Preceptorship Program

Christina G. Lopez, MD, shares her preceptorship experience with Paul M. Friedman, MD

Spending a week at the Dermatology & Laser Surgery Center in Houston, Texas, under the mentorship of Dr. Paul Friedman through the ASLMS Preceptorship Program was a transformative experience that deepened both my technical skills and my sense of purpose in dermatology.

Innovation and Humanitarian Service

Returning to Houston, a cit­y whose diversity first impressed me as a visiting medical student, I was reminded how cultural and ethnic variety shapes patient care. At Dr. Friedman’s practice, this inclusivity is woven into every aspect of laser medicine. The center exemplifies how cutting-edge technology and compassionate care can coexist, especially when serving patients across all skin types.

Dr. Friedman’s commitment to service extends beyond aesthetics. His pro bono initiatives, including picosecond-laser removal of branding tattoos for survivors of trafficking and pulsed-dye-laser treatment of vascular birthmarks in children, demonstrate how cosmetic dermatology can restore dignity and function. Many patients travel from across the country to seek his expertise, particularly for vascular birthmarks in newborns and for the management of laser-related complications. These efforts reflect a model of humanitarian innovation that I hope to emulate in my own career.

Clinical Learning and Patient-Centered Care

Throughout the week, I observed an extraordinary range of energy-based procedures encompassing vascular, pigmentary, resurfacing, and rejuvenation treatments. These included pulsed-dye laser for vascular birthmarks, rosacea, scars, and poikiloderma of Civatte; picosecond lasers for lentigines, pigmented birthmarks, and tattoo removal; fractional non-ablative lasers for rejuvenation, scars, and dyspigmentation; and fractional ablative 2910-nm resurfacing for scars, rhytides, xanthelasma, and skin laxity. I also witnessed expert use of neuromodulators, fillers, and biostimulators for rejuvenation, correction of facial asymmetry, masseter hypertrophy, and lipoatrophy.

Patient comfort was prioritized at every step. I learned how nitrous oxide and contact-cooling technology can reduce procedural discomfort, accelerate recovery, and even allow same-day combination of multiple devices and injectables. The emphasis on tailoring settings, performing test spots, and recognizing precise laser endpoints reinforced the centrality of safety, particularly in richly pigmented skin, which carries a higher risk of dyspigmentation and scarring without careful technique and parameter selection.

Mentorship, Scholarship, and Ethics

Equally memorable was the culture of mentorship. Each day concluded with thoughtful case discussions linking procedural choices to evidence from clinical studies, many of which were conducted within the practice. I had the opportunity to observe ongoing clinical trials evaluating fractional ablative 2910-nm resurfacing for rhytides and skin laxity across different skin types. I also gained insight into the study recruitment process, photodocumentation techniques, and the distinct goals of industry-initiated studies with investigator-tailoring compared to investigator-initiated protocols focused on patient experience and real-world outcomes.

These sessions also emphasized how to manage complications effectively, both those that may occur within the practice and the overwhelming majority referred from non-physician settings. Through these discussions, I learned how technical expertise, early recognition, and transparent communication are essential to achieving optimal outcomes and restoring patient trust.

These conversations also underscored the importance of approaching procedural dermatology as physicians first and proceduralists second. True expertise lies not only in technical execution but also in clinical judgment, recognizing when not to treat, distinguishing benign from malignant lesions, and identifying systemic or syndromic conditions that require referral or medical optimization before intervention. This ethical responsibility to prioritize patient safety embodies the principles of beneficence and nonmaleficence that define our profession.

Together, these experiences bridged science and real-world practice, illustrating how rigorous research, technical excellence, and mentorship converge to advance patient safety and innovation in laser and cosmetic dermatology.

Guiding Principles

This experience reinforced several guiding principles I will carry forward.

• Innovation and compassion must coexist. Integrating pro bono work into daily practice brings profound meaning to aesthetic medicine and reminds us that technology can be a tool for healing and restoring dignity.
• Diversity demands expertise. Providing safe, effective laser care for all skin types is not optional; it is an ethical and professional imperative.
• Comfort and precision are inseparable. Techniques such as contact cooling and nitrous oxide elevate both safety and patient trust, underscoring that technical excellence begins with patient-centered care.
• Lifelong learning sustains progress. Observing active clinical trials and post-laser recovery studies demonstrated how continual research drives improvement in safety, efficacy, and patient outcomes.
• Mastery includes managing complications. Thoughtful discussion of adverse events, both those encountered in the practice and those referred from non-physician settings, highlighted that expertise involves not only prevention but also the skill and empathy to restore patient confidence when complications arise.
• Dermatologic training underpins ethical practice. This experience reaffirmed that lasers and injectables are medical interventions requiring sound diagnostic judgment and adherence to the principles of beneficence and nonmaleficence.

Reflection and Gratitude

Beyond the procedural insights, this experience reminded me why I chose dermatology: the opportunity to blend science, artistry, and empathy in ways that tangibly improve lives. At the end of my rotation, Dr. Friedman gifted me a signed copy of his book with a thoughtful note, an emblem of mentorship that I will always treasure. I am deeply grateful to the ASLMS for investing in resident education through this extraordinary program and to Dr. Friedman and his entire team for their generosity, example, and commitment to advancing the field. My time in Houston reaffirmed that true excellence in laser and cosmetic dermatology lies not only in mastering technology but in using it to heal, empower, and inspire. I am excited for the future of laser and cosmetic dermatology as the field continues to expand its role in restoring function, enhancing confidence, and improving quality of life through innovation.

Megan Lam, BSc, MD, shares her preceptorship experience with Murad Alam, MD, MSCI, MBA

I had the privilege of completing a week-long rotation through the ASLMS Preceptorship Program with Dr. Murad Alam from November 17 to 21 at Northwestern University in Chicago. I also had the pleasure of meeting and learning from his colleague, Dr. Simon Yoo, fellows Dr. Nour El-Kashlan and Dr. Charlotte Read, the Dermatology residents at Northwestern University, and the wonderful team of nurses, physician assistants, administrative staff, and technicians who work together to deliver excellent care in a thriving practice.

It was an honor to observe Dr. Alam, who is as accomplished as he is kind, encouraging, and compassionate. His ability to connect with patients, put them at ease, and simultaneously deliver precise and thoughtful care was evident from my first day. I learned a great deal from watching his interactions and seeing how seamlessly he coordinated with his team. Beyond his technical expertise, what stood out most was the patience and calm he brought to every encounter, even on the busiest clinic days. He consistently took the extra moment to listen, validate concerns, and ensure that each patient felt that their goals were understood. Dr. Yoo was similarly impressive to learn from; he was engaging and generous with teaching, creating an environment that was both efficient and stimulating. 

Throughout the week, I observed a wide range of procedures, including PRP, picosecond Nd: YAG, PDL, KTP, neuromodulator injections, and hyaluronic acid filler. Dr. Alam’s keen eye for facial assessment and attention to detail guided each treatment. I especially valued the significant number of patients with skin of color, which offered insight into managing pigmentary and cultural considerations with nuance and safety. Seeing firsthand how device parameters and energy settings were adjusted to reduce the risk of dyspigmentation deepened my understanding of the practical application of textbook principles.

My experience also included observing Mohs surgery and minor procedures, such as excisions of malignant and benign lesions, lipomas, cysts, and scar revisions. I found it particularly educational to observe how cosmetic principles informed both surgical planning and reconstruction, whether through layered closures, flap design, or scar optimization techniques.

A memorable highlight was witnessing Dr. Alam’s calm and empathetic approach when discussing treatment expectations with a patient concerned about post-inflammatory dyspigmentation. He provided a clear explanation, answered all questions, and used relatable examples to ensure the patient felt informed and supported. His communication style was an outstanding example of patient-centered care. The interaction demonstrated how effective counseling can meaningfully shape patient satisfaction, particularly when navigating chronic or cosmetically sensitive conditions.

This preceptorship offered invaluable exposure to high-volume procedural dermatology and an inspiring model of collaborative practice. I am grateful to Dr. Alam, Dr. Yoo, and their exceptional team for their mentorship and hospitality, and to ASLMS for supporting this meaningful learning experience. It has significantly enriched my training and will continue to shape my development as a future procedural dermatologist.

Faraz Yousefian, DO, shares his preceptorship experience with Elizabeth L. Tanzi, MD, FAAD

A cornerstone of this training was observing Dr. Tanzi’s ethical approach to patient advocacy and her capacity to foster long-term patient relationships, built over 25 years of dedicated practice, in advanced aesthetic consultations involving neurotoxins, sophisticated dermal volumizers, and resurfacing lasers. Tanzi modeled an unparalleled commitment to evidence-based decision-making. Rather than merely acquiescing to patient requests, she meticulously tailored treatment plans, precisely articulating which procedures offered the highest objective medical benefit and maximizing the risk-benefit ratio for superior patient outcomes.

Micah Brown, MD, shares her preceptorship experience with Mitchel P. Goldman, MD

I had an outstanding experience during my preceptorship, one that far exceeded my expectations. From the beginning, I was struck by how welcoming and enthusiastic everyone was, ranging from the newer attendings to the more seasoned attendings and even the staff. Their openness and positivity created an ideal learning environment where I felt both supported and challenged to grow. My week was filled with invaluable learning moments. I had the privilege of working closely with Dr. Goldman, who took the time to share clinical pearls while actively treating patients. Beyond his technical expertise, I was able to observe his extraordinary bedside manner and deep empathy for his patients. It was clear why his patients place such immense trust in him; the combination of skill, compassion, and professionalism he demonstrated is something I will carry forward in my own practice.

One of the most impactful aspects of this preceptorship was witnessing the thoughtful, individualized care provided to patients of different ethnicities and skin types. Seeing firsthand how treatments were carefully tailored to skin color and texture was both refreshing and enlightening. As a trainee deeply interested in cosmetic dermatology, these observations reinforced the importance of cultural competency and precision medicine in delivering safe and effective outcomes for diverse patient populations. This experience has also been formative for me on a personal and professional level. As someone preparing to apply for a cosmetic dermatology fellowship, the preceptorship has fueled my confidence and excitement about entering this next chapter of my education. The exposure to advanced technologies, mentorship from highly skilled clinicians, and the emphasis on patient-centered care have provided me with the tools and inspiration I need to pursue this path wholeheartedly.

In conclusion, my ASLMS preceptorship was an enriching opportunity that allowed me to refine my clinical knowledge, gain practical strategies for improving patient outcomes, and witness the art of compassionate care in action. I am deeply grateful for the generosity of time, teaching, and mentorship that I received. This experience has not only strengthened my commitment to cosmetic dermatology but also reaffirmed my passion for providing excellent, personalized care to all patients.

Yun Pei Koh, MBBS shares her preceptorship experience with Mitchel P. Goldman, MD

My one-week ASLMS Preceptorship at Cosmetic Laser Dermatology in San Diego, under the guidance of Dr. Mitchel Goldman, was an incredibly valuable and enriching experience. It offered me not only exposure to state-of-the-art techniques in cosmetic dermatology but also the confidence and insight to elevate the care I provide in my own practice.

From the moment I arrived, I was met with warmth and professionalism. The staff created a welcoming and efficient environment that made it easy to focus on learning. Every physician I shadowed was approachable and thorough, taking the time to explain procedures, answer my questions, and share clinical pearls that could only come from years of experience. Dr. Goldman’s approach to both medicine and mentorship left a lasting impression. His technical skill, depth of knowledge, and calm, personable manner demonstrated what true excellence in cosmetic dermatology looks like. Observing his interaction with patients and staff provided practical lessons in leadership and patient-centered care that I will carry forward.

During the week, I was exposed to a wide range of advanced laser and energy-based treatments—from resurfacing and body contouring to vascular and pigmentary correction. Watching multiple devices used expertly across a diverse patient population gave me a much clearer understanding of the capabilities and nuances of each technology. This has expanded my knowledge base and given me greater confidence in selecting and performing treatments more effectively. Perhaps most importantly, this experience has reinforced my clinical decision-making and broadened my perspective on managing more complex or challenging cases. I now feel more equipped to assess cases with a critical eye and implement multi-modality approaches where appropriate. Learning how to combine treatments, adjust protocols, and tailor care to individual patient goals will directly enhance outcomes for my patients at home.

I am deeply grateful to the patients who allowed me to observe their care. Their openness made it possible for me to learn in a real-world setting, and those experiences have already begun shaping my day-to-day thinking in practice.

This preceptorship has not only expanded my technical skill set but also reignited my passion for innovation and continued learning in cosmetic dermatology. I return to my practice with new techniques, greater clarity in treatment planning, and more confidence in managing both routine and complex cases. I’m excited to implement what I’ve learned to improve patient outcomes and advance the standard of care.

Thank you to Dr. Goldman, his exceptional team, and the ASLMS for this opportunity. It has truly been a transformative experience—one that will have a lasting impact on my career and my patients.

Sumir Chawla, BMBS, BMedSci(Hons), MRCP, shares his preceptorship experience with Suneel Chilukuri, MD

I was honored to be awarded the ASLMS Preceptorship and to spend a week at Refresh Dermatology under the mentorship of Dr. Suneel Chilukuri in Houston, Texas.

As a final-year dermatology resident from Imperial College NHS Healthcare Trust in London, this opportunity provided an invaluable clinical experience and exposure to a breadth of energy-based treatments not routinely accessible during UK-based training. The preceptorship expanded my practical understanding of laser dermatology and provided insight into the principles guiding combination therapy, patient selection, and aesthetic planning in real-world practice.

Refresh Dermatology is equipped with more than 50 energy-based devices, supporting a wide range of aesthetic and medical dermatological treatments. Throughout the week, I observed the integration of advanced laser and injectable protocols for a wide range of conditions, including melasma, acne, traumatic scarring, rosacea, vascular lesions, and cutaneous malignancies. What distinguished this experience was not only the number of devices available, but the way in which Dr. Chilukuri tailored treatment strategies to each patient's clinical presentation, skin type, and the patients’ personal and social circumstances. His consultations routinely included discussions around patients’ upcoming life events and personal goals, allowing for individualized treatment planning and realistic expectations regarding downtime.

The preceptorship provided an invaluable opportunity to learn about device parameters, adjusting settings, and the rationale for combining treatment modalities. Over the course of the week, I gained a clearer understanding of how to combine multiple energy-based devices to address complex pigmentary and vascular conditions. I observed the use of Nd:YAg, CO₂,  Tixel, Aerolase, and radiofrequency microneedling for various conditions. Dr. Chilukuri explained the importance of adjusting protocols and device selection in patients with skin of color to optimize safety and efficacy. I found the use of CO₂ lasers to treat actinic keratoses and squamous cell carcinoma in situ (Bowen’s disease) particularly interesting.

Despite a very full clinic schedule, Dr. Chilukuri made time between patients to discuss laser principles, energy parameters, and outcome expectations, focusing on longer-term planning. He encouraged me to ask questions and to reflect on understanding how to meet patient expectations.

This preceptorship has significantly influenced my understanding of laser medicine. Dr. Chilukuri’s mentorship offered not only exposure to new devices but, more importantly, insight into clinical judgment, patient selection, and long-term treatment planning. I am confident that the skills and knowledge gained will directly enhance the standard of care I offer to patients in the United Kingdom. I am deeply grateful to Dr. Chilukuri and his team, as well as to the ASLMS, for facilitating this unique and valuable learning experience. I look forward to applying the insights acquired during this preceptorship in my future practice.

Nari Lee, MD shares her preceptorship experience with Jeffrey S. Dover, MD, FRCP

Through the ASLMS Preceptorship Program, I had the privilege of spending a week at SkinCare Physicians in Chestnut Hill, MA, working alongside a team of distinguished dermatologists: Dr. Jeffrey Dover, Dr. Thomas Rohrer, Dr. Michael Kaminer, Dr. Brooke Sikora, Dr. Karen Kim, and Dr. Jessica Labadie. This experience was a transformative period in my dermatology residency, filled with valuable insights into the practical and innovative aspects of cosmetic dermatology and lasers. Under the official preceptorship of Dr. Jeffrey Dover, I delved into the nuanced world of energy-based devices and cutting-edge dermatologic procedures, gaining firsthand exposure to their impactful role in enhancing patient care.

Each day with these experts was a testament to the blend of skill, compassion, and dedication required in modern dermatology. Dr. Dover, with his engaging mentorship, provided not just clinical knowledge but also instilled a deeper appreciation for patient interaction and care as well as cutting-edge research.  Several of Dr. Dover's patients have been coming to see him for decades, and I was privileged to be able to observe how Dr. Dover connects with each patient on a personal level. I also had the opportunity to participate in an investigational trial of a new topical product applied on skin samples after treatment with an emerging ablative laser device.

A particularly meaningful aspect of this preceptorship was the opportunity to work with Dr. Jessica Labadie, who has been an invaluable mentor throughout my residency. Her guidance over the past three years has shaped my professional growth, and seeing her in action provided further inspiration to uphold the highest standards of patient care. This experience at SkinCare Physicians not only enriched my technical skills but also bolstered my commitment to empathetic, patient-centered dermatology. I am profoundly grateful to ASLMS and the entire team at SkinCare Physicians for this opportunity, which has undoubtedly set a new benchmark for my future career aspirations.

Rehan Karim, DO shares his preceptorship experience with Nazanin Saedi, MD

I had an incredible week rotating with Dr. Saedi at Dermatology Associates of Plymouth Meeting. This experience was supported by the ASLMS preceptorship program which allowed me to gain a deep understanding and exposure to cosmetic dermatology. I wanted to rotate with Dr. Saedi because of her extensive experience in cosmetic and laser dermatology, her involvement with ASLMS, and I’ve always enjoyed her lectures at conferences!

From the very beginning of my first day, I was welcomed with open arms by all of her staff members. Dr. Saedi introduced me to the entire team and gave me a tour of the clinic. She didn’t stop there, she then showed me each of the laser devices they have at the clinic and explained the science behind them and how they use them for their patients.

During my time with Dr. Saedi, I had the chance to observe treatments for a wide variety of cosmetic and medical conditions. This includes things such as vascular malformations, scar revision, facial rejuvenation, rosacea, and acne. I was also able to learn various techniques and applications of injectables. One of my favorite aspects of the rotation was witnessing how Dr. Saedi evaluates each patient, designs a unique treatment plan, and discusses their goals. She walked through every step of the procedure with her patients and made herself available for any questions or concerns they had. Dr. Saedi also created a very friendly and warm environment. No matter how many questions I asked, she gave me her undivided attention, was patient, and made sure I understood the concepts.

I also had the privilege of working alongside her colleague, Dr. Thomas Griffin Jr., who is an expert in laser medicine. I really enjoyed learning from the cases he included me in because he walked me through every step from the patient encounter all the way to the laser treatment. He also spent time with me explaining the mechanisms behind various energy based devices, performed demonstrations, and also gave advice towards my future career which I truly appreciated.

My experience with Dr. Saedi broadened my understanding of cosmetic dermatology. I am grateful to Dr. Saedi, Dr. Griffin Jr., and their team members for having me rotate with them for the week. Not only was I able to work with an expert, but I also gained a new friend and mentor. Thank you to the team at Dermatology Associates of Plymouth Meeting and ASLMS for their support in allowing me to experience this rotation!

Akriti Agrawal, MBBS, MD, DNB, PDCC shares her preceptorship experience with Tina S. Alster, MD, FAAD

I recently had the privilege of completing a one-week preceptorship under the esteemed Dr. Tina Alster through the American Society for Laser Medicine and Surgery (ASLMS). Dr. Tina Alster is a pioneer in laser dermatology, and it was an absolute honor to learn under her guidance. Her expertise, passion for innovation, and commitment to patient care were truly inspiring.

She was exceptionally generous with her knowledge, taking the time to explain the rationale behind each procedure, discuss clinical pearls, and share insights from her vast experience. Her approach to patient interactions was particularly noteworthy. She exhibited warmth and empathy, ensuring that every patient felt comfortable and well-informed. Her ability to blend scientific rigor with an artistic touch in aesthetic treatments was remarkable and served as a model for the kind of clinician I aspire to be. Additionally, the entire clinical team was incredibly supportive and welcoming. The collaborative and professional environment made the preceptorship not only educational but also immensely enjoyable.

During my preceptorship, I was introduced to a comprehensive range of laser devices, each tailored to address specific dermatological concerns. Observing the practical application of these technologies allowed me to deepen my knowledge of laser-tissue interactions, patient selection criteria, and optimal treatment protocols. Some of the key modalities I encountered included vascular lasers such as pulsed dye lasers (PDL) and Nd:YAG lasers for telangiectasias and poikoderma, pigmentary lasers (picosecond lasers 532/1064nm) for tattoos and lentigines, resurfacing lasers (1927nm/1550nm) for rejuvenation, scar revision, and texture improvement and hair removal lasers for hypertrichosis. The precision with which these lasers were applied, coupled with meticulous post-treatment care, reinforced the importance of combining technology with a patient-centric approach. Additionally, I had the opportunity to observe microneedling for collagen stimulation, as well as neurotoxin and filler injections for facial rejuvenation, which highlighted the significance of integrating different modalities for optimal patient outcomes. I also observed ultherapy and thermage procedures which utilize the concepts of micro-focused ultrasound and monopolar radiofrequency respectively for facial rejuvenation.

One of the most valuable aspects of this preceptorship was the emphasis on patient evaluation, communication, and individualized treatment planning. A strong emphasis was placed on educating patients about realistic expectations, potential side effects, and post-treatment care. Observing these discussions reinforced the importance of clear and transparent communication in fostering trust and compliance.

I learned the significance of combining different modalities, such as lasers with injectables or microneedling, to achieve enhanced aesthetic and therapeutic outcomes. The meticulous attention given to post-procedure care, including sun protection, topical regimens, and follow-up visits, underscored the necessity of a holistic treatment approach to ensure long-term success and patient satisfaction.

This preceptorship with Dr. Tina Alster through ASLMS was an invaluable experience that has significantly broadened my perspective on laser dermatology and aesthetic medicine. The lessons I have learned during this week will undoubtedly shape my future as a dermatologist specializing in laser and aesthetic medicine.

Danielle Y. Del Mundo, MD shares her preceptorship experience with Carolyn Jacob, MD, FAAD

I had the absolute privilege to shadow Dr. Carolyn Jacob, as well as Dr. Joy Tao, Dr. Jennifer Croix, and PAs Whitney Hersh and Nirali Miller at Chicago Cosmetic Surgery and Dermatology!  I have always known medicine to be a welcoming field, but the warm nature and willingness to teach was unparalleled at this practice. Despite leading a thriving, busy practice, Dr. Jacob worked her magic to truly optimize my time there to make sure I was able to see interesting procedures that I wasn’t as familiar with. The range of what I was able to see was incredible, including neuromodulator injections, hyaluronic acid filler injections, poly-L-lactic acid injections, vascular lasers, fractional nonablative lasers, ultrasound body contouring devices, radiofrequency microneedling devices, laser hair removal, and chemical peels. I am particularly interested in treating skin of color patients with laser or energy-based devices, and I was able to get invaluable advice on how to best and safely perform procedures as well as pre and post care. As a true leader in the field, Dr. Jacob had a wealth of knowledge and taught me many fascinating tidbits from clinical trials and studies she was part of. I was even able to see some of the cutting edge clinical energy-device based studies during my time there. I also was lucky enough to work with her colleagues Drs. Tao and Croix, as well as her PAs Whitney and Nirali, who were all so wonderful and I learned so much from their cosmetic approaches to patients and different techniques. This preceptorship undoubtably helped me positively shape how I’d like to practice dermatology, including modeling practice styles after the incredible providers I worked with, working in a supportive workplace environment, and expanding my use and comfort with laser and energy-based devices.

Thank you so much to the entire staff who could not have been more welcoming and kind. I wholeheartedly recommend this preceptorship, and I am so thankful to ASLMS and Abbvie for allowing me to participate.

Zizi Yu, MD shares her preceptorship experience with Jacqueline Watchmaker, MD

I had the opportunity to shadow Dr. Jacqueline Watchmaker at the Center for Aesthetic and Laser Medicine in Scottsdale, AZ, from October 28-November 1, 2024. It was an invaluable experience to see the wide range of procedures and services she offers to her patients. It was particularly helpful to witness several consultations from start to finish and observe how she establishes rapport with a new patient, gains their trust, listens to their concerns, and uses her expertise and existing tools and resources to formulate a plan to address those concerns. The week consisted of a mixture of bread & butter cosmetic procedures such as injection of Botox and filler and pulsed dye laser for rosacea, scars, and port wine stains, as well as new cutting-edge technologies like the EllaCor for skin tightening and Fraxel for erythema, dyspigmentation, rejuvenation.

Dr. Watchmaker was a fantastic teacher throughout the week. She always made sure to explain to me everything she was doing, why she selected certain products, reviewed facial anatomy with me, demonstrated not only her preferred technique and approach, but also discussed several alternative approaches and why she did not choose them. She even encouraged me to shadow some of her colleagues to observe them doing the same procedures, as she believed it was valuable to see many people approach the same procedure differently. It was also very educational to witness how her entire team operates; in a fast-paced and busy procedural clinic, it is so important to be systematic and thorough in everything you do for the sake of patient safety and quality outcomes. I saw firsthand how helpful it is to have a well-trained and efficient team to help you accomplish those goals.

One particular highlight was getting to see an in-office upper blepharoplasty and mini face/neck lift performed by a facial plastic surgeon in the office. It was incredible to see the extent to which such results could be achieved in the office with local anesthesia, and having seen this procedure will be extremely helpful in the future for the purpose of counseling patients on surgical vs. non-surgical modalities to accomplish their goals.

David Gao, MD shares his preceptorship experience with Thomas E. Rohrer, MD

My rotation at SkinCare Physicians (SCP) hosted by Dr. Thomas Rohrer and sponsored by ASLMS was among the most clinically impactful and fun weeks of my residency. Through high-volume exposure to surgical dermatology, clinical trials in procedural dermatology, and generous mentorship, I now have a sharpened vision for my career as a dermatologic surgeon. I have left with novel uses for lasers post-surgically, become more comfortable in facial assessment and injectables, learned how to better incorporate research and clinical trials into my career, and gained role models who exemplify medicine’s humanism. The practice’s professionalism and kindness modeled why so many patients and physicians enjoy going to and working at SkinCare Physicians. 

My expertise and acumen in procedural and surgical dermatology were expanded from the rotation. My first shift with Dr. Rohrer in his procedures clinic set the tone for a fantastic week. Over that half-day, we covered laser selection (treatment settings of the pulsed dye laser [PDL], selection between NdYAG and PDL for vascular lesions, and post-surgical management of Mohs scars), advanced filler techniques for anatomically nuanced areas (like the temples, nasolabial folds, and oral commissures), and precise neurotoxin depth of injection. We ended the day with a patient with delayed inflammatory nodules, a notoriously difficult entity to treat. I appreciated the chance to observe modalities I have not yet tried in residency, including monopolar radiofrequency, cryolipolysis, and newer laser platforms. 

My time on Mohs with Dr. Rohrer was exceptional, as we discussed the nuances of surgical decision-making and even discussed a publication that had been released the day prior. Watching his coordination with the current Mohs fellow illustrated the surgical efficiency and precision their team has cultivated. From a cosmetics standpoint, I learned many pearls. With Dr. Brooke Sikora for example, I learned to avoid neurotoxin pitfalls like the “helmet sign” or “shower cap sign,” the finer points of skin care, and fun adjuncts like Frownies. From Dr. Laurel Morton, I further developed my facial assessment technique while observing her tailor a cosmetic patient’s treatment. 

The spirit of scientific inquiry and investigation permeated throughout the entire week. I was fortunate to spend time with Dr. Kenneth Arndt, a highly-respected dermatologist and researcher. As an original co-founder of SCP, Dr. Arndt emphasized how SCP’s culture was built on intellectual curiosity; we enjoyed discussions regarding capillaritis’ pathophysiology and his iterative discovery process behind laser indications. Another highlight was working with Dr. Kaminer in the clinical trials unit as he walked me through the active ongoing trials at SCP and explained the importance of being comfortable with multiple types of fillers so as to not under-treat the patient. As someone who is currently extensively involved in clinical trials, it was energizing to see how clinical trials have directly informed his technique. Other memorable discussions were with Dr. Karen Kim on the cutaneous effects of GLP-1 agonists and indications on initiating nicotinamide, as well as with Dr. Mitalee Christman on red light therapy. 

Throughout and even before the week, SCP’s culture stood out. Dr. Jeffrey Dover, while out of town during my rotation, took time the Friday prior to send his regrets and best wishes. Every attending I met took time to connect personally and professionally; I enjoyed discussing an interest in global health with Dr. Molly Stout and learning of the Midwest connection with several of the staff like Drs. Morton, Sikora, and Jeffrey Sobell. Patients often remarked, “you have excellent mentors.” Their ability to make all patients feel at ease, especially those patients new to the cosmetic consult, is a skill all dermatology residents would benefit from observing. The fellows gladly gave their valued opinions on the fellowship application process and graciously answered my questions regarding their experiences in training.

The warm welcome extended well outside the physicians. From the moment I pulled into the driveway, the parking attendants David, Joe, and Patrick all greeted me as a newcomer. From there, Linda and Sandra, administrative staff at SCP, set aside their work to provide an insightful orientation tour of the practice, including the spa, where evidence-based procedures like cryolipolysis and platelet-rich plasma (PRP) are performed, administrative offices, clinical trials research rooms, and clinical workspace. Sandra would look through the attendings’ schedules each morning so I could know the types of patient concerns I’d be seeing. The rest of the administrative staff including Ana, Millie, and Michael took the time to make me feel welcome, while Stephen at the spa facilitated shadowing experiences with two of the spa’s nurses, Isabella and Hannah. 

One of my mentors once told me that “if I ran a private practice, I would run it like how they do at SkinCare Physicians.” After spending a week at the practice, I understood what he had meant. The culture of intellectual inquiry, education, dedication toward patient care, and kindness make SCP a place where people are genuinely excited about coming in each day. My practice will be greatly impacted as I plan to utilize lasers more post-surgically, better tailor my facial assessment and neurotoxin technique, and delve further into clinical trials in injectables and energy-based devices. I am thankful to ASLMS for sponsoring this week-long rotation and to the entire SkinCare Physicians personnel for welcoming me. 

SkinCare Physicians is the host of the 2025 Laser Aesthetics Course. Learn more at aslms.org/laser-aesthetics-course

Brett Thomas, DO, shares his preceptorship experience with Mark Taylor, MD 

I had the privilege of learning from Dr. Mark Taylor, an esteemed pioneer in laser and cosmetic medicine, through the ASLMS preceptorship. Shadowing Dr. Taylor and his team, including Dr. McClean, provided invaluable insights into the vast range of cosmetic treatments and the multitude of energy devices used to address diverse patient concerns with precision and safety. This experience has profoundly influenced my vision for my future dermatology practice.

One of the standout treatments was Dr. Taylor’s multistep approach for acne scars. He used a strategic combination of subcision (from a device he created himself), lasers, and bioregenerative topical solutions. This thorough method allowed for targeted treatment of different scar components, which I found both insightful and satisfying to observe. It highlighted the value of addressing each factor behind a cosmetic concern through a layered, device-based approach.

As a future dermatologist, witnessing the application of cosmetic procedures to manage common dermatologic conditions was particularly enlightening. Dr. Taylor's expertise in treating conditions such as seborrheic keratoses, angiofibroma, scars, and melasma demonstrated how cosmetic dermatology can enhance patient outcomes and satisfaction. His use of lasers instead of traditional treatments, like liquid nitrogen for seborrheic keratoses, showcased a holistic approach that minimizes adverse effects such as hypopigmentation.

Another remarkable procedure was Dr. Taylor’s approach to blepharoplasty using lasers. This innovative technique achieved minimal bleeding and patient discomfort, with patients expressing high satisfaction. Using laser instead of blade excision allowed for greater precision with a scar that was later unrecognizable. Another impressive method was his use of laser in conjunction with liposuction, a procedure that not only removed excess fat but also enhanced skin texture and elasticity. These techniques demonstrated the impact of layering innovative tools in maximizing aesthetic and functional outcomes.

My week with Dr. Taylor’s team underscored the importance of combination therapies in achieving effective patient care. This experience has inspired me to incorporate a personalized, multimodal approach in my future practice. Dr. Taylor’s dedication to safe, efficient, and customized care has set a benchmark for how I plan to approach complex patient needs with innovative solutions.

Francisca Valenzuela, MD, shares her preceptorship experience with Jacqueline Watchmaker, MD

My week with Dr. Jacqueline Watchmaker was one of the best weeks of my residency training. Dr. Watchmaker reinvigorated my passion for dermatology through her extensive knowledge in both academic and practical pearls. Not only was my preceptor outstanding, but so was the entire staff at the Center for Aesthetic and Laser Medicine Scottsdale. From the moment I entered the clinic, I was made to feel welcomed by all and made to feel as though I was part of the team. This allowed for a very friendly learning environment. I was able to see a wide variety of treatments, ranging from energy-based devices to neuromodulators. Seeing Dr. Watchmaker's friendly bedside manner inspired me to continue to improve my own patient encounters. Her clinical pearls will also make a difference in my future practice when I graduate next year. I am grateful for the opportunity ASLMS granted me, as this was a unique experience that nothing in residency has come close to. I have recommended doing an ASLMS preceptorship, particularly with Dr. Watchmaker, to all my colleagues, as I am sure they would have an amazing week as well.

Nyousha Yousefi, MD shares her preceptorship experience with Tina Alster, MD, FAAD

I had the great pleasure of working with the “laser queen,” Dr. Tina Alster, in Washington, D.C., for a week. This amazing opportunity would not have been possible without the generous support from the ASLMS preceptorship program. During this week, I was immersed in the world of energy-based devices and learned the delicacy and intricacy of learning the physics behind lasers and how they interact with the physiology of the skin. Watching a wide variety of laser devices used to treat a wide range of skin disorders was fascinating. I learned the importance of counseling patients pre- and post-op and how to make patients feel beautiful in their skin while helping them look their best. The best part of the rotation was hearing a patient’s story on how Dr. Alster’s laser treatments for his skin condition changed his life. Thanks to this opportunity, I learned about lasers and gained a lifelong mentor to guide me through my career, which is priceless. 

Sheena Desai, MD, MBA shares her preceptorship experience with Eric Bernstein, MD, MSE

During my preceptorship at the Main Line Center for Laser Surgery in Ardmore, Pennsylvania, I had the invaluable opportunity to work alongside Dr. Eric Bernstein, a renowned expert in laser technology. Dr. Bernstein has issued over 20 patents for laser technology and has played an integral role in developing protocols for laser technology around the world. Completing this preceptorship with him not only deepened my understanding of laser applications in dermatology but also significantly enriched my perspective on patient care and treatment planning.

Throughout my time with Dr. Bernstein, I observed firsthand his methodical approach to assessing patients in real time. Each patient presented unique challenges, and I was impressed by Dr. Bernstein’s ability to formulate tailored treatment plans utilizing a variety of laser devices. These included the UltraClear, VBeam Perfecta, PicoWay, and DermaV lasers, each chosen based on the specific conditions being treated, such as pigmentation issues, photodamage, scarring, veins, and redness.

One of the most enlightening aspects of this preceptorship was witnessing how Dr. Bernstein approached the same condition differently depending on the patient's skin type. This nuanced understanding highlighted the importance of individualized care in dermatology. It became clear that a one-size-fits-all approach with lasers is not only inadequate but can also lead to suboptimal outcomes. This realization is something I will carry into my future practice, emphasizing the need for customized treatment strategies.

In addition to treatment techniques, I learned about the key components of patient counseling in laser surgery. Dr. Bernstein excelled at setting realistic treatment expectations and emphasizing the importance of post-procedure aftercare. His ability to communicate effectively with patients helped demystify the process, reducing anxiety and fostering trust. I recognized that successful patient outcomes are as much about effective communication as they are about the technical aspects of the procedures.

Furthermore, Dr. Bernstein’s insights into potential laser complications were invaluable. He stressed the necessity of understanding each laser device's capabilities and limitations to minimize risks. This aspect of laser surgery - balancing efficacy with safety - was a big takeaway for me. I learned that awareness of potential complications is crucial for both practitioners and patients, highlighting the need for thorough pre-treatment evaluations and informed consent.

Throughout my preceptorship, Dr. Bernstein was always approachable and generous with his knowledge. His willingness to answer my questions about the lasers and his treatment philosophies provided me with a more comprehensive understanding of laser surgery. I came to appreciate the sophisticated nature of these devices and their potential to address a wider range of skin conditions than I previously realized.

Additionally, Dr. Bernstein emphasized the importance of laser safety protocols, reinforcing the notion that while lasers are powerful tools, their use requires a thorough understanding of safety measures. This commitment to patient and practitioner safety resonated with me and will undoubtedly influence my future practice.

Overall, my preceptorship experience with Dr. Eric Bernstein was transformative. I gained profound insights into the world of laser surgery, from technical skills to patient management. This experience has fueled my enthusiasm for incorporating laser technology into my future practice, equipped with a deeper understanding of its applications, safety, and patient-centered care. I am grateful for the opportunity to learn from such a respected expert and excited about the potential of lasers to improve patient outcomes in dermatology.

Jonathan Kentley, MBBS, MSc shares his preceptorship experience with Jacqueline Watchmaker, MD

My preceptorship with Dr. Watchmaker was an invaluable and practice-changing experience. As a UK-based dermatology resident, access to high-quality training and education in the field of cosmetic dermatology is extremely limited. Joining the ASLMS has afforded me access to a wide breadth of educational resources, and I particularly enjoyed the recent opportunity to complete a mentorship program with Dr. Anthony Rossi, creating a primer on the use of lasers to treat a range of skin disorders.

Although my mentorship provided a robust theoretical knowledge of the science behind energy-based devices, I was keen to gain more practical experience, and Dr. Watchmaker was generous enough to allow me to join her at her practice in Scottsdale for a week.

The whole team was so welcoming that I felt right at home on my first day. I particularly enjoyed observing the nuances of the cosmetic consultations Dr. Watchmaker undertook and how she built an affable relationship with her patients almost immediately. I regularly use Botox and filler in my own practice, but it was fantastic to be exposed to new tips and techniques that Dr. Watchmaker had honed during her own practice and cosmetic fellowship—skills that can’t be learned from a textbook and only through working closely with a mentor. 

The portfolio of energy-based devices available at the practice was exceptional, and I was lucky enough to observe almost all of them being utilized for a multitude of indications. We reviewed the settings for the VBeam across a range of vascular lesions and skin phototypes, and although I noted the settings used, I learned the importance of treating to clinical endpoints rather than using a “cookbook” approach. I also observed several ablative and non-ablative resurfacing techniques and appreciated the need for adequate counseling about aftercare and downtime. 

One particular case that stuck in my mind was of a patient with extensive blue-grey pigmentation, the cause of which had not been identified despite visiting multiple centers across the US. This reminded me of a similar case that had been presented at our Grand Rounds in London, which had been exceptionally challenging to treat. Despite being refractory to almost all modalities to date, Dr. Watchmaker had achieved some success with the use of a QS Ruby laser, and it was heartwarming to see how appreciative the patient was and the impact this had on his life.

Overall, my preceptorship was an experience that I will not forget, and I am grateful to ASLMS for the opportunity. Having recently completed residency and as a committee member of the British Cosmetic Dermatology Group, I hope that the knowledge and skills I have acquired will go to benefit not only my patients but also future dermatology residents in the UK through improved educational programs.

Michelle Kahn, MD shares her preceptorship experience with Mitchel P. Goldman, MD

My ASLMS preceptorship with Dr. Mitchel Goldman and his esteemed team at Cosmetic Laser Dermatology in San Diego was an incredibly enriching and invaluable experience.

I am grateful for the opportunity to have learned directly from Dr. Goldman, a true luminary and pioneer in the field. Dr. Goldman graciously shared his expertise on a diverse spectrum of lasers and energy-based devices, some of which he himself invented, providing me with insights I will carry forward throughout my career. His detailed teaching and origin stories behind many of the devices added layers of depth to my learning experience and understanding. I observed cosmetic procedures I was not previously exposed to in residency, such as liposuction, ThermiTight, Sofwave, and full-face CO₂, expanding my knowledge base. Moreover, I gained insights into innovative techniques for vein therapy and injectables. I particularly enjoyed observing the patient follow-ups, which underscored the tangible impact of our interventions.

Additionally, during my time in San Diego, I had the unique opportunity to rotate with other leaders in aesthetics, including Drs. Loyal, Groff, Fabi, Butterwick, and Boen. Each expert brought their own unique perspective and insights to the table, from which I gleaned invaluable clinical pearls. I was able to participate in a supplemental filler course for the fellows led by Dr. Loyal, which further broadened my understanding of advanced injectables.

As I return to New York, I am armed with a refined appreciation and understanding of cosmetic procedures and a wealth of newfound knowledge that I am eager to share with my co-residents and future patients. This preceptorship has been instrumental as I transition from residency training into full-time practice, equipping me with the skills necessary to address the cosmetic concerns of my patients.

Spencer Hawkins, MD shares his preceptorship experience with Mathew M. Avram, MD, JD

Stepping into the world of cosmetic dermatology and laser medicine at Massachusetts General Hospital alongside Dr. Mat Avram was an unparalleled opportunity to bridge the gap between academic knowledge I had learned in residency with direct clinical application. Dr. Avram helped me appreciate the intricacies of laser/tissue interactions through direct observation of clinical endpoints. Throughout my preceptorship, I gained a deep appreciation for the nuances of treating vascular conditions, surgical and traumatic scars, skin laxity, pigment issues in various skin types, laser hair removal, and regenerative therapies for hair restoration. This experience empowered me to comprehend the fundamental principles of laser endpoints without relying on memorized settings. Moreover, it provided me with the unique privilege of working alongside a mentor who possessed a keen eye for cinematography, leading to the creation of educational content that reached millions through social media. Dr. Avram's mentorship extended beyond the clinical realm, as he recognized and nurtured my expertise, ultimately affording me opportunities to speak at renowned conferences. Altogether, preceptorship with Dr. Avram had a profound impact on my personal and professional growth.

My preceptorship at Mass General Hospital under Dr. Avram's guidance provided me with a unique and invaluable perspective on the intricacies of laser treatments with respect to end points and fundamental principles when treating different tissue and skin types. I was able to appreciate the subtleties of transient purpura during vascular laser treatments, tissue whitening with pigmented lesions, perifollicular erythema with laser hair removal, and core removal with tissue micro-coring. In each case, Dr. Avram skillfully adjusted parameters and techniques to achieve optimal results depending on the skin type and the laser/tissue endpoints we observed. Through his mentorship, I learned to appreciate that there is no one-size-fits-all solution in cosmetic dermatology.

In addition to the clinical insights gained during my preceptorship, Dr. Avram introduced me to the world of cosmetic dermatology through the lens of cinematography. While I have my own considerable experience in social media, curating the @cosmetic.derm Instagram page to over 300k followers over 5 years, I lacked appreciation for the finer aspects of filming and creating original content. This unexpected dimension added a layer of depth to my experience that I had not anticipated. Collaborating on numerous Instagram reels and educational videos, we harnessed the power of social media to disseminate knowledge and engage with a global audience. Dr. Avram possesses a unique talent for cinematography, with a remarkable ability to capture the essence of dermatological procedures in a visually stunning and informative way. We meticulously planned shots and angles to create content that not only educated but also entertained viewers. The reels we produced collectively reached millions of people, allowing us to demystify complex dermatological procedures and share our passion for the field with the world. This aspect of my preceptorship reinforced the importance of effective communication in dermatology. It taught me that conveying complex concepts to a lay audience requires creativity, clarity, and a touch of artistry. Dr. Avram's guidance in this area has been instrumental in shaping my approach to patient education and public outreach.

Dr. Avram's impact on my personal and professional growth extends far beyond the clinic and camera. He exemplifies what it means to be a mentor, offering guidance, support, and opportunities that have been instrumental in my journey. His recognition of my own expertise led to invitations to speak at conferences such as the American Society for Laser Medicine and Surgery (ASLMS) and Masters of Aesthetics, where I shared insights on social media and eyebrow restoration, respectively. Dr. Avram's mentorship has been a cornerstone of my development in the field of cosmetic dermatology and laser medicine. He not only imparted clinical knowledge but also nurtured my confidence and leadership skills. Our bond transcends the professional realm, as I consider him not only a mentor but also a friend.

My preceptorship with Dr. Avram was a profound learning experience that melded academic knowledge with clinical practice. It redefined my approach to laser medicine and cosmetic dermatology, emphasizing the importance of laser/tissue endpoints over memorizing cookie cutter settings. Moreover, it opened my mind to the world of cinematography in dermatology, even for social media, underscoring the importance of effective communication in our field. Dr. Avram's mentorship transcended medicine, opening doors and fostering a lasting friendship. I am immensely thankful to Dr. Avram, ASLMS, and Abbvie for this transformative experience, which continues to guide my commitment to excellence in cosmetic dermatology.