Clear + Brilliant® in San Francisco, CA

Ready to get started?

Book Now


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. 

Dr. Welsh and Dr. Austin have taken exquisite care of me and my skin care needs. The level of professionalism is unmatched and they don’t just try to give you every treatment out there. Rather, they understand your goals and create a plan in alignment with that. The office staff is super helpful in booking and placing product orders. I’m a happy customer of Bay Area Cosmetic Dermatology and highly recommend their services.

P.D. Yelp

I've tried so many skin care products to address my acne, scars, and texture over the years and nothing worked. Then I went to a "medical spa" to treat my skin issues, which was a big mistake because most med spas just hire sales reps who are not medically trained or certified. They burned my face badly, did not know how to fix it, and told me to try products that made the condition even worse. That was when I decided to consult a dermatologist for a second opinion and was so lucky I found Dr. Austin at BACD!During the initial consultation, Dr. Austin explained what was causing my skin problems, came up with a treatment plan, and answered all of my questions. She's an expert in her field with extensive medical knowledge about how skin reacts to multiple factors such as lifestyle choices or other medical conditions, and I trust that she's considering everything holistically whenever she recommends a treatment. It has been 6 months ever since I started seeing Dr. Austin and my skin looks better than ever. Not only did Dr. Austin fix the damage from the last med spa I went to, but multiple friends have told me that I'm aging in reverse! :) As other reviews mentioned, BACD isn't cheap, but you get what you pay for. I'm thrilled with my care, trust the professional staff members here, and highly recommend seeing Dr. Austin for any skin concerns.

D.C. Yelp

Dr. Welsh and Dr. Austin have taken exquisite care of me and my skin care needs. The level of professionalism is unmatched and they don't just try to give you every treatment out there. Rather, they understand your goals and create a plan in alignment with that. The office staff is super helpful in booking and placing product orders. I'm a happy customer of Bay Area Cosmetic Dermatology and highly recommend their services.

P.D. Yelp

I've been seeing Dr. Austin for nearly four years now and she is without a doubt the best dermatologist in SF. Dr. Austin is brilliant and ahead of all the latest, cutting edge treatments, warm and collaborative, and extremely perceptive. I go a few times a year for Botox and Clear + Brilliant treatments (mini laser to heal sun damage). My face tends to be very expressive when I talk, so before I started seeing Dr. Austin, I would accumulate frown/squint lines easily. I also have an active lifestyle and spend a lot of time outdoors in the sun. With the minimal number and dosage of treatments each year, my forehead wrinkles have disappeared, sunspots are gone, and my skin looks so healthy, smooth, and glowing to the point that I'm often told I look over a decade younger than my actual age. Dr. Austin is passionate about helping her clients look their best, and her positive, delightful energy pervades the clinic. She gets to know you as a patient and as a person, so the treatments are tailored uniquely for you, your lifestyle, and your goals for appearance. I want a natural, healthy look and we work together to choose treatment plans that best suit me. Dr. Austin is proactive in recommending the best options for your skin while also not over-prescribing, which I find especially helpful given good skincare is not inexpensive. The investment in my skin has been more than worth it.I can't emphasize enough the human touch throughout the office for a pleasant, welcoming, smooth experience. Dr. Austin always remembers to ask about my latest trip or my pup Pecan. All her team is terrific, unfailingly pleasant, professional and responsive. You are immediately made to feel welcome and comfortable, from the front desk to the medical staff working with you and Dr. Austin. (Special shout out to Monica, who does hydro facials and is wonderful). Communications are always transparent and policies are accurately disclosed upfront for no surprises. I look forward to each visit, and hope you will do something wonderful for yourself and visit Dr. Austin at Bay Area Cosmetic Dermatology too. Dr. Austin and her team are a treasure, and I am grateful to have found them.

E.M. Yelp

I have been seeing Dr. He and the staff at BACD for over a year now and it has been a very pleasant experience. I will continue to come back and likely have my husband sign up as a patient soon as well to address some of his skin needs. After all of the things I put my skin through, I am so grateful to work with someone so warm and thoughtful! He is the last person to try to sell you services and listens intently to your needs. He’s also highly knowledgeable and excellent at getting to the root cause of your issues, which I really appreciate — I am very fortunate to have a simple effective skin care routine thanks to him which is aligned with my lifestyle and needs.

D.E. Google


Total Reviews


Average Rating

Get In Touch

Easily book a consultation with one of our experts today!

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.

All Photos
About Us


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.