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Skin Health of Tomorrow

Practice at a glance

Vibrant Dermatology – Opened May 2018, Solo Provider

Patient population: 50% Caucasian, 50% Skin of Color

Favorite laser treatments: Acne, PIH, Rosacea, Inflammatory diseases

Special laser interest: Rosacea in Skin Type V & VI

7-month Revenues from Neo Elite: $200K

Introduction

After implementing the Neo Elite as the device-based foundation of her dermatology practice, she’s been able to build a leading skin health haven for the ever-changing needs of her patient community.

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Dermatologists are Being Held to a Higher Standard

“As dermatologists, I think now more than ever before, it’s our responsibility and focus to be the best,” says Dr. Ip, “To be on top of everything that’s cutting edge to get our patients the results they are looking for. It’s what makes my practice unique and what draws people to me. I’m offering the modalities to get results no matter the issue. We’re increasingly going to be held to a higher standard. You can’t just offer run-of-the-mill or outdated therapies anymore. It’s extremely important to stay ahead of the curve.” 

This is the definition and expectation patients have for modern healthcare and their physicians. One of the primary driving factors influencing these standards and expectations is technology and patient access to it. Alexa is there to makes your life simpler. Siri is there to help make ordinary tasks easy. Technology is now engrained in culture as a way to better life experiences which patients now demand from their healthcare and skincare physicians. In fact, 50% of patients want technology to treat their medical condition. Not only are 70% of healthcare professionals seeing patient experiences as a major business priority, but those who are addressing it are realizing greater financial returns and retention rates.

My Laser Dermatology Practice

Joyce Imahiyerobo-Ip, MD, seeks to restyle ‘old-school’ medicine in the modern world of dermatology at her newly-established practice by taking more time to understand each patient’s needs and offer the latest services to deliver the highest levels of care. My goal was to be able to offer as many services as possible for the top conditions I knew my patients would be looking for. The most common things we use lasers for are reds and browns – veins, hyperpigmentation, photo-damage, and the like – but I was really enticed by some of the medical indications like psoriasis and inflammatory skin diseases. For me, I think it was actually comforting for me to start with one laser, to feel like “Okay, this is what I have. I’m going to learn this really well and I’m going to try to work it for every single thing I can to offer a comprehensive set of applications for my patients.” 

I’ve always been curious about the impact of laser light on acne. It’s helped allow me to revisit my acne patients on a more often basis and patients appreciate the follow up. They appreciate someone isn’t just sending them off with a bunch of medicines and saying, “We’ll see you in three to six months, good luck!” 

This isn’t to say I solely rely on laser as the solution for my medical dermatology patients. It’s one of the ways I have been able to position myself to attract my clientele. I still take insurance. I still rely on prescriptions as medical therapies. There are many times where a patient is coming in and asking about the laser specifically like “I heard that you’re the doc that does laser for acne. I want to try that because I’ve tried everything else.” Sometimes patients will even say “Hey, you didn’t recommend laser for me. Why not?” Most people who come to me because of my reputation have already tried a lot of other things. They’ve been to other practices that have not been able to clear their skin and they’re frustrated. At this point, they’re willing to put their care in my hands because I offer the tools that will clear them. 

One of the most ironic things about being a doctor with a lot of experience with lasers is I’ve often been unable to get treatments on myself as a person of color. I can’t get treated by alexandrite. Long-pulsed Nd:YAG is so excruciating for laser hair removal I’d rather shave. Plus, I wouldn’t dare use a laser on my face for photo-rejuvenation. I learned on all of these devices yet wasn’t able to use them on myself as a person of color, but now I can with the Neo Elite.

One area I’ve really been able to significantly impact people’s lives are people of color with rosacea. I was at a loss of how to treatment people of color with rosacea other than topical medications. The Neo Elite has really been a game changer for this.

Inclusivity and its Impact

Part of my branding is that we’re a colorblind practice.  My practice is 50/50 in terms of minority vs non-minority inclusive of Asian, Hispanic, Black, Caucasian, and Middle-eastern skin. It’s important to recognize this allows doctors to safely treat skin of color. This is something I think people who are not used to treating skin of color can really feel a certain level of confidence and to be put at ease that this is a laser that will allow them to do so safely.

There are so many bi-racial or bi-ethnic people and its naïve not to think about the whole market share. These people are looking for specialists who are with their skin. Regardless of race or ethnicity, we need to be comfortable treating and have options for treating all skin of all types. It’s understandable for physicians who treat skin of color patients to be concerned about the risk of complications in addressing melasma, acne, and PIH and other common skin concerns in the skin types. We and our patients of color have been educated that risks outweigh the benefits of laser treatment – but this is now outdated with the Neo Elite. It’s something Aerolase’s technology, it’s marketing focus, and education has been a pioneer for.

Revamping the Better Days of Medicine

I’m bringing back what I call the old school medicine. I intentionally want to see fewer patients. I intentionally want to take more time with each patient. I take a consultative approach to address the whole patient, which means aesthetic and medical.  I spend about 20-minutes with each patient to give us enough time to address the whole patient. I brand my space as a one-stop-shop for everything for your skin, hair, and nails and laser technology is a major component to my ability to be clinically and financially successful. 

When a patient puts their skin, hair, and nails into my hands, I’m making a deal to accomplish their goals. I think this is an area patients talk about that has given healthcare and, more specifically, dermatology a bad rep. You come into the office, you wait, you’re seen, you’re sliced and diced, and at the end of the visit you have no idea what happened to you. These are the patient concerns and views of medicine I’m trying to assuage by creating a totally different look and feel for my patients. 

Those frustrated patients that have come to me in the first place? I’m the one who tells them ‘I don’t’ know how long it’s going to take, but I know I’m going to get you clear.’ Because I have the right laser, the right products, and the services to do it. They’re the ones who post their before and after pics on Instagram tagging Vibrant Dermatology, feeling themselves, and saying ‘I love my skin.’

Supplemental Piece “My Brazen Blueprint for Opening a New Practice”

I think that if you are going to try to open a practice and to have all those multiple devices, you’re going to spend a lot of money. I don’t know that all of us have that money to spend. I certainly was very aware of my budget and not trying to bust my budget by buying multiple devices. I needed more flexibility there.

Even if you’ve trained on a pulsed-dye laser or an IPL where there are a gazillion IPLs, there’s a gazillion of KTP, they’re there’s a gazillion diodes. With each one, you have to learn new settings, you have to learn something new each time that you get a device. It’s not just like, “Oh, the settings that I learned in residency are in my laser binder, which I’m looking at in my bookshelf right now, are going to apply to the device that I have now.” The simplicity of the Neo Elite brings you is an incredible safeguard.

It’s a great laser for physicians who need a workhorse to treat core medical applications. So you can have just one laser for a multitude of conditions and safe and effective in all skin types from lightest to darkest. The Neo Elite clinical indications for patients with all skin types include acne, rosacea, melasma, PIH, psoriasis, photorejuvenation, skin rejuvenation and tightening, solar lentigines and/or redness. If I were starting a new practice out of residency and wanted to build a diverse practice, the Neo Elite is the one I would pick since I’m proof of with my own success. 

My biggest concern in starting a new practice was not going into too much debt and figuring out how to recruit new patients. Having your own patients requires you to deliver your best results because those results matter more than ever. Delivering results means retaining those patients and determines your success or failure. Because of my results and inclusiveness, I’m getting no less than 30% of new patients from word of mouth. Skin of color patients will increasingly become the majority. Having one laser to address all aesthetic and medical concerns in this population will provide a dramatic and rapid return on your investment.

The laser is the most common procedure I do from a cash-based perspective. In our practice, I earned more than $200,000 with the Neo Elite from May to December of 2019. I’m doing it every day, multiple times a day, and if not, my aesthetician is using it because of its safe and intuitive design.

The Neo Elite®

The Neo Elite by Aerolase is the single leading device-based solution for a complete approach to addressing medical and aesthetic skin concerns. 

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Photo Courtesy of Dr. Diedre Nelson-Sands,
The Art of Skin Clinic, Bahamas.

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Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Senior Accountant:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Acne

Photos Courtesy of Michael Gold, MD.

Photos Courtesy of Michael Gold, MD.

Learn more about treating acne today.

Skin Rejuvenation

Photos Courtesy of Catie Cutler, LE.

Photos Courtesy of Chesahna Kindred, MD.

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Scars

Photos Courtesy of Dr. William Watfa.

Photos Courtesy of Bradley Bloom, MD.

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PFB

Photos Courtesy of Dr. Michelle Henry.

Photos Courtesy of Wendy Roberts, MD.

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Hair Removal

Photos Courtesy of Dr. Andrew Nnadi.

Photos Courtesy of Steik Spa.

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Rosacea / Redness

Photos Courtesy of Yelena Kipervas, DO.

Photos Courtesy of Dr. Nabil Fakih.

Learn more about treating rosacea and redness today.

Vascular Lesions

Photos Courtesy of Dr. Guilia Kasimova.

Photos Courtesy of Michael Gold, MD.

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Hyperpigmentation

Photos Courtesy of Cheryl Burgess, MD.

Photos Courtesy of Jennifer Parker-Porter, MD.

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