Cosmetic Dermatology
Look like your best self.
Good cosmetic dermatology should respect your features, your age and your own definition of looking your best — and it should be guided by someone who understands skin medically.
Philosophy
Conservative, transparent, individualized
Dr. Gaul approaches aesthetic treatment the way she approaches medicine: by assessing what is actually happening, explaining the options honestly, and starting conservatively enough that results can be refined rather than reversed.
Sometimes the right recommendation is a treatment. Sometimes it is better skincare. Sometimes it is waiting. And sometimes the right answer is a procedure another specialist performs better — in which case we will tell you.
The recommendation always comes before the sale.
Assessment
Skin quality first, then contour
Skin changes in several ways at once: collagen declines, texture roughens, pigment becomes uneven, vessels become visible, volume shifts and support loosens. Treating one of those while ignoring the others is why some results look done rather than good.
A cosmetic consultation ($150) is a real appointment: an assessment of your skin and anatomy, a discussion of what bothers you, and a staged plan with honest expectations and clear pricing before anything is scheduled.
Expectations
What we will and won’t promise
We will tell you what we believe a treatment can achieve for your skin, and what it cannot. Individual results vary, cosmetic outcomes are never guaranteed, and no treatment here is presented as a substitute for surgery when surgery is what your goal requires.
Cosmetic services are not covered by insurance and are paid at the time of booking. Current pricing is published on our cosmetic pricing page.
Treatments
What we offer, and what each one is for.
XERF Skin Tightening
XERF uses radiofrequency energy delivered at two tissue depths to heat the deeper layers of skin, stimulating collagen remodeling and gradual tightening — with no incisions and essentially no downtime..
Read moreAVAVA Laser Resurfacing
AVAVA is a fractional laser platform that places energy at a chosen depth with unusual precision, treating wrinkles, texture, scarring and laxity while sparing the surrounding skin — including in skin types that historically had fewer resurfacing options..
Read moreLaser & Light Treatments
Different wavelengths solve different problems.
Read moreWrinkle Relaxers
Neuromodulators soften the lines created by repeated muscle movement.
Read moreDermal Fillers
Faces change with volume loss as much as with wrinkles.
Read moreBiostimulators
Biostimulators work differently from filler.
Read moreMicroneedling
Microneedling creates controlled micro-injury that triggers collagen production.
Read moreProGen PRP
Platelet-rich plasma (PRP) uses a small sample of your own blood, spun down to concentrate the platelets and the growth factors they carry, then returned to the skin or scalp by injection or microneedling.
Read moreChemical Peels
A peel uses a controlled chemical exfoliation to renew the surface of the skin.
Read moreAcne Scarring
Acne scars are not all the same, and no single device treats all of them.
Read more
This page is general education and is not medical advice, diagnosis or treatment, and it does not create a physician–patient relationship. Individual circumstances differ; please discuss your own skin with a qualified clinician. If you are having a medical emergency, call 911.
Let’s talk about what would actually help.
Whether something has changed, something has been bothering you for years, or you simply want expert guidance on keeping your skin healthy, we’re here to help.