Archive for category Skin care & Dermatology

Common Misconceptions About Rosacea


CosMed’s skincare experts use a number of treatments for rosacea depending on the severity of the condition

Does your face always appear blushed or sunburned? You may be suffering from a very common skin condition called rosacea. There are a number of ways that rosacea presents itself, but most commonly the face appears red and the cheeks are consistently blushed, there may be a burning sensation on the skin, or broken veins on the face become much more noticeable. While this is very frustrating and sometimes embarrassing, it is a common condition that affects millions of people worldwide. According to The American Academy of Dermatology, there are more than 14 million people in the United States currently living with rosacea. While rosacea can affect people of all skin color, age and gender, the highest number of instances occur in people between the ages of 30 and 50, among people with fair-skin, and among people with a family history of rosacea or severe acne. While women tend to have a higher number of reported instances of rosacea men tend to have more severe rosacea.

Common Misunderstandings Concerning the Condition

Despite rosacea being a common skin condition, there are still a number of misunderstandings that surround the condition, which may be why a large number of people end up never seeking treatment. The most common misconception about rosacea is that it only affects people with fair skin. While rosacea is more common among people with fair skin, it is certainly not uncommon among people of color. Many people also mistake rosacea for adult acne and seek treatment for acne rather than for rosacea. While acne and rosacea may coexist, medication designed specifically for the treatment of adult acne can aggravate the skin further, making the rosacea much more noticeable. Your doctor can easily diagnose rosacea by examining your skin, asking about your symptoms, and by examining your medical history.

Potential Remedies for Rosacea

There are a number of available remedies that dermatologists use in the treatment of rosacea depending on how the condition presents itself. Dermatologists may prescribe ointments or oral medications such as antibiotics that can help repair the skin. In other cases simply applying a sunscreen may reduce the severity of the condition. Dermatologists can also use a laser or light treatment on the skin or move forward with a dermabrasion treatment which removes some of the affected skin cells. Ultimately, there is no way to cure rosacea permanently, but there are ways to decrease the appearance of the condition that also make the skin feel much more comfortable. Treatments may also keep the condition from getting worse and may reduce the frequency of flare-ups.

Triggers that May Amplify the Severity of Rosacea:

Temperature and Hot Weather: Extreme temperatures, whether hot or cold, may cause flare-ups of rosacea so it is generally recommended to avoid exposure to these whenever possible.
Certain Foods/beverages: Certain foods may cause flare-ups, so keeping a food journal can help you determine if there are certain foods or beverages that aggravate your skin.
Alcohol: Alcohol does not cause rosacea, but it may cause flare-ups.
Stress: Stress can increased the redness of the skin, and if that is the case it may be a good idea to practice stress management techniques to reduce the number of flare-ups.
Certain Skin Care Products: Certain makeup and skincare products may irritate the skin, but using mineral based skin care and makeup may reduce irritation on rosacea prone skin. Please also note that facials are not appropriate measures for treating rosacea.

Need More Information About the Treatment of Rosacea?

At CosMed we offer a number of treatments depending on the severity of the condition. Following a full evaluation, Dr. de la Fuente will suggest the proper treatment, which could include topical treatments, oral antibiotics, or possible laser/IPL usage. Schedule a virtual consultation to get started today.


drlafuenta_dermatologyDr. de la Fuente is a skin care expert. He has presented and published scientific articles available at PubMed,   Journal of the American Academy of Dermatology, Skin and Aging, Clinical and Experimental Dermatology and many more. He also serves as a Dermatology Professor at School of Medicine in Tijuana.

Our CosMed dermatologist Dr. de la Fuente is a skin care expert. He has presented and published scientific articles available at PubMed, Journal of the American Academy of Dermatology, Skin and Aging, Clinical and Experimental Dermatology and many more. He also serves as a Dermatology Professor at School of Medicine in Tijuana. – See more at:

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The Lunchtime Lift with the New Thermage CPT – Now available at COSMED


Thermage is a proven, unique radio-frequency treatment that can help tighten sagging or loose skin, naturally giving you a dramatically smoother, sleeker and younger look and feel.

Aging affects us all – the way we act, the way we feel, and definitely the way we look. But with Thermage, you can have a say in the way aging affects your skin – and maybe even get back to the way you looked not so long ago.

Thermage is a proven, unique radio-frequency treatment that can help tighten sagging or loose skin, naturally giving you a dramatically smoother, sleeker and younger look and feel.

Thermage works in just one treatment with no down time and delivers a change that is never drastic-looking.  It’s you, just younger looking and more confident.


Thermage is effective on:

  • The Face– smoothing and tightening sagging skin, smoothing fine lines and wrinkles and helping define the jawline and lip. Addresses loose jowls and “turkey neck”.
  • The Body – helping contour loose skin and smooth bulges, and also cellulite.
  • The Eyes – treating upper and lower eyelids to reduce hooding and fine lines as well as lifting of the brow line.

Thermage treatments are all about energy – focusing radio-frequency energy to kick start the body’s own natural renewal process. Like most smart technologies, the process is relatively simple – it’s a combination of heat energy to treat deep tissue, and cooling effects, to protect the skin surface and deliver better patient comfort. And our latest evolution of Thermage includes patented Comfort Pulse Technology (CPT) – gentle vibrations and interspersed cooling that make your Thermage treatment even more comfortable, so more energy and heat can be delivered than the older ThermaCool and NXT models, achieving better results.

Unlike many other procedures, Thermage treatment delivers results in a single treatment for most patients. In fact, when it comes to skin tightening and contouring with little to no downtime, Thermage is one of the only non-invasive treatment procedures on the market. Unlike surgery, there is no pre-procedure preparation such as blood work or fasting. And there is no special care required after treatment, aside from basic skin maintenance and sunscreens as part of a regular skincare regimen. Since the Thermage procedure has no downtime, most patients return to their regular activities immediately following treatment. Some patients exhibit a temporary redness or minor swelling after treatment, but this usually goes away within 24 hours.

Thermage Mexico

When lotions and potions are not enough and surgery is too much, Thermage is a safe, effective solution.

Some people want the dramatic results of surgery. Others want the more subtle, natural, gradual results of a non-invasive treatment with no downtime. This is where Thermage succeeds, delivering improved skin tone, texture and tightness.

When lotions and potions are not enough and surgery is too much, Thermage is a safe, effective solution.

Visible results may be immediate, and they may appear over time in the course of your body’s natural collagen rebuilding process. For most patients, measurable tightening and contouring appear gradually in the two to six months following a single treatment session. Results can last years depending on your skin condition and aging process.

What is the cost of Thermage CPT?

Prices in the US vary per area but on average, you can expect to pay $2300+ for Face & Neck Thermage, $2500+ for Body or Cellulite and $1800 for eyes.  However, at COSMED Plastic Surgery Center in Mexico, you can save hundreds on the exact same procedure.


This is the right time of the year for your Lunchtime Lift with the Thermage CPT treatment, so you can look amazing and enjoy the results for these holidays and Spring break! At COSMED we want to spoil you, so hurry! Face and neck treatments will start at $1,500 USD and will be good thru 2012 (regular $1,800 USD). Remember that it could also be combined with ThermaFrax on the same day visit. If body or eyes are your main concern, ask about our body and eye treatments. To book your Thermage Appointment visit or call 1-877-235-1968.


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Having Surgery? New Healing and Skin Stimulation Treatments with LED technology

LED Anti-againg

LEDs offer a totally natural, non-ablative method for skin rejuvenation.

Submitted by Dr. de la Fuente, COSMED Dermatologist

While LEDs (Light Emitting Diodes) are now widely recognized as emerging light sources for general illumination, it turns out that LED lighting can also enable a broad range of life-science-centric applications. The American Academy of Dermatology has identified a number of uses for LED lighting in skin-related therapies. LEDs are significant biologically because they can modify the function of mitochondria within cells. In the same way that plants use chlorophyll to convert sunlight into plant tissue, LEDs can trigger natural cellular photobiochemical reactions in the skin.

How do LEDs work?

LEDs offer a totally natural, non-ablative method for skin rejuvenation. The light from medical grade LEDs interacts with cells and stimulates them to produce new collagen and elastin. Studies confirm that the same LED energy can be used to affect collagen formation, which can be helpful in the treatment of scars. By manipulating the wavelengths, cells metabolism can be turned on and off, improving the blood flow, modulating inflammatory factors and proteins necessary to prolong the life of skin cells.

Which skin problems benefit from LED Therapy?

  • Scar prevention: Red/Near-Infrared Light
  • Wound Healing: Red/Near-Infrared/Visible Light
  • Acne: Blue light
  • Rosacea and redness: Red Light
  • Anti-aging/Rejuvenation: Red/Near Infrared Light
  • Photodynamic Therapy for skin precancer and cancer: Blue/Red Light

How many treatments will I need?

The number of treatments and the treatment times will vary depending on the problem being treated, the amount of surface area treated and the area treated. Treatments may last from 2 to 15 minutes. Since the results are progressive, you will notice more correction with each treatment. As full correction approaches, treatment intervals can be expanded to 3 – 6 month intervals. For scar prevention and healing, treatments are recommended at least 1 day before surgery, and 3 or more consecutive days after.

Will the treatments hurt?

No. The treatment is very relaxing, sometimes with a warm sensation. The delivery of the LED energy to the skin is completely pain free. The energy generated by the LEDs is gentle enough to treat all ethnic skin types.

What will I feel like after my treatment?

Most patients return to normal activities immediately. What patients like is that treatments are fast and they don’t have to miss any activities.

Can I have LED Skin Rejuvenation with other treatments?

Yes. It is highly complementary with other skin treatments such as Botox and dermal fillers, as well as non-ablative, ablative lasers and IPL treatments to improve and accelerate the healing process. Dermatologists and Plastic Surgeons worldwide are beginning to choose LEDs as one of their preferred treatments for very fine lines, light brown spots, acceleration of healing due to aesthetic treatments, but ultimately for scar prevention due to surgeries and many other conditions. Recent studies have shown that skin treated with LEDs before and after a cosmetic surgery tends to heal faster, showing amazing results for a better scarring, but also can prevent bad scarring, including hypertrophic scars and keloids. If using topical retinoids, it is necessary to stop them before and during the LED sessions. Before the treatments, you should tell the doctor of all the medications and creams that you are using.

Is LED therapy an option for my next visit to COSMED?

Absolutely, especially if you are having surgery or laser. LEDs will quicken the healing process, and at the same time will prevent/improve the scarring process. It is important to emphasize that for acne, it is not a substitute of conventional treatments, it is a complement and preferably combined with the medical treatments offered by dermatologists. LEDs are FDA cleared for all of the mentioned skin conditions.

Planning your next surgery and want to improve the healing and scarring process? Consider adding LEDs, starting at $150 USD for 4 sessions, especially if you plan to stay for some days or live near Tijuana. For other skin conditions, please contact us at 1-877-235-1968 or visit


Dr. de la Fuente

Dr. de la Fuente

COSMED dermatologist Dr. de la Fuente is experienced in both clinical and cosmetic Dermatology and is Board Certified by the Mexican Council of Dermatology. He has presented and published scientific articles available at PubMed, Journal of the American Academy of Dermatolgy, Skin and Aging, Clinical and Experimental Dermatology and many more. He also serves as a Dermatology Professor at School of Medicine in Tijuana.

To learn more or schedule your appointment, visit

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When 60 is the new 50, hand rejuvenation is the finishing touch: The COSMED Hand Rejuvenation Plan

Hand Rejuvenation Plan

There is an old saying, “If you want to know a woman’s age, look at her hands.” Fortunately, the team at COSMED has developed a hand rejuvenation plan to restore a youthful look and feel.

There is an old saying, “If you want to know a woman’s age, look at her hands”. But now, there are new and increasingly popular hand rejuvenation procedures that can protect you from being “outed” in such a manner.

As you get older, your hands lose volume, fat and elasticity. The fatty layer of the hand disappears, so the skin is more translucent and shriveled, and you see underlying structures like bones, tendons and veins. Also, the skin develops discoloration like sun spots/age spots and rough wart like spots as the result of lifelong sun exposure with little to no sunscreen use and aging.

Aging is no longer measured by crow’s feet and saggy jowls (for which corrective procedures are increasingly common), but by the dorsal, or top, part of the hands, where the skin is thinner and tends to crinkle over time. Look at Madonna or Sarah Jessica Parker. They have amazing bodies and skin, but their hands have aged.  Fortunately, the team at COSMED Plastic Surgery Center in Mexico, has developed a Hand Rejuvenation Plan, led by board certified dermatologist, Dr. de la Fuente.  In this blog post, Dr. de la Fuente answers questions about the new Hand Rejuvenation Plan.

What is the COSMED Hand Rejuvenation Plan?

The Handlift encompasses the combination of light source treatments, like fractional lasers and/or IPL with synthetic fillers or fat injections.

How does each part of the Hand Rejuvenation Plan work?

Fillers or fat are injected under the first layer of the skin to plump it, giving volume to the hands and lessening the appearance of veins and bony structures. At COSMED we strongly favor re-injecting fat from the derriere or thighs into the tops of the hands over all over methods because synthetic fillers could be expensive and not as long- lasting as fat, which has less chance of being rejected. Another reason is that the fat contains stem cells, which may help to improve even more the appearance of your skin. Downtime: none.

hand lift

New Hand Rejuvenation treatments give hands a fuller, younger look.

Fractional lasers like Fraxel helps in removing wrinkling, scars, discoloration, and at a certain point has some skin tightening properties plus the resurfacing effect which smoothes the skin’s surface and stimulates the production of collagen. The tiny microscopic holes that the laser produces help the pigment underneath the skin to get eliminated, especially when it is combined with IPL. Downtime: 2-3 days.

IPL or broadband light emits pulses of light that are only absorbed by broken capillaries and pigment, lessening skin redness and blasting away sun spots or age spots. In our experience, this treatment is the best option for severely pigmented hands with some degree of redness. Hands look younger as sun spots and uneven pigmentation fade. Downtime: none.

What are the secondary effects?

The most common expected reactions depend on the combination of treatments, being the most common local bruising, tenderness, redness, swelling and superficial scabs which usually last no longer than 2 weeks.

If you’re interested in adding a hand rejuvenation procedure to your next aesthetic surgery, or just want to do the final touch up to your figure, ask for the team approach by COSMED’s plastic surgeons and dermatologist to determine which combination of treatments is the most appropriate for your hands.

Remember that in order to prevent the appearance of aging hands, the best options are avoiding excessive sun exposure, the use of a sunscreen with SPF30+ UVA/UVB, plus creams specifically made to treat your hands.

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How to Remove a Tattoo

Tattoo Removal

Do you have an unwanted tattoo? CosMed can help remove it with our new Q-switched Nd:YAG laser system.

A tattoo used to be a permanent and irreversible adornment to one’s skin. However, in recent years, dermatologic surgeons have developed safe and effective techniques to successfully remove unwanted tattoos. Patients request removal of a tattoo for a variety of reasons — social, cultural, physical or for employment. Because each tattoo is unique, removal techniques must be tailored to suit each individual case. For instance, professionally applied tattoos tend to penetrate the deeper layers of the skin at uniform levels. This uniformity allows dermatologic surgeons to use techniques that remove broader areas of inked skin at the same depth. On the other hand, homemade or amateur tattoos are often applied with an uneven hand and their removal may be more difficult. Statistics show that about 24% of Americans between 18 and 50 are tattooed, and 15-20% of all people who got a tattoo regret it later.

Tattoos can be removed by a dermatologic surgeon on an outpatient basis with local anesthesia. The most common techniques used are:

Laser surgery
The surgeon removes the tattoo by selectively treating the pigment colors with a high-intensity laser beam (Q-switched laser). Lasers have become the standard treatment because they offer a “bloodless,” low-risk, highly effective approach with minimal side effects. The type of laser used generally depends upon the pigment colors. In all cases, multiple treatments may be required.

The surgeon “sands” the skin, removing the surface and middle layers of the tattoo. The combination of surgical and dressing techniques helps to raise and absorb the tattoo inks.
Surgical excision

The surgeon removes the tattoo with a scalpel and closes the wound with stitches. This technique proves highly effective in removing some tattoos and allows the surgeon to excise inked areas with great control.

Side effects are generally minor (skin tenderness, inflammation, redness, crusts, scabs) but may include skin discoloration at the treatment site, infection of the tattoo site, lack of complete pigment removal or some scarring. A raised or thickened scar may appear three to six months after the tattoo is removed, especially with dermabrasion or surgery. The side effects are the reasons why laser tattoo removal is better achieved and with less side effects.

The Q-switched Nd:YAG laser system overcomes the obstacle of excessive melanin absorption and is used to remove  gray, dark blue, and black pigment (1064nm), or red, orange and some yellow pigments (532nm).The clinical endpoint following laser treatment is whitening of the skin with occasional mild pinpoint bleeding. The specificity of our new laser targets only the ink or pigment on the skin, making it safe to use on all skin types. The light emitted by this laser will selectively gets absorbed by the pigment, heating and bursting just the pigment, which then later is reabsorbed and digested by cells from our body’s immune system, and finally gets eliminated via the lymphatic system.


There are some factors like: 1) skin color 2) location 3) tattoo pigment color 4) amount of ink/type of tattoo (amateur vs. professional) 5) scarring by the tattoo and 6) tattoo layering. These are the main considerations that influence in the number of sessions needed. Sessions are spaced every 4-8 weeks. When patients come to CosMed, we use the Kirby-Desai Scale to determine the number of sessions.

The cost is based on the size of the tattoo in cm2 and the number of sessions calculated by the dermatologist (1 cm2 = 0.155 sq in). If a package of the calculated laser sessions is paid in advance, we offer a 10% discount. Treatments start at $60 USD per session for tattoos 5cm2 (0.775 sq in) or less in size. For tattoos greater than 5cm2 please contact us for a more precise estimate.

Please contact CosMed to schedule a complimentary tattoo evaluation with our dermatologist Dr. de la Fuente, so we can tailor a plan specifically designed for your tattoos.

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Grab your Friends for a Fabulous Day of Beauty at COSMED

Now is the perfect time to gather up your favorite friends and plan a private BOTOX or Fraxel Party at COSMED Plastic Surgery Center in Mexico. When you bring a group of 6 friends, we’ll arrange a private shuttle to pick you up from the San Diego / Tijuana border and escort you to COSMED, located in the new, state-of-the-art VIDA Wellness & Beauty Institute, just 20 minutes outside San Diego, California.

When you schedule a group trip to COSMED, we’ll also provide a free skin analysis and vitamin C treatment for everyone in your group. Plus, as the group organizer, you’ll be entitled to 1 free area of BOTOX for yourself!  Learn more about COSMED’s Medi-Spa services, then call us direct to ask about special group rates and transportation options available. 1-877-235-1968

Call COSMED for group pricing on our Medi-Spa Services 1-877-235-1968

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New Anti-Aging Trend: ThermaFrax Non-Surgical Rejuvenation

ThermaFrax provides both skin tightening and skin resurfacing with beautiful results.

Dermatologist, Dr. de la Fuente is excited to announce the latest non-surgical rejuvenation procedure now available at the COSMED Medi-Spa in  Mexico

All over the world, people dream of staying young and beautiful. There is an abundant supply of age-defying products and treatments in the market that all aim to fight, or at least delay the signs of aging. As one of the newest anti-aging treatments, ThermaFrax provides both skin tightening and skin resurfacing, with beautiful results. With little downtime, it is the perfect procedure for patients on the go. Below is more information about this popular new anti-aging treatment.

What is ThermaFrax?

ThermaFrax is the combination of Thermage Face and Fraxel laser, which are non-surgical rejuvenation treatments. Thermage tightens and lifts the skin by encouraging the development of new collagen, while Fraxel laser treatments take care of erasing signs of aging from the skin’s surface, improving wrinkles, skin texture, pores, scars and brown spot, targeting a specific area by dividing a laser beam into a thousand microscopic dots. Both treatments are FDA-approved procedures and have undergone extensive testing with clinical case studies.

What to expect?

ThermaFrax allows a patient to come in, have their procedure done, and then return to work with little downtime. Typically, patients see redness for a couple of days much like a sunburn, and then a tan and/or dry skin appearance which lasts 3-4 days. Results can last for years.

ThermaFrax is the combination of Thermage Face and Fraxel laser, which are non-surgical rejuvenation treatments.

Which treatment goes first?

The first part of the treatment involves Thermage Face, which heats the deepest layers of the skin to tighten existing collagen and stimulate new collagen growth. It also makes the skin look slightly pink. The procedure may take 60-90 minutes. Then, the second part of the procedure is Fraxel, which uses a laser treatment to activate advanced skin rejuvenation. A numbing ointment is applied on the face for 60 minutes, and then the laser treatment is done in 15-20 minutes. Fraxel is the accepted gold standard for treating acne scars, periorbital wrinkles, and for skin resurfacing procedures on the face, neck, chest and hands, resulting in smoother skin texture with little downtime.

When are the results going to be visible?

It is important to mention that even the treatment works quickly, it is not an instant fix. You will see gradual changes, but over time these changes will blow you away. Natural looking results appear over time in the course of your body’s collagen rebuilding process, usually after the first month of ThermaFrax.

Is ThermaFrax right for you?

Patients suffering from pigmentation issues, age spots, acne scarring, fine lines, and mild to moderate loose or sagging skin on the face and neck are all great candidates. Also, patients that are still not candidates for a face or necklift, patients that don’t want surgery, or patients that have no time for a “downtime”. It’s also safe for use on ALL skin types.

Aside from the face and neck, ThermaFrax can also be used to treat other parts of the body (ThermaFrax Body), like stretch marks, which also improve and become less visible.

It is always advisable to consult one of our doctors to make sure that ThermaFrax suits your skin and expectations. Inquire today about the ThermaFrax procedure at or call  1-877-235-1968


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