Reading Plastic Surgery - Medi Spa Services, Skin Care
Skin
Berks Plastic Surgery offers an extensive range of skin health and therapy services, each with its own unique benefits. All procedures are performed by trained and licensed estheticians under the supervision of Dr. Ellenberger and Dr. Reedy.
Please contact Dr. Ellenberger’s and Dr. Reedy’s Berks County office, at Berks Plastic Surgery, to see if you are a good candidate for one or more of our skin care procedures described below, or if you have questions, or if you are interested in a service you don’t see listed.
Esthetician - Donna Erb - member of the Society of Plastic Surgical Skin Care Specialists

Donna came to our practice in 2005, bringing over 10 years of experience as a licensed esthetician and skin care counselor.
She provides non-surgical services and educates patients on skin care regimen using professional products suited to one’s individual needs.
Donna attends seminars throughout the year to keep current on the latest technologies in aesthetics. She has completed additional training on Obagi systems and is certified as a medical esthetician using advanced laser techniques.
Donna is a member of the Society of Plastic Surgical Skin Care Specialists.

Esthetician - Trina Angelovich - licensed esthetician and cosmetologist

Trina Angelovich is a licensed esthetician and cosmetologist. She has worked for over twelve years in the field of Aesthetics. Trina has practiced and trained with international professionals in the skin and wellness industry. She is also instrumental for advanced training and education in the professional beauty industry. Trina has worked with chemists in the formulation and development of professional products. Her passion and vision for the industry is to create beauty and well-being.

New Pearl wrinkle Reduction - “Thermal Peel”
New “Pearl™” Wrinkle Reduction Renews Skin’s Surface with Significantly Faster Results
A Safe “Thermal Peel” to Repair Sun Damage, Uneven Texture and Fine Wrinkles
Pearl™T, a new laser procedure for treating sun damage, uneven texture, brown spots, and fine lines without the downtime, risk, or repetitive treatments associated with today’s other technologies, is now available.
“There is no other laser like this.it’s like a TCA peel with controlled depth and full epidermal turnover,” “My patients say their skin feels amazingly soft, like the new skin of a baby.a textural renewal after only three to four days. With other laser technologies, patients must wait up to six months to see the full results.”
The Pearl™ procedure is ideal for patients of almost any age searching for a safe and uncomplicated way to restore the skin’s youthful look and feel in only one or two treatments. It is the answer for patients who want quicker results and less downtime than other procedure available today, which normally require 4 - 6 treatments each spaced one month apart and up to 18 days of total downtime.
How it Works
- During the fast, 15-minute procedure, pulses of light are gently delivered to the epidermis.
- The laser simultaneously sends heat to the deeper layers of skin to stimulate longer-term collagen growth.
- A natural protective layer forms on the skin, alleviating the need for wound care.
- The treated skin will look and feel slightly sunburned.
- On day three or four, the protective layer will peel away, leaving new, healthy, vibrant skin, with a “Pearl™-like” glow, underneath.
The Pearl™ Wrinkle Reduction, made by Cutera, Inc., is FDA-cleared and is the first application of the 2790 nm laser wavelength for cosmetic dermatology. This advanced technology provides the most ideal balance between cosmetic benefit and minimal downtime.

VelaShapeTM Cellulite Treatment

80% of all women over the age of 20 have cellulite, regardless of size or shape. Cellulite occurs when fat cells in the deepest layer of skin become over-inflated from an increase in fat storage. The fats cells protrude up through the tissue causing dimpling or a “cottage cheese” appearance.
VelaShapeTM your body. Schedule a personal consultation today.
Treat yourself to a smoother, sexier figure!
VelaShapeTM Cellulite Treatment contours, shapes and slims the body by improving cellulite and reducing circumference in as few as 4 treatment sessions. VelaShapeTM Cellulite Treatment has been cleared by the FDA and provides dramatic results without downtime or significant discomfort.
The secret behind VelaShapeTM Cellulite Treatment is that it’s the first and only technology that combines powerful energies to reduce the volume and appearance of fat tissues. With this unique approach, we are able to treat multiple areas including abdomen, buttocks and thighs in less than 40 minutes.
Experience the only complete non surgical alternative to liposuction! Schedule a personal consultation today!
How does VelaShapeTM Cellulite Treatment work?

VelaShapeTM Cellulite Treatment uses combined energies known as elos to precisely target and heat fatty tissues within the treatment area. In addition, the vacuum and tissue manipulation evens out the skin to reveal a smoother, tighter figure.
How quickly will I notice a change?

Gradual improvement of the treated area can be seen following the first treatment - with the skin surface of the treated area feeling smoother, firmer and tighter. Results in circumference and cellulite reduction will be most apparent 6 - 8 weeks following the final treatment session.
How many inches can I reduce from my circumference?

In clinical studies, patients report an average reduction of 1 inch post treatment. In clinical trials, the average range of circumferential reduction was 0.5 - 3 inches.
Is treatment safe?

Treatment is safe and effective for all skin types and colors. There are no reported short - or long-term health effects.
Does it hurt?

Most patients find VelaShapeTM Cellulite Treatment comfortable - like a warm deep tissue massage. The treatment is designed to accommodate your sensitivity and comfort level. It is normal to experience a warm sensation for a few hours post treatment. Your skin may also appear red for several hours.
How do I Improve and maintain results?

Following your complete treatment regimen, it is recommended to get maintenance treatments periodically. Like all non-surgical or surgical techniques, results will last longer if you follow a balanced diet and exercise regularly.

Cutera® TitanT Skin Tightening
The new Cutera® TitanT gives you an all natural option to enhance skin tone and actively turn back the clock on aging skin. Titan uses light energy to stimulate new collagen growth deep beneath your skin’s surface and can tighten skin on your face, arms, and abdomen. The Titan is an ideal solution to enhance your youthful and healthy appearance without surgery, recover time or injections.
The Titan utilizes a safe, infrared light to heat the dermis well below the skin’s surface. This heating can cause immediate collagen contraction resulting in tighter skin. During the procedure, the skin’s surface (epidermis) is protected through continuous cooling with the Titan handpiece. After the procedure, new collagen growth results in further tightening with the improvement of lax skin, folds and lines.
The Titan procedure:
- Has no recovery time
- Stimulates the natural collagen rebuilding process
- Creates subtle, yet noticeable, rejuvenating improvements.
Frequently Asked Questions:
What areas respond best to the Titan procedure?
The most common areas treated are the jaw line, under the chin, and the abdomen.
Who can be treated?
Since the Titan procedure heats tissue under the skin’s surface, patients of any skin type or age can be treated; however results are best for more elastic skin. Our licensed esthetician can advise you if the Titan is right for you.
How many treatments will I need?
It is quite common for patients to have two to three treatments over a few months. Our licensed esthetician will advise you as to the number and frequency of treatments recommended for your optimal results.
What happens after the treatment?
Immediately following the treatment, you may notice some redness and mild swelling in the treated area. Both should dissipate within a few hours.
When will I see results?
Some patients see results immediately. However, for most patients, the results are gradual over a three to six month period as new collagen is formed and the skin tightens.
How do I get started?
Contact Berks Plastic Surgery for an initial consultation with one of our estheticians at (610) 320-0200. She will be able to tell you if you are a good candidate for the Titan procedure, answer your questions, and let you know what results you can expect

Skin Rejuvenation
Ideal solutions to enhance your youthful and healthy appearance without surgery, recovery time, or injections.
Cutera Skin Tightening - Infrared light is used to safely heat the dermis below the skin’s surface. This heating can cause immediate collagen contraction resulting in tigher skin. New collagen growth continues after the procedure and results in further tightening with improvement in lax skin, folds and lines.
Cutera Laser Genesis - Non-invasive laser technology that effectively treats fine lines, large pores, uneven skin texture, rosacea, and broken capillaries. You will see a healthier complexion as large pores are reduced in size and minor imperfections disappear. Help restore our skin’s youthful glow and appearance by smoothing out uneven textures caused by aging, sun damage and scars.
FotoFacial- A unique combination of radio frequency and light that treats skin imperfections caused by sun damage, age spots and uneven skin tones created by brown spots. All of these conditions can make the skin look older and less healthy. Using two energies instead of one means more effective results for you. Expect your skin to be smoother, clearer, even-toned and healthier looking.
3D Skin Rejuvenation - Introducing a three-tiered approach to rejuvenating your skin. Most lasers treat only one or two aging conditions. The 3D Skin rejuvenation from Cutera addresses all of the most common conditions of aging - age spots, sun damage, fine line, wrinkles, and lax skin. Combining Titan, Laser Genesis, and the Fotofacial, this skin rejuvenation experience results in noticeable improved skin tone, texture, and tightness.

Cutera CoolGlide Laser Hair Removal
Now men and women alike are making unwanted facial and body hair a thing of thee past - thanks to the Cutera CoolGlide Laser. No more painful waxing, electrolysis or razors! The CoolGlide laser delivers 21st century technology for treatment of this distressing problem. Cleared for permanent hair reduction, the CoolGlide laser can treat men and women of all skin types and tones safely and effectively. Even patients with a suntan.
The Cutera CoolGlide Difference:
The Cutera CoolGlide is the best laser hair removal system on the market for all skin types and tones, from light to dark, including tanned patients. Its unique design, longer wavelength, and innovative cooling design, allow extremely effective, safe and permanent results.
What areas can be treated with the CoolGlide?
The CoolGlide can remove hair from all parts of the body including the face, legs, arms, underarms, and back. It can also treat sensitive areas like the chest, nipples, and bikini line.
What do CoolGlide treatments feel like?
As the name implies, the CoolGlide handpiece cools and soothes as it glides along your skin. When the pulse of light is delivered, some patients experience a mild pinching or stinging sensation. No local anesthesia or pain medication is typically required; however, some patients may prefer to use a topical anesthetic when sensitive areas are treated.
How many treatments will I need?
Most areas require 3-6 treatments. However the number of CoolGlide treatments required for optimal long-term benefits depends on multiple factors - hair thickness, the area treated and your hair’s growth cycle. Interestingly, not all hairs are actively growing at the same time and actually go through three distinct phases: growth, regression, and resting. CoolGlide treatments work by disabling the hair that is principally in the active growth phase at the time of treatment. Since other hairs will enter this active growth phase at different times, additional treatments may be necessary to disable all of the hair follicles in a given area.
What happens after the treatment?
Immediately following your CoolGlide treatment, the area may appear a bit red and swollen. Three to seven days after treatment you may experience what seems to be regrowth of hair. Actually, most of these hairs are being shed as a result of your treatment and are not regrowing. Between treatments you should not wax or pluck your hair, but it is permissible to shave.
Are there any restrictions on my activity after treatment?
Following the treatment, you can return to your normal activities right away, but some redness may occur. The use of sunscreen is recommended on any treated areas exposed to the sun. In addition, your physician may recommend that you use a specially formulated skin care product line or prescribe a skin care regimen especially formulated for your skin type.
What are the possible side effects?
Although patients experience few side effects, the most commonly noticed are slight reddening and local swelling of the skin, similar to sunburn. These effects typically last for several hours or less. In rare instances, blistering may occur. Consult with your medical professional for complete information on the benefits and risks of treatment.
How does the CoolGlide compare with other hair removal methods?
Shaving, waxing and depilatory creams are all temporary methods which must be repeated on a frequent basis. The CoolGlide offers permanent hair reduction for lasting results.
How does the CoolGlide compare with electrolysis?
Electrolysis is a tedious, invasive, and painful process that involves inserting a needle into each individual hair follicle and delivering an electrical charge to them one at a time. Electrolysis often requires years of treatments at regular intervals. By delivering light energy to hundreds of hair follicles at a time, the CoolGlide effectively treats an area in just seconds that would take over an hour with electrolysis.
Why choose CoolGlide over other laser hair removal systems?
Using the latest technology in laster hair removal, the CoolGlide can rapidly treat large areas without the limitations of older technologies. The CoolGlide longer wavelength allows it to be used safely and effectively on patients with light or dark skin as well as tanned skin. Unlike other systems, the CoolGlide can treat the fine hair on a womans upper lip just as easily and effectively as the coarse hair on a man’s back. The cooled handpiece increases patient comfort and minimizes the adverse skin reaction commonly seen with other lasers.

Cutera CoolGlide Laser Vein Therapy
The Cutera CoolGlide difference
The Cutera CoolGlide Combines the ideal laser wavelength with the most flexible pararneters to deliver a superior vascular laser system. It treats a broad range of vessels from tiny spider veins to deep blue reticular veins quickly, safely and effectively. Patients with dark, light or tanned skin can experience outstanding results with minimal bruising or blistering.
How does CoolGlide Vein Therapy work?
The Cutera CoolGlide systems deliver pulses of light energy which cause the blood within the vein to coagulate, eventually destroying the vessel which is later reabsorbed by your body. Blood flow will then be redirected to veins deeper below you skin’s surface where it should be.
Who can be treated with the Cutera CoolGlide?
The Cutera CoolGlide features a unique design and long wavelength that allows treatment of patients of all skin tones. Your physician will advise you if CoolGlide Vein Therapy is right for you.
What types of veins can be treated?
The Cutera CoolGlide can remove unsightly veins from all parts of the body. Small, facial veins (or “telanlectasia”) can be treated quickly without bruising or complication. Spider veins and large blue leg veins can also be treated with excellent results. Knotly varicose veins are not good candidates. A careful evaluation with your physician will help you determine which vessels can be treated and the best course of treatment.
How does this compare to Sclerotherapy?
Your doctor will advise you on the best course of action, but many physicians and patients prefer CoolGlide Vein Therapy because there are no painful injections.
What about blood blisters and port wine stains?
Blood blisters or “hemangiomas” respond very well to CoolGlide Vein Therapy, usually with just one treatment. Patients with port wine stains and other vascular lesions who had given up on finding a solution have been overwhelmed by the success of their CoolGlide vascular treatments. Consult your physician for thorough evaluation.
How many treatments will I need?
Often patients find that one or two treatments are sufficient. However, the number of treatments necessary depends on the number, color, and size of the vessels being treated. Since individual results vary, ask your medical professional about your specific condition.
Do the treatments hurt?
Most patients experience a stinging sensation as the pulses of energy are delivered through the handpiece. Although no local anesthesia or pain medication is typically required, many patients opt to use a topical anesthetic prior to treatment. Following the treatment, the pain is minimal to nonexistent.
What happens after the treatment?
Following your treatment, some redness or bruising may occur. When larger veins are treated, a tan or brownish pigment may persist for a few weeks or months following treatment. Patients who have leg vein treatments may be advised to wear support hose for a short period of time.
What are the possible side effects?
Although many patients report few if any side effects, those most commonly noticed are slight reddening and local swelling of the skin. These effects typically last for less then 24 hours. Some patients may experience bruising and, in rare instances, blistering may occur. Consult with your medial professional for complete information on the benefits and risks of treatment.
Are there any restrictions on my activity after treatment?
Patients generally resume most normal activities immediately. However, it is recommended that you avoid vigorous activities such as strenuous exercise for the first 24 hours after treatment. The use of sunscreen is recommended on any treated areas exposed to the sun. As always, it is a good idea to limit your sun exposure.
When will I see results?
Most patients find that the majority of the treated veins have shown significant improvement within two to six weeks of treatment. However, your final results may not be apparent for several months. Over time, it is possible for new veins to appear, but these too can be removed with the Cutera CoolGlide.

Sun damage Skin Treatment
If your skin has endured visible sun damage, you may benefit from either laser skin rejuvenation or FotoFacial T treatment.
Using the Pearl T laser, we can repair and renew years of sun damage in significantly less time than other laser therapies. For some patients, we recommend the Cutera ® Laser Genesis procedure for increased collagen stimulation. With FotoFacial, the combined elements of radio frequency and light can help you create a more consistent skin tone.
In some cases, we may combine all three technologies, a procedure we refer to as 3D Skin Rejuvenation. During your initial consultation, one of our qualified professionals will discuss all of these options with you, and together you can determine which is most appropriate.

Rosacea
Rosacea, a skin condition that is typically recognized by its redness and puffiness on several areas of the face, can sometimes lead to more serious symptoms. Fortunately, this oily and acne-prone skin condition can be addressed with more than one method. Most commonly, we recommend the Cutera ® Laser Genesis procedure, which can reduce the size of large pores, produce a more uniform texture, and erase many skin imperfections associated with rosacea.
For some patients, a sensitive skin facial is incorporated into treatment as well. Because it contains an all-natural serum and anti-redness mask, it can be an ideal complement to laser rejuvenation for the treatment of rosacea.

Microdermabrasion
The process of cell renewal (exfoliation) is a natural process but slows with age and the effects of the environment. Even removal of the superficial dead cells thickens the epidermis and increases the production of new skin cells along with the production of collagen and elastin.
Microdermabrasion was developed in Europe many years ago and has been an acceptable skin treatment procedure in the United States for a few years.
Aluminum oxide crystals are projected onto the skin in a safe and uniform manner to painlessly exfoliate layers of the epidermis. These crystals, along with dead skin cells, are vacuumed into a closed filter container and discarded. A control gauge allows for increased vacuum for a more aggressive peel and decrease vacuum for a more gentle peel.
Microdermabrasion leaves your skin smooth and clean with mild erythema (redness). Blackheads are loosened, whiteheads become unsurfaced, hyperpigmentation lightens, acne scars lighten, and enlarged pores and fine wrinkles become less prominent.
Blood, containing oxygen and nutrients, is drawn to the surface to feed and repair cells. The process of microdermabrasion should be approached in a series of at least six peels in order to get a lasting effect. The patient will be treated every week or every two weeks depending of the aggressiveness of the peel. A proper skin care program with microdermabrasion is imperative for long lasting improvement in the skin.
We offer many different options for microdermabrasion treatments. Please feel free to call the office for information on our packages.

Corrective Facials
Deep Hydrating Facial - This treatment will improve the driest of complexions to restore a feeling of suppleness, hydration, and comfort. Encourages the skin to be more resistant to the harsh environment.
Oily or Acne Prone Skin Treatment - This treatment includes an-exfoliation that will help to eliminate impurities and restore balance, leaving even the most congested of skin feeling fresh and clean. We finish with a clay and salicylic acid mask that helps to calm redness from acne and control oil production.
Vitamin C Facial - Exfoliate, hydrate, and nourish your skin! This three stage treatment begins with a thorough cleansing followed by an exfoliation with enzymes, vitamin C serum and a mask with a powerful “antioxidant cocktail.” Overall appearance of the skin will appear rejuvenated.
Sensitive Skin Treatment - This facial is recommended for irritated skin, sunburned skin, rosacea, post-laser resurfacing, or post chemical peel. A very gentle exfoliation followed by a serum containing licorice extract, Pro-vitamin B-5 and calendula to calm and normalize stressed skin. A cool, soothing mask is used to take down redness and hydrate the skin.
Salicylic Acid Peel - A chemical peel that improves early to moderate photo-aging, acne, fine lines, and rough, dry skin. The results leave the skin smooth, soft, and clear. This peel takes a few days to completely peel away all the topical layers of the skin. During this time the skin may be cleansed and moisturized to alleviate the feeling of dryness.
Glycolic Treatment - An exfoliation using glycolic acid to rejuvenate tired, damaged and dull complexions.

Skin Care for Teens
Teens have special skin care needs and our skin care specialist is on hand to answer any questions, offer cleansing, at home maintenance suggestions and to address many of the changes they will be facing throughout their teen years.
Services provided:
- Teen facials
- Mini-cleansing treatment
- Acne treatment
- Eyebrow arching

OBAGI Skin Restoration
Whether your skin is fair, dark, dry, oily, sensitive , or anything in between, there is a Nu-Derm system regimen that’s right for you.
Below the skin’s surface are cells that give skin its smoothness, even color, and firmness. As these cells mature, new ones are made. For healthy skin, this cycle of cell replacement takes about six weeks. But just as the health of other body parts begins to fail with age, so does the health of your skin. Add the exposure to sunlight that has built up over the years, and the skin’s ability to renew itself is damaged even more.
As the cell renewal cycle becomes less efficient, skin becomes rough in texture, spotted in color, and loose in tone.
Many cosmetic products offer improved skin care, but only the Nu-Derm system offers improved skin health. It uses prescription-strength ingredients that work at the cellular level … beyond the skin’s surface.
Our skin care counselor will provide the combination of products that are just right for you skin health.

OBAGI Blue Peel
Whether your skin is fair, dark, dry, oily, sensitive , or anything in between, there is a Nu-Derm system regimen that’s right for you.
Below the skin’s surface are cells that give skin its smoothness, even color, and firmness. As these cells mature, new ones are made. For healthy skin, this cycle of cell replacement takes about six weeks. But just as the health of other body parts begins to fail with age, so does the health of your skin. Add the exposure to sunlight that has built up over the years, and the skin’s ability to renew itself is damaged even more.
As the cell renewal cycle becomes less efficient, skin becomes rough in texture, spotted in color, and loose in tone.
Many cosmetic products offer improved skin care, but only the Nu-Derm system offers improved skin health. It uses prescription-strength ingredients that work at the cellular level … beyond the skin’s surface.
Our skin care counselor will provide the combination of products that are just right for you skin health.








