For 28 years, the answers Dr. Simon Ourian gives his patients have stayed inside his office on North Camden Drive. That patient list has included Kim Kardashian, Kris Jenner, Kylie Jenner, Megan Fox, Lady Gaga, and supermodel Adriana Lima. Now the founder and medical director of Epione Beverly Hills is putting those answers in writing with Ask Dr. Ourian, a new series at epionebh.com/ask-dr-ourian.
Each article takes one question Dr. Ourian hears over and over in consultation and answers it in his own words. He records the answer, it gets transcribed, and he reviews it before it goes live. Five new questions publish every month.
The answers are the same straight talk his patients get in the room, including the parts they may not want to hear. “Melasma isn’t something I promise to permanently erase,” Dr. Ourian said. “We can often improve it significantly, but maintaining those results is part of the treatment.”
That directness is part of why his practice is not for everyone. Treatment at Epione starts with an in-person consultation, and not every patient is accepted as a candidate. “I’d rather be called a jerk than ruin a face,” he said of patients looking for non-surgical fixes for advanced neck laxity.
Several answers come straight out of his own work. Dr. Ourian developed Coolaser® after years of turning away patients with deeper skin tones. “Before developing Coolaser®, I had to turn them away to avoid shiny or hyperpigmented results,” he said. Today, he estimates roughly 60 to 70 percent of his patients are Fitzpatrick IV or above. “Patients are still incorrectly told their skin is too dark for lasers.”
Others reflect how his thinking on aging has changed over nearly three decades. “One of the most overlooked components of facial aging is the gradual remodeling and loss of structural support in the facial skeleton,” he said in the article on thin skin versus loose skin. “If underlying skeletal support has changed, treating only the surface may not fully address what is creating the aged appearance.”
The first five questions cover why melasma comes back, thin skin versus loose skin, how many laser hair removal sessions it takes, laser resurfacing on darker skin, and treating white stretch marks. The series does not list prices or give individual treatment recommendations. Readers can submit their own questions at epionebh.com/ask-dr-ourian.
The information in Ask Dr. Ourian is for general educational purposes and is not intended to substitute for individualized medical evaluation, diagnosis, or treatment. Results and treatment suitability vary by patient.
About Dr. Simon Ourian and Epione Beverly Hills
Dr. Simon Ourian is the founder and medical director of Epione Beverly Hills, a cosmetic dermatology practice he established in 1998, and developed the Coolaser® and Coolbeam® treatments used there. Epione provides non-surgical aesthetic and dermatologic treatment. Treatment begins with an in-person consultation, and not every patient is accepted as a candidate. Epione Beverly Hills, 444 North Camden Drive, Beverly Hills, CA 90210. 310.651.6267. https://www.epionebh.com/ask-dr-ourian
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