip resurfacing that clears the pores and infuses serums in a single pass.
Skincare
The daily care that protects everything else, guided by the people who treat your skin.
When you are ready to do something for your skin, however small, we are here.
Talk to us
Devoted to natural-looking outcomes.
Our cosmetic team is made up of highly skilled practitioners, dedicated to preserving and enhancing the beauty of healthy skin at every age. We believe in a balanced and conservative approach to cosmetic medicine: a devotion to natural-looking outcomes, so that improvements read as you, on a very good day.
Every cosmetic plan starts with a professional consultation: your skin, your goals, and an honest conversation about which treatments will serve them, and which won't. Our practitioners assess your candidacy and recommend a plan built around you.
Book a consultationWe offer a deliberately select menu of proven, non-surgical treatments rather than every device on the market. Restraint is the point: enhancements that preserve character instead of erasing it.
Every treatment is delivered under the direction of a board-certified dermatologist, with the same clinical rigor as our medical care: gold-standard technology, chosen and vetted for safety across skin types.
Meet the teamEvery product we place in your hands has been researched, evaluated and personally tested by Dr. Macias, including the skincare line he developed himself for the practice.
Sun + skin care
Skilled hands, and the experience to guide them.
Your cosmetic care is directed by the same board-certified dermatologist who leads our medicine, Dr. Edgar S. Macias, and delivered by a handpicked clinical team of physician assistants and nurse practitioners who evolve their craft with every advance in cosmetic dermatology.
Your questions, answered.
An unhurried conversation. We look at your skin together, listen to what you'd like to change, and give you an honest read on which treatments fit your goals, and which don't. You leave with a recommended plan, never an obligation.
That is the entire philosophy of the practice. We believe in a balanced, conservative approach to cosmetic medicine, devoted to natural-looking outcomes: improvements people notice without being able to say why.
Every plan is developed under the direction of Dr. Macias, a board-certified dermatologist, and treatments are delivered by our clinical team of physician assistants and nurse practitioners.
It depends on the treatment. Many (HydraFacial MD®, laser hair removal) involve little to none beyond some short-lived redness; others, like chemical peels, ask for a few quiet days as the skin renews. Your practitioner will walk you through exactly what to expect before anything begins.
We accept CareCredit, and our front desk will gladly walk you through your options before any treatment begins.
Ready when you are.
Whether you have a treatment in mind or only a question, a conversation is the right first step.
Book a consultation