Preceptorship Program

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.

Mary Dick, MD shares her preceptorship experience with Paul M. Friedman, MD 

Through ASLMS, I was awarded the opportunity to rotate with Dr. Friedman at the Dermatology & Laser Surgery Center in Houston, TX. Dr. Friedman is a world-renowned dermatologist with expertise in cosmetic dermatology and laser surgery and has countless accomplishments, including serving as the past president of ASLMS. I was excited for this elective experience to see the application of cutting-edge laser technologies used to effectively treat the widely diverse patient population, both in skin tone and patient age, who seek his care in Houston.

During my time, I was able to observe treatments for a blend of cosmetic and medical conditions including nevus of ota, vascular malformations in both the adult and pediatric population, scars (post-surgical, difficult-to-treat, self-harm scars, and others), facial rejuvenation, and rosacea, in addition to tattoo removal, injectables, and radiofrequency treatments with Dr. Friedman and his wonderfully kind colleagues Dr. Guo and Dr. Richmond. I learned about not only the principles behind many laser devices and their individualized applications but also the art of the cosmetic consult. It was highly beneficial to observe the joint decision-making of Dr. Friedman and the patient/patient’s family during consultations where patient goals, budget, safety, and expectations were all expertly addressed to determine the most effective treatment plan. I found this particularly important when discussing laser therapy for vascular birthmarks in young children. Seeing the improvement and gratitude of his patients in follow-up fueled my desire to continue to learn more about the applications of laser surgery.

Dr. Friedman is an incredible mentor who takes a genuine interest in teaching residents and fellows.  I am grateful to have participated in this invaluable preceptorship.

Payvand Kamrani, DO shares her preceptorship experience with Mitchel P. Goldman, MD 

I had the extraordinary opportunity to undertake a week-long rotation at Cosmetic Laser Dermatology under the eminent Dr. Mitchel Goldman in sunny San Diego.

This invaluable experience, generously funded by the American Society for Laser Medicine and Surgery (ASLMS), allowed me to delve deep into the dynamic world of cosmetic dermatology. What struck me most about Cosmetic Laser Dermatology was the sheer diversity of treatments and procedures offered. I had the privilege of observing and participating in a wide range of cosmetic treatments - from surgeries and laser treatments to innovative procedures involving radiofrequency, liposuction, and vein treatments. The breadth and depth of the services provided offered an unparalleled learning environment.

One of the most unique aspects of the clinic was the arsenal of over 70 cutting-edge devices available on-site. This extensive array of equipment enabled the delivery of highly specialized, customized treatment plans to each patient, a testament to the clinic's commitment to delivering the best possible results. As a student, it presented me with a comprehensive view of the technological advancements and devices available in the field.

The most enriching part of my rotation was working alongside the six experienced physicians in the practice – I was able to spend two days with Dr. Goldman and the remaining three days of the rotation with different colleagues of the practice who are all known in the world of cosmetic dermatology. I was able to see each physician's different approaches to skin rejuvenation, birthmarks, vein disease, and fat loss. This pivotal experience has reaffirmed my aspiration to pursue an ASDS Cosmetic Fellowship. It has provided me with the opportunity to get first-hand exposure to some of the best energy-based devices on the market!

The science and art that I witnessed at Cosmetic Laser Dermatology invigorated my passion for this field, and it was an affirmation that my decision to venture into cosmetic dermatology was the right one. I am incredibly thankful to both Dr. Goldman and his team for being so friendly and open to having visiting residents shadow for a week. Lastly, my profound thanks goes to ASLMS because, without their support, I would not have been able to go on this rotation and be exposed to all the treatment modalities that I didn’t even know existed!

Alexa Steuer, MD, MPH shares her preceptorship experience with Brooke C. Sikora, MD

Through the ASLMS Preceptorship Program, I had the great fortune of spending a week with Dr. Brooke Sikora, Dr. Thomas Rohrer, Dr. Jeffrey Dover, Dr. Michael Kaminer, and a graduate of my own residency program, Dr. Mitalee Christman, in what was one of the greatest weeks of my residency. I was immersed in the field of cosmetic dermatology, lasers and energy-based devices, and Mohs surgery. In addition to the time that I spent on Mohs, I had the opportunity to see the applications of investigational energy-based devices, vascular lasers, lasers that target hyperpigmentation, and resurfacing lasers, and even enjoyed a teaching in-service for a new and emerging laser on the market. Throughout my week, it was readily apparent how lasers and energy-based devices have revolutionized dermatology, and I am endlessly grateful that both ASLMS and SkinCare Physicians offered me this educational opportunity.

From the moment I walked through the doors of their beautiful Chestnut Hill office, I was greeted by smiles, welcome hellos, and happy faces of all of the administrative staff, nurses, clinical staff, and physicians at SkinCare Physicians. The organization of my week was commendable. SkinCare Physicians’ Fellowship Coordinator and Operations Administrative Assistant, Linda Wong, seamlessly oriented me to the space with a welcome tour and organized my schedule to ensure that I had the most fruitful experience possible.

I began my week with Drs. Jeffrey Dover and Thomas Rohrer, both renowned dermatologists in their respective fields. Dr. Dover seamlessly integrated me into patient encounters. His teaching style was engaging and effective, and he managed to create a pleasant and comfortable environment for both patients and colleagues alike. Beyond his medical and cosmetic expertise, his incredible sense of humor and the time he took between patients to discuss the management demonstrated a genuine interest in teaching. He also took time out to get to know me personally, which made me feel like a valued addition to his team. 
Dr. Rohrer is both a standout physician and a meticulous surgeon. As an aspiring Mohs surgeon, I observed the impressive precision and skill with which he approached every case. I was struck by his ability to create a relaxed atmosphere in the operating room, conducive to enjoyable conversation that puts patients at ease, as well as soothing classic rock music (particularly The Eagles). Having spent a great deal of time with the Mohs staff, including nurses Scott and Erin, and the histotech Nancy, the rapport that they had with one another and Dr. Rohrer, as well as the fellow, was indicative of the down-to-earth and collegial atmosphere that Dr. Rohrer has cultivated as a surgeon and mentor.

I also had the privilege of working with Dr. Kaminer, who is well-published in the science behind the backbone of his practice, namely the approach to facial rejuvenation using neuromodulators and fillers. His in-depth knowledge shined through in his technique and methodical approach towards his patients. He talked through every aspect of his clinical decisions with both me and his patients. His open and kind demeanor, approachability, and willingness to solicit and answer questions made the clinic time fly by. It was then a pleasure to reconnect with Dr. Mitalee Christman, who also graduated from NYU dermatology residency, and to see her practice as an attending. It was motivating to see the places that NYU residency can prepare you for as I watched Dr. Christman solve her patients’ dermatologic mysteries and alleviate their concerns through empathy, intellect, and stellar patient care.

Last, but certainly not least, I would be remiss if I did not discuss Dr. Brooke Sikora, my official preceptor through ASLMS. Dr. Sikora is the type of person who shakes your hand, and with a single hello and smile, can put all anxieties at ease and create a warm and welcoming environment, both for learning and for patient care. She is an incredibly accomplished dermatologist, with whom I observed laser resurfacing, neuromodulators, fillers, vascular lasers, and TCA cross, to name a few. Each treatment she delivered was accomplished with an efficiency that never sacrificed the outcome or attention to detail. I hope to emulate her skill and keen eye in my future practice, but, perhaps what I aspire to more is the true compassion she showed toward her patients. It was nothing short of aspirational. When we walked into the patient rooms together, she was constantly being greeted with hugs and updates on her patients’ life stories and happenings. In medicine, where the words ‘doctor’ and ‘provider’ are used interchangeably, working alongside Dr. Sikora highlighted the true distinction that exists between these two terms, as she did so much more than simply ‘provide’ a service. Her expertise and dedication to true care for her patients was absolutely inspiring, and I can see how she provides mentorship and inspiration to all in her presence.

Throughout the week, I was continuously inspired by the dedication, professionalism, and kindness displayed by Dr. Sikora, Dr. Rohrer, Dr. Dover, Dr. Kaminer, and Dr. Christman. Their mentorship and guidance have enhanced my understanding of dermatology and have demonstrated the level of excellence I will strive to achieve in my future practice. Working with them has been a true privilege and an experience that I will cherish as I continue to grow as a dermatologist.

Eloise Galligan, MD, BA shares her preceptorship experience with Tina Alster, MD, FAAD

As a beneficiary of the ASLMS Preceptorship Program, I had the opportunity to spend a week with Dr. Tina Alster at the Washington Institute for Dermatologic Surgery in Washington, D.C. I knew that working in any proximity to the original “laser queen” would, at a minimum, provide me with a better understanding of how to approach the cosmetic patient and the nuances of various lasers and devices; what I had not expected was a mentor who was at least as attentive to me as to her patients, whose relationships and rapport with her patients re-instilled in me – one week from graduation, no less – the very magic of our specialty. I am so grateful to ASLMS and AbbVie for making this opportunity possible, and to Dr. Alster for her exceptional modeling, mentorship, and generosity.

Roudha Al-Dehneem, MD, MSc shares her preceptorship experience with Mitchel P. Goldman, MD

I am extremely grateful to ASLMS for providing me with the unique opportunity to rotate with Dr. Mitchel Goldman at Cosmetic Laser Dermatology in San Diego, California.

Dr. Goldman is a leading expert in laser surgery, skin resurfacing, sclerotherapy, PDT, and rejuvenation. He has a wide variety of lasers and energy-based devices, including IPL, PDL, Nd:YAG, CO2, Er:YAG, Fraxel^®, Picoway^®, and radiofrequency microneedling.

On my first day, I was greeted by his lovely staff, and he came personally to meet me and walk me through his entire spacious clinic with patient treatment rooms and multiple laser devices, as well as the research center where they conduct the clinical trials. I also met the entire team of esteemed physicians: Dr. Butterwick, Dr. Fabi, Dr. Groff, Dr. Boen, Dr. Loyal, and the fellows, Dr. Ishii and Dr. Zubair.

I gained exposure to various laser devices to treat different skin conditions that are not offered in my institution. I observed Dr. Goldman performing sclerotherapy for reticular veins, telangiectasia and CTEV for varicose veins, and approaching vascular and pigmented lesions with laser devices. He took his time during the busy clinic to answer my questions and consolidate my knowledge. I felt very welcomed by his nurses, and I got to sit in the consulting room observing his professional way of establishing a diagnosis, setting treatment plans, discussing possible complications, and post-procedure care.

I had an opportunity to join Dr. Fabi's clinic and learn new techniques in threading, filler injection, and liposuction. I observed Dr. Butterwich performing various techniques for facial rejuvenation with neuromodulators and filler injections.

This preceptorship experience allowed me to learn more about different cosmetic procedures and laser devices and work in private practice. I would like to thank Dr. Goldman and his amazing team for providing this learning experience that will definitely improve my patients’ care.

Rahul Nanda, MD shares his preceptorship experience with  Joel L. Cohen, MD, FAAD, FACMS

I had an incredible week with the man who goes by many names: “Joel PubMed Cohen,” “Data Dude”, or what most call him by: “Safety Joel.” This report highlights my one-week elective experience with Dr. Joel Cohen at the AboutSkin clinic in Greenwood Village, Colorado, which was easily one of the best weeks of my residency. Dr. Cohen is a distinguished dermatologist known for his expertise in the field of aesthetics and procedural dermatology, as well as his commitment to evidence-based and safety-oriented practice. During the elective, I had the opportunity to observe and actively engage in discussions in his clinic while also pursuing research endeavors. I gained valuable insights into procedural dermatology in a clinic-based setting, where patient-centered care is a core value of the practice.

The clinic stood out for its impeccable organization and emphasis on safety and teamwork. What was most impressive is the attention to safety accorded by him and his team. The following are examples of protocols followed in the clinic to avoid adverse events (for the patients and providers): Dr. Cohen consistently ensured that everyone in the laser room had appropriate eyewear prior to firing, biopsy specimens were verified twice to ensure the correct patient labeling, and meticulous skin preparation and setup were done to minimize cross-contamination during neurotoxin and filler injections, to name a few. Notably, not only were rigorous protocols in place, but safety designs were intentionally curated as part of the design and setup of the clinic space. For example, during PRP treatments, a portable sharps container gets placed adjacent to the patient to minimize risk of needle stick injuries, and patients are only booked for PRP in rooms containing a centrifuge, such that only the patient’s tube is spinning, and the patient’s blood does not leave the room.

His clinical expertise during patient encounters was really a highlight for me, where his comprehensive approach to aesthetic dermatology really stood out. Throughout the week, I observed a range of procedures, from neuromodulators to soft tissue augmentation and energy-based devices, in addition to aesthetic consultations. All the recommendations and interventions proposed were rooted in science. He would make sure to provide relevant articles for his patients demonstrating the clinical efficacy of the proposed interventions, along with showing them photographic examples of what they could expect in terms of improvement. He is also very dedicated to patient-centered care, where he takes the time to listen attentively to each patient's concerns and expectations. Even when consultations took longer than anticipated, he never rushed the patient, making sure to address all their questions.

We also saw many interesting cases during the week: an accidental gravel tattoo with improvement following Q-switched and ablative fractional laser, spontaneous oxidation of a lip tattoo improved with fractional laser, and filler hypersensitivity reaction following suspected contact dermatitis to a hypochlorous acid product, among other uncommon presentations. Even for simple cases, he made sure I saw with my own eyes the improvement that occurs following interventions. For example, he had a patient present in follow-up so I could see how quickly PDL improves iatrogenic bruising. Not only were there great cases, but I also valued his approach to explaining complications to patients. I recall a case of a patient who had booked a consult at his clinic after undergoing infraorbital filler by another provider, noticing a bluish discoloration under the eyes. After diagnosing Tyndall phenomenon, he tactfully explained the mechanism of the complication to her, both from the physical optics perspective and in relation to muscle movement and superficial filler migration. The different options were explained to her, and after shared decision-making, she opted to partially dissolve the filler with hyaluronidase. We called the patient two days later and she was thrilled, as the discoloration had resolved.

Dr. Cohen practices a holistic approach to managing patients, addressing not only cosmetic procedures but also lifestyle interventions to target specific concerns. For example, we saw a patient together with melasma, where he not only discussed laser options, but also discussed at length: hormonal factors, medications such as tranexamic acid, the importance of sun avoidance and shade seeking, and the role of visible light in exacerbating pigmentary disorders. He provided specific options for tinted sunscreens with targeted ingredients such as iron oxide. In fact, we saw many such patients that came in for a cosmetic assessment but ended up having dermatologic issues requiring medical or surgical intervention. As examples, we saw: a suspected squamous cell carcinoma requiring biopsy, acute onset cutaneous small-vessel vasculitis requiring workup, and multiple cases of alopecia requiring diagnostic assessment, among others. This really highlights the importance of dermatologists being at the forefront of procedural dermatology, where our expertise in medical and surgical dermatology is the backbone for accurate assessments and appropriate interventions for skin pathologies.

I was also provided mentorship by Dr. Cohen in research endeavors. He actively engaged me in brainstorming sessions, guiding me through the process of formulating and working through ideas that bridged clinical observations with potential research questions to better frame my reports. Throughout the week, with his supervision, we worked on several articles, of which two are soon to be submitted for publication, and I plan on continuing to work on projects with him.

In terms of my personal experience, Dr. Cohen not only made me feel like an integral part of his clinical team but also extended his hospitality outside the professional realm. Within the clinical setting, he made sure to introduce me to each of his patients and other staff members, creating an inclusive environment where I felt welcomed. Beyond the clinic, Dr. Cohen's thoughtfulness continued. His wife, Mrs. Dr. Cohen, packed lunch for me daily, and they invited me to dinner with their family, providing an opportunity for us to get to know each other outside of medicine. Additionally, he took me to The Goo Goo Dolls concert, highlighting his commitment to go above and beyond for his preceptees. These gestures really highlight his genuine interest in developing a strong relationship with his mentees.

In conclusion, my one-week elective at AboutSkin was nothing short of exceptional. His clinic's emphasis on teamwork, safety protocols, and patient-centered evidence-based care are things that I will take away from this elective. More than anything, I am extremely grateful for this opportunity and for having gained Dr. Cohen as a mentor and as a friend. I hope others, too, will be able to benefit from his kindness, generosity, and mentorship, as I have.

Stephanie Cohen, MD shares her preceptorship experience with Thomas E. Rohrer, MD and his colleagues at SkinCare Physicians

I had the privilege to participate in the ASLMS Preceptorship program under the mentorship of Dr. Thomas Rohrer, Dr. Jeffrey Dover, Dr. Michael Kaminer, Dr. Brooke Sikora, Dr. Karen Kim and their colleagues at SkinCare Physicians (SCP) in Chestnut Hill, Massachusetts. I had a memorable experience that exceeded my expectations.

From the moment I arrived at SCP, I felt the welcoming, collaborative, and positive atmosphere. The support staff and fellows were extremely helpful. Despite their busy schedules they kindly took time to make sure I was able to ask questions and watch as many procedures as possible.

During my one-week preceptorship, I was able to learn different techniques on how to use lasers and energy-based devices to treat vascular malformations, photodamaged skin, post inflammatory erythema, and others. I had the privilege to learn botulinum toxin techniques for the treatment of dynamic rhytides and migraines. Finally, I was able to learn about new techniques for cosmetic injectables such as fillers and toxins.

My overall experience was enhanced by the conversation I had with each of the faculty members who took their time to teach me about different botulinum toxin dilutions, controversies about Coolsculpting^® and share their personal experiences on different cosmetic matters. It was an honor to learn from true experts and pioneers in dermatology who have helped advance the field of cosmetics and aesthetics.

A big thank you to Drs. Rohrer, Dover, Kaminer, Sikora and the rest of the dermatologists and personnel at SCP for making my preceptorship so fulfilling!

Elizabeth DuPay, MD shares her preceptorship experience with Kristen M. Kelly, MD

I am thankful to have spent a week with Dr. Kristen Kelly at UC Irvine through the ASLMS preceptorship.  I am additionally grateful to Dr. Nelson, Dr. Zachary, and all the faculty, residents, and staff at UC Irvine for inviting me to work with them.

As an early career physician, I pursued this opportunity to broaden my exposure to the use of lasers.  I was able to observe Dr. Kelly use many different devices for different indications including for vascular birthmarks, iatrogenic hyperpigmentation, lentigines, tattoo removal and scars.  Dr. Kelly is very thoughtful with each individual problem and patient; she clearly explained the rationale and approach behind each decision.  Dr. Kelly was extremely welcoming and made herself available to answer all my questions.  She went out of her way to make sure I had a good experience.  I found the preceptorship especially beneficial to learn some of the softer skills that go into successful laser practice, such as patient counseling and pre- and post-treatment care, which you can’t necessarily learn from a textbook.

Dr. Kelly is nationally and internationally known for her expertise in laser medicine and a thought-leader in the field.  I was able to see her imaging lab and learn more about the research she is doing in the field of vascular birthmarks.  I am fortunate to have had this opportunity with Dr. Kelly and I would like to thank her, the ASLMS, the Allergan Foundation, and Merz Aesthetics for a great experience.  I am inspired to bring what I have learned into my own practice and I would like to thank my division chief, Dr. Price, and Phoenix Children’s Hospital for supporting me in this endeavor.

Stephanie Le, MD shares her preceptorship experience with Tina S. Alster, MD

The ASLMS Preceptorship Program provided me the invaluable opportunity to spend a week with Dr. Tina Alster at her practice, the Washington Institute of Dermatologic Laser Surgery. Dr. Alster and her office welcomed me with open arms and seamlessly integrated me into their day. Dr. Alster’s practice offers a wide variety of devices, such as Fraxel Dual, PDL, CO₂, and other body contouring devices, and procedures, including neurotoxins, fillers, microneedling, and peels. 

Dr. Alster is a gem. As a clinician, she is astute, clear, and empathetic with her patients. She has excellent rapport and tailors each patient’s aesthetic journey individually. As an educator, she is exceptional. She dedicated time to discuss fundamentals, her thought process, and practical and applicable outcomes with me in each patient encounter. She dedicated time every day to review topics and answering my questions. I appreciated her insight and personal experiences in regard to clinic management, research, and patient care. Additionally, she supplemented my learning with relevant studies and research. She truly prioritized my goals as a trainee, emphasized any education, and discussed individualized topics relevant to my career goals. Dr. Alster is a superb mentor, and I am extremely grateful to ASLMS, Allergan, and MERZ for connecting me with her. Thank you for this opportunity and I hope to pay it forward!

Louise McDonald, MB, BCh, BAO shares her preceptorship experience with Anne M. Chapas, MD

My ASLMS Preceptorship experience with Dr. Anne Chapas at UnionDerm in New York City was a unique and enriching experience. Having undertaken my Dermatology residency training in the United Kingdom, the opportunity to be immersed in such a prestigious clinic in the USA and observe laser and cosmetic treatments by both a leader and pioneer in her field will forever remain a highlight in my training.

My Preceptorship was hosted across two settings in Manhattan in Union Square and Central Park. Initially awed by the contextual beauty, seamless flow and calm serenity of the clinic interiors, I soon realized this perfect architectural aesthetic was a fitting match for the clinical aesthetic genius and professionalism of Dr. Chapas and her team. I was greeted with a warm welcome and made to feel at home from day one. My planned schedule afforded time to participate in both new and review patient consults and learn about consenting, risk assessment and treatment planning before being immersed in the procedural elements of practice. I am incredibly grateful to the clients at UnionDerm who were so kind and gracious in allowing me observe and learn. Witnessing the trust and rapport within these consultations, it became obvious that the ethos permeating UnionDerm is one of patient-centred, holistic and compassionate care and I hope to emulate this approach in my own career.

I was delighted and very excited to shadow Dr. Anne Chapas, Dr. Robyn Gymrek, Dr. Jennifer MacGregor and their current ASDS Cosmetic Fellow, Dr. Lauren Hoffman, during my preceptorship. I am so appreciative of the time they each took out of busy schedules to impart pearls of wisdom and the nuances necessary for a comprehensive aesthetic evaluation. Each of the doctors also ensured that any other presenting dermatological issues such as lesions or dermatoses were fully addressed, serving as a reminder that a firm grounding in medical and surgical dermatology is vital for safe aesthetic practice.

The clinic hosts an enviable array of laser and energy-based device options and I was afforded the opportunity to see numerous procedures, interspersed with supplementary tutorials on theory and technical tips. Highlights were the vascular and pigmented lesion laser treatments, ablative and non-ablative techniques, acne lesion and scar management with laser, Ultherapy, micro-sclerotherapy, IPL and submental contouring amongst others. Observing multiple filler and neuro-modulatory treatments administered with such expertise and subsequent patient satisfaction felt like a masterclass in facial aesthetics. I am grateful to the Dermatology residents of Mount Sinai who graciously welcomed me at their practical teaching session on filler and neuromodulators under the tutelage of Dr Chapas. It was wonderful to see collaborative and shared learning amongst fellow residents and demonstrated another example of Dr. Chapas’ natural gift for teaching and mentorship. During my Preceptorship, I also had the chance to spend time with the UnionDerm research team, learning about current clinical trials, protocol development and future studies planned. Embedded in the UnionDerm philosophy is “The art and science of skin” and it was genuinely inspiring to witness first-hand the art of aesthetic dermatology firmly embedded in a practice team wholly committed to the pursuit of evidence-based medicine. I am truly grateful to Dr. Chapas and her team as well the ASLMS for facilitating this unrivalled learning experience and I hope I will be able to implement the knowledge and pearls I have gained in my own future practice.

Chelsea Kesty, MD shares her preceptorship experience with Mark Taylor, MD

I was first exposed to cosmetic dermatology during residency after I encountered an article demonstrating the utility of fractionated lasers. While my program had strong surgical and general dermatology exposure, it had limited cosmetic clinics. I anxiously awaited each cosmetic clinic with a yearning to uncover more of this seemingly mysterious realm within dermatology. With each exposure, my curiosity for cosmetic dermatology evolved into a passion.

The ASLMS preceptorship has allowed me the opportunity to discover the forefront of cosmetic medicine. Dr. Mark Taylor and his office represent a collision of technology and creativity. I saw Dr. Taylor perform several procedures, but my favorite was the acne scarring procedure. The patients were emotional about their evident scarring and having seen them in follow up with their results was quite rewarding. Laser technology is evidently a drive and a devotion for Dr. Taylor. He brings an energy and open teaching atmosphere to his cosmetic clinic and toward the advancement of laser technology.

I learned from Dr. Taylor and his team the importance of working synergistically with patients and addressing their cosmetic concerns. His office staff were warm, welcoming and educational. Each part of the visit I had the chance to observe and ask questions. As I strive to master all elements of laser and cosmetic surgery, I could not recommend enough learning from Dr. Taylor. I will surely help a number of patients and further my practice in the field of cosmetics in lasers due to my experience with Dr. Mark Taylor.

Lily Park, DO shares her experience with Mitchel Goldman, MD

I had the privilege of spending a week at Dr. Goldman’s office, where I was able to observe and learn from some of the most experienced and knowledgeable cosmetic dermatologists.

It was an honor to learn from Dr. Goldman, who is internationally renowned for his contribution to the field of cosmetic dermatology. Despite his impressive credentials, Dr. Goldman remained humble and approachable, taking the time to explain his evidence-based methodology to me while building a positive rapport with his patients. 

In addition to shadowing Dr. Goldman, I was also able to learn from several other esteemed clinician-scientists, including Dr. Wu, Dr. Boen, Dr. Loyal, and Dr. Butterwick. Each of these dermatologists had their own approaches to patient care and treatment, and I was struck by the exquisite artistry and knowledge they brought to their work.  Their fellows, Dr. Zubair and Dr. Ishii, also inspired me with the knowledge, dedication, and drive to achieve the best patient care. Dr. Zubair took the time to give me a tour of the facility and to answer all my questions about the different lasers used in the practice, patiently explaining the science behind each one.

My time at Dr. Goldman’s allowed me to witness the depth and breadth of cosmetic dermatology. I would like to extend my sincere thanks to Dr. Goldman, Dr. Wu, Dr. Boen, Dr. Loyal, and Dr. Butterwick and their team members.  I also appreciate ASLMS and the supporting industry partners for allowing me to gain this invaluable experience. The lessons that I learned during my time at the clinic will stay with me throughout my career and will help me to become a better dermatologist for my patients. 

Harry Liu, MD shares his experience with Tina Alster, MD, FAAD

As part of the ASLMS Preceptorship Program, I had the privilege and honor of learning from Dr. Tina Alster, one of the pioneers and world experts of laser surgery in dermatology. Her kindness, work ethic, enthusiasm, and professionalism were unparalleled. At the end of two weeks, I am confident to say that she is an incredible teacher, amazing clinician, and one of the most empowering mentors I have ever met in my medical training thus far.

There was never a dull moment when I was with her at the clinic. Along with all the nursing staff who welcomed me with open arms, Dr. Alster created an incredibly friendly learning environment. For every procedure, she explained each step and concisely pointed out all the relevant clinical pearls at the same time. Over two weeks, I was exposed to various laser procedures including laser settings (i.e., Fraxel Dual, Fraxel Clear and Brilliant, pulsed dye laser, CO2, PicoWay, Alexandrite, and Nd:YAG), energy-based devices (i.e., EMSculpt, CoolSculpting, Ultherapy, and photodynamic therapy), and injectables (i.e., neurotoxins, fillers, and platelet rich plasma). Notably, I developed a deeper understanding of the mechanism and various clinical applications of microneedling. She also shared valuable learning resources with me to reinforce different key concepts.

As a clinician, she is extremely hardworking and never shied away from challenging cases to provide optimal care for all her patients. I could not be more appreciative of the opportunity to see the innovative application of laser by Dr. Alster for various complex medical conditions, including cutaneous mastocytosis, severe lichen planus pigmentosus, and extensive epidermal nevi covering over 30% of total body surface area. I also learned tremendously from her phenomenal communication skills to make patients at ease and engaged throughout the whole treatment process. There were patients from all over the world to visit her for her expertise. She brought kindness to every patient encounter and made it seem effortless; she has mastered the art of medicine.

Lastly, she is an empowering mentor who is also down-to-earth. She not only took the time to get to know me, including my cultural background, past academic experience, and my future career plan, but also shared incredible stories throughout her own professional career. I am thrilled to say that I have met an amazing role model and mentor from this valuable experience. More importantly, she inspired me to pay it forward to others in the future. Thank you very much, Dr. Alster and ASLMS for this once-in-a-lifetime experience!