When Daniela Dadurian graduated from the University of Miami School of Medicine, she never predicted that she'd end up working in cosmetic medicine. But her expertise in internal medicine, combined with her extensive knowledge of anti-aging techniques and emphasis on preventative care, led her to expand her private practice in West Palm Beach, FL. She divides her time between fulfilling her internist duties to decade-long patients and developing M.D. Beauty Labs to incorporate the latest scientific advancements in wellness and cosmetic medicine. Today, Dr. Dadurian is a Fellow of the American Society for Laser Medicine and Surgery, a participating physician with the Botox Cosmetic Physician's Network, and a member of the European Society for Cosmetic and Aesthetic Dermatology.

Drawing from a background abroad, which included a childhood in Germany and education in England, Dr. Dadurian seeks out innovative techniques from around the globe and insists on trying each one before offering them to her patients. As medical director of M.D. Beauty Labs, Dr. Dadurian specializes in progressive cosmetic treatments with no surgery and no downtime. The services offered at her practice, ranging from laser hair removal and vein therapy to cellular regeneration and permanent makeup, strive to be cutting-edge...without any "cutting" involved. Dr. Dadurian took some time out of her hectic day to chat with TIA about the past, present, and future of anti-aging technology.

How did you make the jump from internal to aesthetic medicine?

Among my patients, there was a large female population that would come in for advice on anti-aging treatments and ask me to perform cosmetic procedures on them because they trusted me more than an unknown doctor. So, I decided to look into the evolving field of preventative and anti-aging skin care. After taking a  number of specialized courses to learn new techniques, I opened an extension of my internist practice dedicated to non-surgical cosmetic procedures. Due to growing demand, M.D. Beauty Labs is now making a transition from a traditional medical office to a beautiful medi-spa center in downtown West Palm Beach.

What is the most frequent request from your patients?

Without a doubt, getting rid of wrinkles and fine lines. Botox and fillers are our #1 treatment. Radiesse, Juvederm, and Elevess are three of the injectible fillers that we administer, following a consultation to determine which one is right for each patient. During this initial consultation, we recommend a VISIA Digital Skin Analysis, which compares digital images of the patient's skin to 100 people of the same age along six criteria (spots, wrinkles, pore size, texture, bacterial count, and UV damage). This analysis provides the framework for developing the most effective personalized treatment program.

Our most popular injectible is Botox for smoothing deep persistent lines, such as in the forehead (horizontal lines), glabella (frown lines), and outer corner of the eyes (crow's feet). While results from Botox appear within 3-14 days and last 3-6 months, the particular results and functions of the other fillers vary.

What do you think is the most effective anti-aging product and procedure?

As far as anti-aging treatments go, Botox is still the gold standard. I believe that Botox is safe, though I am a little skeptical of the newer skin injectibles not yet on the market. I am really excited about the potential of photodynamic therapy, which combines IPL (Intense Pulsed Light) with photosensitizers, to reduce fine lines, pigmentation, and other textural problems.

Some of my favorite anti-aging skincare products come from the iS Clinical line, which is backed by a great deal of clinical research and science. Its cosmeceutical products have medically proven active ingredients in high concentrations. For treating acne, I recommend medical skincare products containing amino-clavulanic acid followed by the IPL/Photorejuvenation laser.

Could you describe photodynamic therapy in detail, as well as vein and acne therapies?

Also known as ALA/PDT treatment, photodynamic therapy is performed with a topical photosensitizing agent called Levulan that is activated with a precise wavelength of light. These treatments permanently remove sun damaged pre-cancerous zones and spots called actinic keratoses. In addition, it has the unique ability to improve blotchy pigmentation and fine lines, miminize pores, reduce oil glands, treat rosacea and stubborn acne vulgaris, and improve the appearance of some acne scars.

Besides photodynamic therapy, we also use Blue-U Acne Therapy to treat moderate inflammatory acne. This FDA-approved procedure uses a blue light to destroy harmful bacteria in your skin without the need for medication, completely clearing up or at least controlling acne breakouts for a long time. For treating abnormal blood vessels, sclerotherapy is a non-invasive procedure that addresses unsightly, sometimes painful spider and reticular veins. We inject the veins 2-6 times with a solution that makes the blood vessel walls sticky and causes them to collapse on top of each other. Because patients have a disposition for vein problems, new ones may appear later on and repeated treatments may be necessary.

What cosmetic treatment gives you the most bang for your buck?

I would probably say Slim Lipo. This laser body sculpting treatment is a less traumatic and more effective way to eliminate fat that you can't get rid of in spite of proper diet and exercise. Compared to traditional liposuction, it is far superior because it doesn't use force to physically disrupt fat cells and remove them by aspiration, causing unnecessary trauma that often results in bruising, swelling, and prolonged pain. Instead, Slim Lipo's very small laser fiber precisely melts fat while tightening skin. The procedure involves a very tiny incision in the target area, along with a mild sedative and local anesthesia. Because it requires no recovery period, most patients return to work the very next day and only need one treatment.

What is your personal beauty regimen?

For all my skincare needs, I stick to iS Clinical exclusively. On both my body and my face, I regularly use a technique called Accent for skin tightening and lifting. This painless treatment uses deep heat mechanical energy to stretch the fibrous bands, reducing both body fat and cellulite. Fat cells are broken down and absorbed, metabolism of the area is increased, and the end result is a smoother appearance, along with a reduction in hip, thigh, and stomach volume. The Accent is also helpful for the face because it has a bipolar radiofrequency treatment hand-piece that generates heat to cause collagen contraction and production by fibroblasts.

In addition, I occasionally use Botox and fillers to touch up fine lines on my face. For overall rejuvenation, I use the Sapphire 3 Photoabrasion, which is the next generation of microdermabrasion, with much better and exciting results. This technique combines microcurrent using a vibrating sapphire tip with red LED (light emitting diode) to exfoliate and stimulate fibroblast production in the skin. Then there is lymphatic drainage, vitamin exfoliation, and monochromatic light therapy for further toning, antibacterial, and oxygenating benefits. At the end of the treatment, my skin texture and tone is dramatically improved.

What do you see as the future for skin care?

I think innovations in medical beauty will eventually replace plastic surgery. The trend will be to shy away from the face, focusing on treatments for body rejuvenation. Laser body sculpting, skin tightening, and photodynamic therapy will become increasingly popular procedures as people try to achieve a perfect physique. Although surgery will never go away completely, advances in non-surgical anti-aging treatments will one day be able to achieve nearly equivalent results.