
Lasers
At Heights Dermatology & Aesthetics, we offer a variety of advanced laser treatments designed to address a wide range of skin concerns and aesthetic goals. Our state-of-the-art laser technologies ensure safe, effective, and precise treatments tailored to your unique needs.
PICO Genesis is a revolutionary laser treatment that targets and treats pigment issues such as brown spots, melasma, freckles, and sun damage. This treatment requires minimal downtime.
Laser skin rejuvenation treatments use two lasers to reduce the appearance of redness, brown pigmentation, fine lines and improve overall complexion.
The Excel V Vascular Laser Treatment is a non-invasive procedure that targets vascular skin conditions like spider veins, rosacea, port wine stains, and telangiectasia using precise pulses of light energy to shrink and fade blood vessels, resulting in improved skin appearance with minimal discomfort and downtime.
Treatment for Brown and Red Spots
Fraxel CO2 skin resurfacing is an advanced laser treatment that targets deep wrinkles, acne scars, and other skin imperfections. Fraxel CO2 significantly improves skin texture and appearance by promoting collagen production and skin renewal.
Skin Resurfacing
RF microneedling combines traditional microneedling with radiofrequency energy to enhance collagen and elastin production, providing more effective and long-lasting results.
This advanced treatment combines radiofrequency (RF) microneedling with exosomes to enhance skin rejuvenation and healing. Exosomes are cell-derived messengers rich in growth factors that support skin repair, improve texture and tone, reduce the appearance of fine lines and wrinkles, and promote a more youthful complexion.
Microneedling Treatments
Ultherapy is a non-invasive treatment that uses ultrasound energy to lift and tighten the skin on the face, neck, and décolletage. This procedure stimulates collagen production, resulting in a firmer and more youthful appearance.
Skin Tightening & Lifting
Laser Genesis is a non-invasive treatment that improves skin texture and reduces redness and scarring. It is highly effective for clearer, smoother skin, but consulting a professional for personalized advice is crucial.
Acne laser treatments target active acne and scars, killing bacteria and promoting healing.
CoolSculpting is a non-invasive fat reduction treatment that uses controlled cooling to freeze and eliminate stubborn fat cells. This procedure is perfect for contouring areas like the abdomen, thighs, and flanks without surgery or downtime.
Our vaginal rejuvenation treatments use advanced laser technology to improve vaginal laxity, dryness, and urinary incontinence, enhancing both comfort and confidence.
Our laser tattoo removal treatments effectively break down tattoo ink particles, allowing your body to eliminate them naturally. Multiple sessions may be required for optimal results, depending on the size and color of the tattoo.
Specialized Treatments
Before & After
Explore our before and after gallery to see the transformative results of our laser treatments.

























Patient Testimonials
Hear from our satisfied patients who have experienced remarkable improvements in their skin and overall appearance.

Steven R.
Dr. Billano and the staff are EXCELLENT, and have helped me with my aging and sun damaged skin. I have had photodynamic therapy to remove pre-cancerous spots on my face as well as treatments to remove red spots and freckles. My skin looks better now than it did 15 years ago!

Bianca M.
Love the staff and Dr. Billano. Best dermatologist in Alabama!

Laura C.
Dr. B is THE BEST! No comparison. Sharp, professional office staff! Incredible! She is highly competent and cares about her patients, very results oriented. I purchase all my skincare products from their office as well. Top notch!
PICO Genesis is a laser treatment effective for melasma, hyperpigmentation, sun damage, age spots, and post-inflammatory hyperpigmentation. It uses laser energy to target excess melanin in the skin, promoting a more even skin tone and rejuvenated appearance.
The number of laser rejuvenation sessions for optimal results varies based on the skin condition and severity. Generally, 3-6 sessions spaced 4-6 weeks apart are needed for mild to moderate concerns, while severe conditions may require 6-8 sessions or more. Maintenance sessions every 6-12 months are recommended afterward.
During Excel V treatment, your skin is cleaned, and protective eyewear is provided. You may feel mild tingling as the laser targets your skin. The treatment includes cooling for comfort and lasts about 15-30 minutes. Afterward, you may experience temporary redness or swelling, and the treated spots may darken before fading. Protecting your skin from sun exposure is important, and follow-up appointments may be scheduled. Overall, Excel V treatments are quick with minimal downtime.
Fraxel CO2 skin resurfacing can be uncomfortable, with sensations like heat, tingling, or stinging during the procedure. Numbing agents are used to minimize pain, and additional pain management options may be available. Afterward, you may experience redness and swelling, which can be managed with cold compresses and skincare.
RF microneedling combines microneedles with radiofrequency energy, enhancing skin tightening and addressing moderate to severe wrinkles and skin laxity. Traditional microneedling focuses on general skin rejuvenation, acne scars, and mild to moderate wrinkles. Both treatments may require multiple sessions for optimal results, with RF microneedling potentially having slightly longer downtime due to added heat.
Combining RF microneedling with PRP (Platelet-Rich Plasma) or exosomes offers several benefits:
Enhanced Collagen Production: PRP and exosomes contain growth factors that promote collagen production, synergizing with RF microneedling to improve skin texture, elasticity, and firmness.
Improved Healing and Recovery: PRP and exosomes accelerate the healing process, reducing downtime and enhancing the overall results of RF microneedling.
Skin Rejuvenation: The combination treatment targets multiple aspects of skin aging, including fine lines, wrinkles, uneven texture, and pigmentation, resulting in more comprehensive rejuvenation.
Longer Lasting Results: The regenerative properties of PRP and exosomes can extend the longevity of RF microneedling results by promoting ongoing collagen remodeling and skin regeneration.
Customized Treatment: The combination allows for a tailored approach to address specific skin concerns and achieve optimal results based on individual needs and goals.
Overall, combining RF microneedling with PRP or exosomes maximizes the benefits of both treatments, leading to improved skin quality, texture, and appearance with enhanced healing and long-lasting results.
Ultherapy results typically last between 1 to 2 years, although individual experiences may vary. Factors that can affect the duration of results include:
Age: Younger patients may experience longer-lasting results compared to older individuals due to their skin's natural elasticity and collagen production.
Skin Quality: The initial condition of your skin, including its elasticity, firmness, and overall health, can impact how long Ultherapy results last.
Treatment Area: Results may vary depending on the treated area. Some areas of the face and neck may maintain results longer than others.
Lifestyle Factors: Factors such as sun exposure, smoking, diet, and skincare routine can influence the longevity of Ultherapy results. Maintaining a healthy lifestyle and skincare regimen can help prolong the effects.
Follow-Up Treatments: Some patients opt for periodic maintenance treatments to sustain or enhance their results over time.
It's essential to consult with a qualified provider to determine the appropriate treatment plan and expectations based on your individual skin characteristics and goals. Regular follow-up appointments can also help assess and maintain your results over time.
Vaginal rejuvenation procedures involve non-surgical or minimally invasive techniques like laser therapy, radiofrequency (RF) therapy, and platelet-rich plasma (PRP) therapy to improve vaginal health. These treatments stimulate collagen production, tighten vaginal tissues, improve lubrication, and address symptoms like vaginal laxity and dryness. The procedures are typically performed in-office with minimal discomfort and no downtime, and multiple sessions may be needed for optimal results.
Laser hair treatment, also known as low-level laser therapy (LLLT), has shown effectiveness in treating hair loss, especially in cases of pattern baldness. It stimulates hair growth, increases hair thickness and density, prolongs the hair growth cycle, improves scalp health, and can complement other hair loss treatments. Results vary, and consistency with the treatment schedule is essential for optimal results. Consulting with a specialist can determine if LLLT is suitable for your type of hair loss.
CoolSculpting is an FDA-approved non-surgical fat reduction treatment that can target various areas of the body where stubborn fat deposits are common. Some of the areas that can be treated with CoolSculpting include:
Abdomen: Including upper and lower abdomen areas.
Flanks (Love Handles): The sides of the torso, commonly known as love handles.
Inner Thighs: The inner area of the thighs.
Outer Thighs: The outer area of the thighs.
Upper Arms: Including the area commonly referred to as "bat wings."
Double Chin: The submental area beneath the chin.
Back: Including upper and lower back areas.
Bra Fat: The area around the bra line on the back.
Underneath the Buttocks (Banana Roll): The area beneath the buttocks.
CoolSculpting works by targeting and freezing fat cells in these areas, causing them to crystallize and eventually be naturally eliminated from the body over several weeks to months. It's important to note that CoolSculpting is not a weight-loss procedure but rather a body contouring treatment designed to reduce localized pockets of fat that are resistant to diet and exercise.
The number of sessions needed for complete tattoo removal varies based on factors like tattoo size, ink colors, skin type, and laser technology used. On average, multiple sessions spaced several weeks apart are required, ranging from 3-10 sessions or more. Consulting with a dermatologist or laser specialist can provide a personalized estimate based on your tattoo and skin characteristics.


