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. 

I have been seeing Dr. Austin for almost 3 years now for acne scars treatment and my skin is totally transformed.  People think I look at least 10 years younger than my age. I would say that my acne scars have been improved by 80% after multiple sessions of tca cross and laser genesis.  Most of my ice pick scars have filled in.  Recently I also had Fraxel laser to improve the shallow scars , black spots, and overall skin texture.  Dr. Austin is amazing and she cares about her patient.  She would call me after the procedure to make sure that I was doing fine.  She also responded very quickly on all my questions related to post-procedure.  Now my skin has been improved further after fraxel laser.  I will continue to see Dr. Austin for other treatments to keep my skin young and heathy so I don’t age.  Thank you Dr. Austin and her team.  I also wanted to express my appreciation for Mary Krempa who has been doing my laser hair removal for.  Now that my skin is so soft.  I am happy with the results.

L.C. Yelp

This review is long overdue! Dr. Austin is incredible at treating rosacea!! Dr. Austin has been life changing for me and my skin. I found her online from searching frantically for someone for years in the Bay who had experience working with rosacea. Rosacea started for me in my early 30s, what felt like out of no where during grad school. After trying many other things, including strictly cutting out foods that were irritating I was still having intense rosacea breakouts. Dr. Austin took pictures, explained what was happening and we went over my skin routine. I learned how there are different types of rosacea, she explained what can irritate it (which can include natural oils!) and then she gave me a very specific skin care routine with products. I saw results almost immediately after using sticking to the topical routine. I recently saw her after 3 years of sticking to my regimen and my skin has greatly improved. I flare maybe a few times a year with stress but it will usually go away that day with combo ointment meant for rosacea. I have even seen lines on my forehead go away with one of the topicals, an added bonus! She is also very encouraging, has a warm bedside manner. If you have been dealing with skin issues and the confidence behind that look no further, Dr. Austin is worth it!

K.P. Yelp

I have been seeing Dr. Austin for 4 years now. I initially saw her when I was experiencing some difficult to treat acne in my early 20s. She listened to my concerns and really educated me on proper skin care. Since then she has continued to help provide new products/recommendations based on my needs at that time. I have also been seeing her for filler and botox treatments for the past two years. She has always listened to what I wanted and given me incredible results. She keeps things natural and really has an amazing eye for the face and facial structure. Beyond her work, she is a really incredible doctor. Her bedside manner is unparalleled and she is always evidence based in her practice. She is a beautiful person who works hard to help others feel beautiful. 11/10 would recommend.

A.S. Yelp

Katie and Bianca were great! I was a bit apprehensive about having Fraxel, but the prep was excellent (I was very numb), and there was very little pain. They answered all of my questions, and sent me home with detailed aftercare instructions. I look forward to seeing great results as the healing unfolds over the next few weeks, revealing my new, fresh face. Thanks, BACD!

M.S. Google

The team at Bay Area Cosmetic Dermatology is incredible. If you’re a celebrity or an every day person looking to take excellent care of your skin, the staff at BACD will treat you the same either way. I have been to a diverse set of dermatologists over the past 15 years and BACD is definitely the absolute best. I am under the care of Dr. Welsh and Dr. Austin, who both stay on the forefront of technology and look out for you without plumping you beyond recognition or pushing services and products on you. They are the best of the best and you can count on personable, high end, quality attention and expertise. Thank you, Dr. Welsh and Dr. Austin, for supporting my commitment to my self and to my skin care!

P.D. Yelp


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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.