Dr. Vegas Blog 12.22.2025 A New Year with New Challenges

Dr. H.L. Greenberg

2026 is around the corner and it’s time to make yourself the priority.  Last week, my Derm Bro, Dr. David Cotter performed my 3rd Full Face Fractional CO2 Laser Resurfacing Treatment.  I have been healing and asking myself, why exactly did I choose to do this procedure again?  A CO2 laser is the Gold Standard anti-aging treatment, an aggressive procedure that removes unwanted fine lines, sun damage and superficial wrinkles with focused laser energy adjusting the power, pulse density and dwell time of the energy based on the desired outcome.  Prior to CO2, PA Xin Wang performed a Sebaceous Hyperplasia Cosmetic Destruction on the little oil glands peppering my forehead, looking like pimples, but without the ability to, “pop them”- instead they were obliterated in a quick 1 week to heal procedure.

When I look at old photos/videos of me getting the same Fractional CO2 Laser Resurfacing procedure done before, I believe that all of the new therapies and current Post-treatment care regimen at Las Vegas Dermatology® made a massive difference in the wound healing process.  I have really enjoyed testing out our new post-ablative skin care regimen with Benev Exosomes (cell signaling proteins from human fat), Rejuran Healing Essence (Salmon DNA), Epicutis Lipid Serum and old standbys like the CO2 Lift Pro Mask (drives CO2 into the tissue forcing hyperoxygenation and wound healing at the site of application), Alastin Nectar, Avene Spray, Hydrinity HA, and the LightStim.  All of these products work in their own way to reduce inflammation and speed wound healing.  In 6/2024, I wrote about a new series of treatments we labeled the Dr. Vegas 444- 4 procedures performed 4 weeks apart 4 times, the 4-4-4 includes: Hydrafacial, Sciton BBL, Sciton Moxi and Skin Pen Microneedling all designed to tighten and brighten skin by clearing unwanted pigment and improving wound texture with 4 days of downtime, whereas the CO2 laser is a much more aggressive therapy typically requiring a week of downtime, but I always go to work the next day.

Every new year, it’s the same thing, what are my resolutions?  At the tail end of 2025, I spoke on “Goal Setting- What to Look for in Practice and Life” for the Nevada Dermatology Society Annual Meeting, and last week, I penned an article on, “Goals” for, “The Dermatologist”.  Lately, I have had friends who have struggled with life’s challenges and if you’re suffering this Season or in general, you need to get some help.  I am working on my 2026 goals list, and I’m really looking forward to putting in the work to make my dreams a reality.

3 influencers are guiding my life’s journey, most recently, for health and what the body is capable of, David Goggins- who emphasizes exercise, stretching and going beyond your comfort zone.  Tony Robbins-who highlights that it’s in that last little bit of extra effort where you get all the rewards.  Finally, when I have a goal, but it feels impossible, I think of my high school neighbor who, though already a test pilot for the United States Air Force, learned SCUBA and studied Geology for 2 years to identify rocks and geologic formations in order to become the 8th man to walk on the moon, Jim Irwin- a space pioneer and Astronaut who delayed gratification by enduring multiple unpalatable tasks before achieving his goal.

At the Las Vegas Dermatology Foundation, a tax deductible 501c3 charity, we are actively supporting medical research, students working towards careers in the Dermatology space, sponsoring lectures and will be doing more community events.  If you haven’t donated enough this year, we could use your financial support- send checks to the office or donate here via Paypal.  If you or someone you know has Atopic Eczema, Hidradenitis, Psoriasis, Skin Cancer and Urticaria- we are running multiple clinical trials; visit us today.

Find someone who inspires you, work on improving your own life, set some goals, and if you can, make the world a better place,

Dr. Vegas

H.L. Greenberg, M.D. is Dr. Vegas, the founder of Las Vegas Dermatology®, ½ of the
Derm Bros®, a Muay Thai enthusiast, Skier, World Traveler, Videographer, YouTuber
and President of the Las Vegas Dermatology Foundation- a 501c3 providing for a
Healthier and More Beautiful Life, using Dermatology as the Inspiration.