Clear + Brilliant® in San Francisco, CA

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Offered at Bay Area Cosmetic Dermatology since 2012, Clear + Brilliant has become a popular corrective laser treatment with our San Francisco patients. With minimal downtime, this treatment improves tone and texture and gives the skin a radiant, youthful glow. This gentle, non-invasive treatment also reduces the appearance of pores, leaving your skin smooth and soft. Working in tandem with the specialized Perméa handpiece, C E Ferulic® by SkinCeuticals — a topical product applied immediately after the laser treatment — penetrates deeply into the skin to optimize results, helping redness and swelling to dissipate quickly. Bay Area Cosmetic Dermatology patients find, with a series of treatments, Clear + Brilliant Permea minimizes the appearance of pigmentation caused by both sun damage and melasma - which is notoriously difficult to treat.


For the patient who would like smoother, firmer skin with smaller pores, the original Clear + Brilliant is a great treatment option. Clear + Brilliant is also great for anyone who would like an anti-aging treatment that prevents wrinkles and textural changes. For patients who would like to treat pigment in the skin, Clear + Brilliant Permea is an even better option. Patients may also combine both treatments to effectively target both depths that the two handpieces reach. 

The staff and Dr. Welsh are amazing. They care about the outcome, healthy preventative skin care routines and are the best in the business.

A.H. Google

Dr. Welsh has really gone above and beyond to address the previous issues and I am completely satisfied with the improved strategies that she and her team had implemented. They were professional and kind in their interactions and the therapies that were recommended truly embodied good patient care that I had come to know from her practice for more than 20 years. Thank you Dr. Welsh. Kudos!! ------------------------------------------ Of my 20+ years with Dr. Welsh and her team, I felt this visit was the least satisfactory. The front desk receptionist seemed reluctant to answer any more than 2 questions. From the getgo, the MA focused on pushing skin care products the whole time rather than assess my visit intent. Subsequently, when Dr. Welsh came in, she really did not spend much time asking which areas I intended to plan on having improved upon. Maybe she thought the MA already elicited the data? Given the above, the 2 usual trouble areas that usually gets the procedure got left out. Then one of the newer procedure went awry and I was supposed to follow the area carefully so it won't form a blister, otherwise I will have to return to get it fixed. I had to ask for new ice bags for the pain as no refills were offered. Finally, the billing needed to be adjusted several times as a few major miscalculations happened, luckily spotted by the MA (I don't really know who is counting / tallying what/how much products were used during the procedure). They were cleaning the room before I was ready to go. Sadly, the visit felt rushed, less friendly and there was notably less attention to details from staff and clinician compared to my previous visits.

J.C. Google

First class cosmetic dermatology. A place that is pleasant to go to and makes the world a more attractive place. Dr. Welsh is always fun to be around and knows what she is doing. Rare in the world of skin care!

E.D. Google

Professional from check in through numbing process and the clear and brilliant treatment.

P.M. Google

Dr. Austin is AMAZING. Always does incredible work and is so sweet. This institution really prides itself in being a leader in skin care and health. I recommend this place to all of my friends!

M.P. Google


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What are the benefits of Clear + Brilliant?

Many people turn to procedures like facelift surgery to revive their appearance and feel better about their skin. Clear + Brilliant is an excellent option for anyone who wants to achieve a youthful glow without plastic surgery or downtime. This treatment is especially ideal for treating a wide range of issues at once. So if you have problems with skin tone and texture, as well as sun damage that makes you feel self-conscious, Clear + Brilliant can help. Bay Area Cosmetic Dermatology patients love the long-lasting results they've experienced from treatment.


A topical numbing cream will be applied by one of our medical assistants 30 minutes prior to your treatment to ensure comfort. After this numbing period, one of our trained RNs will perform your treatment, gently guiding the Clear + Brilliant handpiece across the treatment area. Most patients experience minimal discomfort during the treatment and describe the treatment as feeling a bit hot or “prickly.” Cold air may be used in conjunction with the treatment in order to make the treatment even more comfortable. The treatment time varies depending on the size number of areas treated but typically lasts about half an hour. A topical antioxidant serum will be applied to the skin immediately after treatment. A refreshing biocellulose masque may also be applied for 10-15 minutes after treatment.

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Patients may feel hot and have a “sunburned” look typically for 1 hour, and up to 24 hours, after their treatment. Swelling is not common but can occur. It is safe to apply makeup immediately following the treatment to camouflage this appearance. The treatment area will also feel rough or “sandpaper-like” for 5 to 7 days and will exfoliate slowly. Typically, patients report seeing visible improvements following a series of 4 to 6 treatments, although patient experiences vary. Clear + Brilliant treatments may also be used to maintain the results of Fraxel Repair. Our staff will discuss a personalized regime for your to help achieve your goals.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.