Blum Karen

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Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Physicians & Surgeons, Allergy & Immunology

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(415) 383-5475

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Mon - Fri:	9:00 am - 5:00 pm

Blum Karen

General Practitioners

Cryotherapy
Dr Layton is a great -- very knowledgable and also very personable, and always takes times to answer any ??'s thoroughly. The detail and sensitivity of her skin cancer checks is exceptional, and I much prefer her cryotherapy technique to other dermatologists I've seen. And with my good Irish sunburned many times as a kid skin -- it's nice to feel positive about going in to the derm-doc! I've recommended her to many of my friends and clients.

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Neighborhood: Miller-Molino
Categories: Physicians & Surgeons, Family Medicine & General Practice, Physicians & Surgeons, Physicians & Surgeons, Allergy & Immunology, Physicians & Surgeons, Dermatology, Physicians & Surgeons, Gynecology, Physicians & Surgeons, Internal Medicine, Physicians & Surgeons, Obstetrics And Gynecology, Physicians & Surgeons, Otorhinolaryngology (Ear, Nose & Throat), Physicians & Surgeons, Pathology, Physicians & Surgeons, Surgery-General

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Phone: (415) 383-5475

Address: 535 Miller Ave, Mill Valley, CA 94941

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Blum Karen

General Practitioners

Cryotherapy
Dr Layton is a great -- very knowledgable and also very personable, and always takes times to answer any ??'s thoroughly. The detail and sensitivity of her skin cancer checks is exceptional, and I much prefer her cryotherapy technique to other dermatologists I've seen. And with my good Irish sunburned many times as a kid skin -- it's nice to feel positive about going in to the derm-doc! I've recommended her to many of my friends and clients.
Medical Weight Loss
CoolSculpting is not a weight loss solution for people who are obese, or a substitute for surgical methods such as liposuction. Good candidates have noticeable bulges in certain areas they’d like to get rid of and are within 15-20 pounds of their ideal weight. Dr. Binstock will determine if treatment is right for you during a one-on-one consultation.
Primary Care
Stephanie Cullinane, PA-C joined Aesthetic Dermatology in 2001. She is a nationally certified physician assistant (PA-C) and a Fellow of the Society of Dermatology Physician Assistants. Stephanie graduated from Stanford University School of Medicine’s Primary Care Associate Program in January, 2000 and obtained her BA from Smith College.
Urinary Incontinence
We used to consider this an irreversible part of aging, but research has shown that these issues can be improved beyond what was previously possible with estrogen treatment. Physicians are now seeing issues such as dryness and stress urinary incontinence in women as young as 25-45 years.

Ophthalmologists

Eye Exam
Good health, reasonable expectations, and careful preparation are essential to insuring a safe and speedy recovery. An eye exam by an ophthalmologist, appropriate laboratory test, and a physical exam will be requested.

Gynecology
Stephanie Cullinane, PA-C joined Aesthetic Dermatology in 2001. She is a nationally certified physician assistant (PA-C) and a Fellow of the Society of Dermatology Physician Assistants. Stephanie graduated from Stanford University School of Medicine’s Primary Care Associate Program in January, 2000 and obtained her BA from Smith College. Before specializing in dermatology, she worked in internal medicine and gynecology. Stephanie specializes in medical, including skin cancer screening and treatment, and cosmetic dermatology.
Pregnancy
Over time women begin to notice certain symptoms that alert her to changes in her vaginal health. These may be due to pregnancy and childbirth, and the hormonal loss that comes over time. Loss of vaginal health is the result of dropping estrogen levels before and during menopause. Depending on the symptoms and the severity with which they present themselves, a woman’s lifestyle will often suffer.
Labor and Delivery
Spider veins are superficial, wavy, thin, reddish-purple veins that occur over the legs, often clustered on the thighs or below the knees, that have become permanently dilated. Spider veins, or telangiectasias, affect as many as 80% of women and a large percentage of men. The cause is largely genetics and time, although pregnancy, childbirth, birth control pills, estrogen-replacement therapy, and previous injury can all be factors.

Internal Medicine

Ultrasound
External ultrasonic-assisted liposuction, an American adaptation of this technique wherein the ultrasound is applied externally before, rather than internally during, the procedure, has failed to provide any significant benefit or advantage over tumescent liposuction alone. Dr. Binstock has abandoned this technique as well.
Iontophoresis
Tap water iontophoresis. Battery-powered electrical devices applied to the skin that decrease sweating in some people. They are time consuming and need to be repeated on a daily or a weekly basis

Otolaryngology
Mohs Surgery
Dr. Binstock has also been interviewed various times by national syndicated TV and radio authority Dr. Dean Edell. Together, they did a segment about Dr. Edell’s own experience with skin cancer and Mohs surgery, featuring Dr. Jeffrey Binstock.
Reconstructive Surgery
“Repair of Partial Thickness Upper Lip Defects Resulting from Excision of Basal Cell Carcinoma,” Fourth International Symposium on Plastic and Reconstructive Surgery of the Head and Neck, Los Angeles, California, May 1983

Plastic Surgeons

Botox
Dr. Binstock’s goal is to use dermal fillers, Botox, and lasers for beautification, not just restoration. He maps out, with a special PHI caliper or measuring tool, the placement of injectable fillers with the precision necessary to enhance features and restore pleasing contours. A full proportional correction creates amazing results with high patient satisfaction, and typically lasts for one to two years.
Brow Lift
Botox Cosmetic is botulinum type A derivatives used to relax frown lines, forehead wrinkles, crow’s feet, and the depressors at the corner of the mouth. They can also elevate the eyebrow area, affecting a nonsurgical brow lift. In the neck, Botox Cosmetic is very effective in reducing horizontal neck lines and in relaxing the mid-neck vertical cords, i.e., thickened bands of underlying platysma muscle. They can also reduce lip lines, enhance lip fullness, and reduce marionette lines.
Eyelid Surgery
Dr. Binstock learned to perform cosmetic eyelid surgery while serving as a Fellow in Dermatologic Surgery at the University of California San Francisco in 1979. He studied the transconjunctival invisible lower eyelid approach for lower eyelid surgery while visiting Dr. Pierre Fournier in Paris, France in 1986.
Liposuction
One of the first surgeons to perform liposuction in America, Dr. Binstock trained in Paris with the procedure’s inventors, Dr. Yves-Gerard Illouz and Dr. Pierre Fournier. Dr. Binstock, using skills gained through years of performing thousands of liposuction procedures, offers CoolSculpting non-surgical fat reduction that can give liposuction like results by freezing problem fat deposits on virtually any body area, including the abdomen, love handles, flanks, inner and outer thighs, and upper arms.
Face Lift
Aging is multi-factored phenomena with progressive loss of supporting structure and subcutaneous tissue that results in a hollowing out of the temples and cheeks, a thinning of the lips, loss of jaw and chin definition, etc. Pulling skin tighter, i.e., a face lift, only addresses part of the aging process, often leaving the face gaunt and pulled. Lipo filling and contouring uniquely offers the volume of a natural filler substance necessary to improve and reverse this aspect of aging, which is usually ignored. The results can be quite dramatic and a more youthful appearance regained. Fat transfer can often postpone, as well as complement, facelifts.
Neck Lift
When Botox Cosmetic is injected into the platysma muscle and bands of the neck, it causes them to relax, improving the neck vertical neck cords that develop over time. This effect actually simulates a neck lift in those individuals who do not have a lot of excess neck skin. Botox Cosmetic can be injected into the frontalis muscle of the forehead to reduce and smooth out forehead lines, as this is the muscle that elevates the eyebrows and causes horizontal forehead lines. Treating the orbicularis oculi muscles just above and around the eyebrows can affect a nonsurgical brow lift by inhibiting the muscles that pull down the eyebrow. Around the mouth, Botox Cosmetic can lessen the depth of upper lip lines, marionette lines, and downward tilt of corners of the mouth. The chin can be injected to reduce dimpling.
Blepharoplasty
Wrinkles in the lower eyelid skin show minimal improvement following lower lid blepharoplasty. Attempts to smooth the skin by removing lower eyelid skin often result in a rounding of the shape of the eye and the unnatural appearance of white showing under the iris of the eye. These changes are very uncommon and are minimized by the transconjunctival approach as the skin surface and muscular support of the lower eyelid remain unaltered, helping the eye to maintain a pleasing, natural appearance.
Breast Surgery
Linear red scars, which often result from face lifts, breast surgery, and cancer treatments, can be flattened by injecting a variety of medications as well as by applying Kelo-cote silicone gel. Fraxel Restore is an effective new addition, retexturing and helping the scars blend better.
Lip Augmentation
It appears that each lipo (fat) transfer session results in an average of a 30–50% residual correction and that by doing a series of two to three sessions, it is usually possible to achieve a substantial and often persistent long-term correction. This depends on the body area or facial area grafted as well as on each particular individual. For example, the filling in of cheek hollows and body depressions will often last a long time, while lip augmentation and frown line filling needs touch up more often as aging continues.
Body Contouring
A pioneer in the field of body contouring and laser surgery, Dr. Binstock is a highly skilled Aesthetic and Dermatologic Surgeon. Dr. Binstock’s practice is dedicated to providing patients with excellence in anti-aging, skin rejuvenation, and non-invasive reconstructive procedures in an elegant and comfortable environment.
Laser Resurfacing
We are the first in Northern California to offer Fem Touch Fractional Laser Resurfacing to help reverse these unpleasant age-related changes.
Cosmetic Surgery
Email cannot be considered confidential or secure; patients are particularly advised. No physician-patient relationship exists unless and until an appointment is underway. By checking the box on the contact form, you agree to the Terms of Use listed here: Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree to hold Aesthetic Dermatology and Cosmetic Surgery, Inc., its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.

Cosmetic Dermatology
Skin Cancer
Fellowship in Dermatologic Surgery and Mohs Skin Cancer Surgery, University of California San Francisco Medical Center, San Francisco, California, 1979–1980
Dermatology
We at Aesthetic Dermatology, believe in a global facial concept based on PHI, the divine mathematical ratio of universal beauty, studied by the Greeks, Leonardo di Vinci, architects, and artists, and are guided by these 2 principals...
Acne Treatment
Cyst
Lesions
Actinic keratosis are precancerous lesions that appear as subtle, rough spots on sun-exposed skin. They commonly occur in people with fair complexions age 50 and over. Today, we are seeing many patients in their 30s with these precancerous lesions. If left untreated, up to 10% may become squamous cell skin cancers. Actinic keratoses are one of the most common conditions that dermatologists treat, using liquid nitrogen to spot-treat specific lesions. A more global approach is to treat the entire face or scalp by topically applying topical 5-fluorouracil (Carac®) or imiquimod (Aldara®), or with Blue U light and topically applied Levulan® (photodynamic therapy).
Chemical Peels
Chemical peeling is a cosmetic dermatologic procedure that reduces many of the signs of aging including fine and heavy wrinkling, leathery skin, pigmentation, and scaling, and premalignant keratoses. We offer three types of chemical peels, superficial, medium, and deep. The depth of the peel is determined by the specific peeling agent used, how aggressively it is applied, and how long it is left on the skin. Peeling is a delicate procedure that requires a skilled and experienced operator.
Skin Care
We are pleased to offer comprehensive skin care services, along with our medical, cosmetic, and laser services. Our hand-picked licensed aestheticians, trained by our physicians, will evaluate your skin and develop a customized program for treatment, enhancement, and maintenance. Our aestheticians work along with our physicians and to incorporate the most advanced techniques to improve the health and appearance of your skin.
Microdermabrasion
Our aesthetician services include medical-based facials, deep pore cleansings, glycolic acid peels, beta lifts, microdermabrasion, and skin care product consultations.
Burns

Allergies
Yes. Restylane has been used safely by dermatologists since 1996 worldwide. Because Restylane is a genetically engineered, non-animal–based, and fully biocompatible product, allergy testing is not required.

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