Brown Spots and Bruising after Injections and Eye Surgery

A little known side effect of injection procedures, including dermal fillers and sclerotherapy, is hemosiderin staining.  

Hemosiderin staining is a long term bruise or brown discoloration that occurs deep in the skin in response to bruising or bleeding below the suirface.  It occurs most often during sclerotherapy treatments with darker swkin patients such as Hispanic, Asian, Middle Eastern and African American.  Sclerotherapy injections are used to treat and remove blood vessels and small veins, usually in the legs.  If the solution used to close the blood vessels leaks outside of the vein itself, it can cause a darkened area which looks like a brownish bruise.  This is hemosiderin staining.  The same type of brown staining can occur in dark skin types after bruising related to dermal filler injections in the face or from lower eyelid surgery.  

In all of these instances, q-switched lasers are a quick, easy and effective way to get rid of the discoloration.   Q-switched lasers are designed to remove tattoos and birthmarks, buit we use these lasers to treat all types of dark pigment including long term bruising and dark scars.  Call today to learn more about how q-switched lasers can remove hemosiderin staining.

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, September 17, 2014 2:52 PM
Permalink | Comments (0) | Post RSSRSS comment feed

How can I get rid of Red Scars?

Scars come in many sizes, shapes and colors.  One type that we see a lot of are red scars.  The redness associated with trauma scars is most often linked to the inflammatory response and the blood flow that are normal during the initial healing stages of the scar.

For many patients, they cannot get rid of their red scars fast enough.  And that's where our pulsed dye lasers come in.  Our V-Beam and V-Star pulsed dye laser are designed to close the small blood vessels associated with the redness.   This returns the area to the same color as the surrounding skin and makes the scar much less noticeable.  To learn more about lasers and other types of treatments to remove your scars, call the office today.

 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Friday, September 12, 2014 4:54 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Asian Nose Shaping with Radiesse Injections

Over the past several years, it has become more commonplace to treat patients for non-surgical nose shaping.  In many cases, the patient does not necessarily have an issue that is well suited to surgery, or the patient does not prefer surgery for one reason or another.  

We use Radiesse in situations where a patient needs non-surgical nose shaping.  An examples of the work is below for "Asian Nose Shaping".  This patient was tryign to achieve a straighter line between the forehead and mid nose.  

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, September 10, 2014 4:22 PM
Permalink | Comments (0) | Post RSSRSS comment feed

What is Photodynamic Therapy for Acne?

Photodynamic Therapy (commonly referred to as PDT) is a treatment for acne that involves using a medication and a light based treatment together to reduce inflammatory acne.

One of the contributing factors for acne is the amount of sebum (oil) production.  Generally speaking, acne patients have heavier sebum production than those patients without acne problems.  There is more than one way to treat overactive oil glands and Accutane is a very common method.  Accutane is a very effective drug, but does have many side effects that make it difficult for patients to stay on.  So, when accutane is not an option, photodynamic therapy becomes a great one.

PDT uses a medication called Aminolevulanic acid (also referred to as ALA) and a light therapy called the Blu-u to reduce sebum production by targeting the oil glands specifically.   The liquid medication (ALA) is palced on the skin and the patient "incubates" for a period from 3-8 hours.  During this period, the medication sinks into the skin and becomes preferentially absorbed in the quickly reprodcuing cells of the oil glands.  Because the medication is highly photosensitizing (reacts to light and is highly absorbed), when the patient is placed in front of the blu-u device, the reaction is similar to a very bad sunburn and occurs regardless of what skin type the patient is.  

 

The ultimate outcome after 2-3 visits is that a mjority of the patients we treat see a significant reduction in the amount of active acne after 2-3 PDT treatments.  If you are in the Los Angeles or Orange County, CA area and are interested in treating problem acne, call today to find out more about photodynamic therapy.

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Thursday, September 04, 2014 3:23 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Is Picosure the best laser for Tattoo Removal?

We've had many patients inquire about the Picosure laser for tattoo removal over the past few months.  What makes it difficult for consumers to get the whole picture regarding which laser is optimal for their situation is the technical aspect of laser dermatology.

A Picosure laser is a good piece of laser technology.  The challenge is that the wavelength of the laser (755 nanometers) is not the same as most other tattoo removal lasers (Nd:Yg is most common at 1064/532 nanometers).  What this means is that the IDEAL color for treatment with the Picosure laser is green.  This is a less common color with most tattoos and for this reason, in many cases, the Picosure laser is not the best laser for tattoo removal.  Below you will find an excerpt from Wikipedia, which details the 755 (Alexandrite) wavelength for q-switched laser tattoo removal and the challenges with this wavelength.

 "Q-switched Alexandrite: 755 nm. The weakest of all the q-switched devices and somewhat similar to the Ruby laser in that the Alexandrite creates a red light which is highly absorbed by green and dark tattoo pigments. However, the alexandrite laser color is slightly less absorbed by melanin, so this laser has a slightly lower incidence of unwanted pigmentary changes than a ruby laser. This laser works well on green tattoos but because of its weaker peak power it works only moderately well on black and blue ink. It does not work at all (or very minimally) on red, orange, yellow, brown, etc. This laser wavelength is also available in a picosecond speed with anecdotal claims that it removes ink faster."  

** Reference http://en.wikipedia.org/wiki/Tattoo_removal.  

The bottom line with laser tattoo removal is that certain lasers (wavelengths) are better suited to certain colors, so the "best" choice of laser technology depends on the color of the tattoo.  Your results, on the other hand, are determined both by the type of laser technology AND the experience and skill of the person doing the treatment.  For best results, find out which wavelength of laser is mst appropriate for the color of your tattoo and find an office with lots of experience treating patients with your skin type and tattoo color.

 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Thursday, September 04, 2014 3:04 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Fractional Laser Resurfacing for Forehead Scars

Since launching fractional laser resurfacing in 2013, we have had incredible results and feedback from our patients in treating traumatic scars.  As an example, the patient below suffered multiple lacerations to her forehead and had to be stitched up to close these.  After the stictches dissolved, she came to us concerned about the lines left in the forehead.  

Look at the results after three Profractional laser resurfacing treatments.   

 

  

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, September 03, 2014 6:11 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Hyaluronidase for Juvederm Reversal

Because of our expertise in using Vitrase (Hyaluronidase), we will often get patients contacting us about reversing injections that were done at another office.  The following Hyaluronic acid based products are suitable for reversal with Vitrase:

Restylane, Juvederm, Perlane,  Voluma and Belotero.

Vitrase works quickly by breaking down the molecular structure of hyaluronic acid based fillers.  This means that the products will dissolve almost immediately when the Vitrase is injected.  

An example of a Juvederm reversal for injections under the eye.  This patient was injected superficially with too much Juvederm and had bags under the eyes because of it.  The pictures were taken only minutes apart.

 

 
To learn more about Juvederm reversal with Hyaluronidase injections, call the office today. 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Tuesday, August 12, 2014 11:46 AM
Permalink | Comments (0) | Post RSSRSS comment feed

Do lasers work for Stretch Marks?

We get calls often from patients that want to know how well stretch mark removal with lasers works.  The simple answer is great for some folks and not at all for others.  

Part of what we do as a laser dermatology office is "pick" patients.  This means we have the responsibility of deciding which stretch mark candidates have a chance to do well in our program and which ones do not.  

As stretch mark patients go, the following issues help determine whether we feel a patient is a good candidate for what we do.

- If you are young, there is a better chance for improvement

- If your stretch marks are recent, you have a better chance for improvement 

- If your stretch marks are red, pink or brown, you have a better chance for improvement (white, flat stretch marks are not a good candidate) 

- If your stretch marks are indented (vs. flat), you have a better chance for improvement (flat or raised stretch marks are not a good candidate)

As with all cosmetic procedures, setting proper expectations is important for achieving patient goals.  If a patient cannot understand that the goal for laser stretch mark treatment is improvement, then they will not be a good candidate for our office.  Lasers are a great option, but in many cases the stretch marks will only improve vs. be completely removed. 

 

 
To find out if you are a good candidate for stretch mark removal, call the office today. 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Monday, August 11, 2014 4:52 PM
Permalink | Comments (0) | Post RSSRSS comment feed

How can I get rid of veins on my hands?

Our patients ask us often about how they can improve the appearance of their hands.  They ask "How can I get rid of all these veins and make my hands smoother?"  There's a great option to improve the texture of your hands and make them appear more youthful and it's called Asclera.  Asclera is a painless injection solution used to close small veins in the legs and hands.  It works quickly and easily to remove unsightly, bumpy veins.  

 
If you'd like to get rid of veins on the back of your hands, call us today for a free consultation.   

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Monday, August 11, 2014 4:40 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Vitrase for Juvederm Reversal

Every few weeks we get contacted by a patient that is unhappy with the results of an injection procedure at another office.  As long as the injections received from the other practice are "Hyaluronic Acid" based products such as Restylane, Juvederm, Perlane, Voluma and Belotero, we can easily reverse the injections with an enzyme called Vitrase.

When Vitrase is injected into the area where the Hyaluronic acid based product resides, it breaks down the product and the result of the previous injection is reversed.

In a particularly troubling case (photos below), a patient was injected into the lower eye area very superficially (near the surface of the skin) with Juvederm.  There was 2 CC's of product placed immediately under the eye and it led to the area being very swollen and bloated looking.  As you can see from the after photos, within minutes this yearlong ordeal for the patient had been fixed.  We like to see smiles like that on our patients!

  Juvederm Injections Before and After Vitrase reversal

 

  

 

To find out more about injection treatments or injection reversals, contact the office for a free consultation.

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Thursday, July 24, 2014 1:13 PM
Permalink | Comments (0) | Post RSSRSS comment feed

What is Fractional Laser Resurfacing?

It used to be that "laser resurfacing" meant one and only one thing.  Before 2005 laser resurfacing was always "full field" which meant that 100% of the skin was resurfaced.  It was the prevailing method for performing laser resurfacing.  But with CO2 lasers dominating the field, the proceudre had several drawbacks.  The first was that it could not be performed on darker skin types.  The second was that it had a substantial amount of downtime - typically 2-4 weeks for recovery.  Finally the procedure often left a shiny or waxy appearance to the skin after it was completed.

 

In 2005, with the introduction of the Fraxel brand, laser resurfacing changed forever.  "Fractional laser resurfacing" was born to address several concerns with traditional CO2 resurfacing.  First, fractional laser resurfacing could be used on all skin types.  Now, darker skin types including African Americans could participate in the benefits of laser resurfacing withouth the risks of traditional CO2 resurfacing.  Downtime with the new method of resurfacing was now limited to 1 week and general anesthesia was no longer needed for the procedure.

 

Fractional laser resurfacing, just as the name implies, on;ly resurfaces a fractiona of the skin.  It pokes tiny holes in the surface of the skin.  The laser practitioner can decide if 10%, 20% or 40% of the skin should be resurfaced by making more than one pass with the laser.  The primary laser is subdivided into thousands of smaller beams that create tiny holes in the skin.  These holes are created when light from the laser is turned into heat as it penetrates the skin.  The heat vaporizes the tissue and small voids are created.  The body's process of repairing thes tiny holes in the skin is what creates an improvement to acne scars, fine lines and large pores.

 

Celibre Medical Los Angeles Fractional Laser Resurfacing.

 

  

 

Los Angeles Fractional Laser Resurfacing Before and After Photos  

 

 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Monday, July 14, 2014 5:47 PM
Permalink | Comments (0) | Post RSSRSS comment feed

What's the difference between tattoo and permanent makeup removal?

Both tattoos and permanent makeup can be removed using lasers.  In fact, both treatments use a device called a q-switched Nd:Yg laser.  Examples of this laser are the Palomar Q-Yag V and the Medlite C6.  

The difference between laser tattoo removal and permanent makeup removal is that the inks used for each are different.  Tattoo inks are very hearty and difficult to remove.  Tattoos are meant to be absolutely permanent and no tattoo artists wants to see his/her work fade.  Artists use good quality ink with deep placement and many passes.

Permanent makeup, on the other hand, is not meant to be permanent.   Most permanent makeup artists will tell you that the useful life of the work is about 5 years.  The inks used in permanent makeup are not as high quality and they are typically easier to remove than tattoo ink (less treatments are required for permanent makeup removal).   

   

There is one curveball when removing permanent makeup.   The ink used in permanent makeup removal can transition (oxidize) after laser treatment to a different color.  The ink can turn orange, pale blue, black or a dark grey.  While this process does not change the plan for the removal of the permanent makeup, it does require additional treatments when it happens, and does pose a challenge fo rthe consumer that has the color change.  The consumer would than have to use lipstick, pencils, foundations or other makeup to cover up the new color.  The process of covering over the new color may last up to several months while the permanent makeup removal process is ongoing.  

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, July 02, 2014 5:49 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Laser Treatments for Wart Removal

Warts, because they are viral in nature, can be problematic to treat.  Freezing with liquid nitrogen, cauterizing with a hyfrecator and using acids are all traditional methods to treat and remove warts.  But sometimes these methods fail and when they do, there is another option.  

Although the method of action is not clearly understood, it is thought that the wavelength of laser light (the type of light) and the heat generated during treatment both work to destroy the viral infection that causes warts.  As a final option, we have found laser wart removal to be extremely proficient at removing problematic warts after other traditional methods have failed.

See the before and after pictures below for a very large and painful plantar wart that was removed after several laser treatments.

Call today for more information on wart removal!

 

  
 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Tuesday, June 24, 2014 4:07 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Restylane Injections for Textured Scars

In some cases, the scars we treat are not alwyas effectively revised with laser treatments.  Because of hard fibrous tissue deposits or because the shape of the scar is very deep, laser resurfacing can't always create the right outcome.  

For very deep scars that also have some width to them (NOT like ice pick acbne scars) subcision with Restylane is an option.  During this procedure, we use the needle itself to release scar tissue below the depression and then place the Restylane directly underneath the scar to lift and fill.  Doing this over a number of treatments and years can caude the depressed scar to lift more permanently creating a shallower, less visible scar.  

See below for a nice example of treating a depressed scar with subcision and Restylane. 

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, June 11, 2014 2:19 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Profractional Laser Resurfacing for Birthmark Removal

We have had many birthmarks in the past that are resistent to traditional q-switched laser treatments.  In many cases, this is because the birthmark is textured (bumpy) and the traditional treatment cannot penetrate to the depth required to have an effect.  

More recently, we have begun to use q-switched laser treatments for the removal of deep nevi without excision (surgical removal).  Because we do not have to use surgical removal fo rthese types of birthmarks patients can still get permanent removal without scarring.  Take a look at the pictures below to see what Sciton Profractional Laser Resuefacing can do for a dark textured birthmark.

  

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, June 11, 2014 1:32 PM
Permalink | Comments (0) | Post RSSRSS comment feed

How is Sculptra different than other Dermal Fillers?

We answer this question all the time...How is Sculptra different than other dermal fillers?

Sculptra is different than other dermal fillers because the "filler" part of Sculptra is simply the body's own collagen that is generated in response to the injection.  For this reason, Sculptra is considered a "biostimulator" rather than a dermal filler.  The product is a powder that is made up of the dissolvable stiches used in wound care.  The stiches are ground into a powder and placed in a saline solution and injected deep into the skin.  The solution then absorbs into the body leaving behind the Fine particles.  

The body surrounds the particles with new collagen over the weeks and months after treatment.  Typically 3 visits are required in the first 6 months and the number of vials of product required varies by the age and needs of each patient.  

Take a look at what Sculptra can do for your cheeks.  Notice how it affects how tired the eyes look at the upper cheeks. 

   

We love Sculptra because it is excellent at adding volume to the cheeks and mid face.  It lasts a long time (up to 2 years) and is probably the most natural looking injection filler that we use.  

To schedule a free consultation  about Sculptra injections, call our office today.   

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Tuesday, June 03, 2014 4:24 PM
Permalink | Comments (0) | Post RSSRSS comment feed

3 Little Known Uses for Botox Cosmetic

Botox Cosmetic has a myriad of excellent and popular uses in today's dermatology world.  But certain uses are definitely more prevalent than others.  Below, we would like to highlight several lesser known uses for Botox.

 

*Brow Lift

A lateral brow lift refers to placing Botox to the outer edge of the eyebrows to create a subtle lifting of this area.  This outcome is natural in its appearance because it allows the brows to return to their normal position when the eye muscle isn’t contracting and pulling this area down.  Typical dose is 5 to 7 units each side.

 

Los Angeles Botox Injections by Celibre Medical

botox brow lift los angeles before botox brow lift los angeles after 

 

 

*Upper Lip Wrinkles

Often referred to as “smoker’s lines”, vertical lines above the upper lip isn’t necessarily from smoking.  The mouth muscle is quite strong and pulls down and inward like a purse string effect as time goes on.  By using a small amount of Botox above the upper lip border, we are able to achieve softening of the lines as well as a subtle eversion or rolling out of the upper lip.  This provides a natural, more youthful appearance.  Typical dose is 4 to 8 units.

 

smokers lines botox restylane before smokers lines botox restylane after 

Los Angeles Botox Free Consultations

 

 

*Pebble Chin

Small amounts of Botox to the mentalis muscle (chin) results in a softening of the chin to prevent the dimpling effect when this muscle contracts.  Typical dose is 4 to 6 units.

 

 

botox for pebble chin before botox for pebble chin after 

Los Angeles, Botox Before and After Pictures

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

Currently rated 3.2 by 11 people

  • Currently 3.181818/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, March 31, 2010 5:43 PM
Permalink | Comments (0) | Post RSSRSS comment feed

The “Gold Standard” for Laser Dermatology

The term “gold standard” is often used to define something that has been recognized and tested not only as effective, but premier in what that something claims to do.  Often, the “gold standard” is a way to measure something new against another that's tried and true.

 

In our area of practice, Laser Dermatology, this term is used more often than it should be.  It can be overwhelming for consumers to try to figure out which laser is best at treating their particular skin condition.  A laser that is FDA-approved for a particular treatment does not necessarily mean that it’s the gold standard.  Unfortunately, there is a very low hurdle required for FDA approval when it comes to efficacy versus the higher hurdle for safety.

 

At Celibre, we believe in offering only treatments that have been proven to be safe and effective as evidenced by research, consumer and practitioner feedback and more importantly, by our own experience.  We are firm believers that safety and efficacy can go hand in hand.  Unfortunately, we see many practitioners that trade one for the other by using devices that are very safe (read "FDA Approved" but not very effective). 

 

It’s not unusual for the media to promote the “newest” latest and greatest laser or to profile a media savvy doctor that offers these treatments.  While it’s tempting to be lured by the excitement associated with new equipment, consumers should beware of unproven technology.  Many practitioners within the aesthetic practice industry will promote their technology as being effective for numerous conditions.  We liken this claim to a printer, fax, copier concept.  A printer, fax copier is a jack of all trades bu master of none.  In contrast, at Celibre, we use over 20 different lasers so that we may be very specific about choosing a laser for a particular skin type and condition.  Because of the breadth of the technology we use, we can reach for the "gold standard" laser for the conditions we treat, rather than relying on the "printer fax copier" type machines.  It is for this reason that our lasers are powerful, precise, safe, and effective.  

 

The term “gold standard” may be used by those facilities that have no better option – thus, it’s their own gold standard.  We promote the gold standard should only refer to a higher standard set forth by best practices and outcomes and generally recognized as such by experts in that particular field and based on unbiased research.

 

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Wednesday, March 31, 2010 5:21 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Is there a treatment for underarm sweating?

Excessive sweating can be a problem with the palms of the hands, feet and the underarms.  When serious enough, this condition (called hyperhidrosis) can impact one’s social activities and necessitate treatment. Some traditional treatments for excessive sweating include oral medications, topical preparations containing aluminum chloride, surgery and Iontophoresis which involves the use of electrical currents.  A more recent treatment for hyperhidrosis is the use of Botox.  

Many people with hyperhidrosis are not aware just how effective Botox can be for limiting excessive sweating.  They only think of Botox as a way to smooth out frown lines.  Botox is an FDA approved treatment for hyperhidrosis and works by having an effect on the muscle fibers of the sweat glands thereby eliminating or dramatically decreasing the amount of sweating.  The treatment typically involves 50 units of Botox to each underarm and takes less than twenty minutes.  Discomfort is easily managed by ice packs since the needles utilized are extremely small.  

Although Botox treatments for hyperhidrosis to the underarms may be quite an expense initially, the effects last anywhere from six to nine months.  For those preparing for a special event, this treatment is an excellent option to avoid a potentially embaraasing situation.  For many, the idea of not having to struggle with excessive sweating on a daily basis makes Botox a good long-term investment.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

Be the first to rate this post

  • Currently 0/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Thursday, March 18, 2010 3:55 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Botox for Hyperhidrosis - An Overview

Overview:  Botulinum products work to limit chronic sweating by inhibiting the release of acetylcholine.  This in turn block contraction of fibers within the sweat glands, which in turn limits chrnoic sweating.  For patients that have excessive sweating (hyperhidrosis) to the underarms, Botox is a great treatment option.

Botox Dosing:  Generally, 50 units are administered in EACH underarm with multiple injection sites.  Discomfort is easily managed with ice packs. 

Duration of Botox/Dysport Treatments:  The expectation is anywhere from 4 to 9 months with the average being 6 months.

Standard of Practice:  The use of Botox for the treatment of axillary hyperhidrosis was FDA-approved in 2004.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer  

Currently rated 1.0 by 2 people

  • Currently 1/5 Stars.
  • 1
  • 2
  • 3
  • 4
  • 5

Posted by administrator on Monday, March 15, 2010 4:46 PM
Permalink | Comments (0) | Post RSSRSS comment feed

Contact us today to schedule a FREE consultation!