Dr Vincent Richer - Dermatology

Dr Vincent Richer - Dermatology Medical and Cosmetic DermatologIst at in Vancouver.

Clinical Instructor and Director of Continuing Medical Education - University of British Columbia Department of Dermatology and Skin Science

Keloids are more than a regular scar.A keloid is an overgrowth of scar tissue that extends beyond the original area of i...
09/10/2026

Keloids are more than a regular scar.

A keloid is an overgrowth of scar tissue that extends beyond the original area of injury. They can develop after something as minor as a piercing, acne, surgery or another skin injury — and some people - and areas on the body - are simply more prone to developing them.

One important distinction: not every raised scar is a keloid. Hypertrophic scars are also raised, but they generally remain within the boundaries of the original injury.

Treatment depends on the individual keloid, including its size, location and whether it is growing or causing symptoms. Options may include scar injections, laser treatments or a combination of approaches.

Keloids can also recur, so treatment often requires a thoughtful, longer-term approach rather than simply removing the scar surgically. If you have a scar that you’re concerned about, an assessment can help determine what you’re dealing with and which treatment approach makes sense.

For this patient's ear keloid, we performed surgical debulking followed by laser ablation and scar injection. Scar injection was repeated at the follow-up visit, and return to the office is warranted as the first sign of itch, pain or scar growth to prevent the keloid from getting anywhere near the size that required this procedure.

Book your consultation to find the right treatment approach for your skin.

09/02/2026

A little behind-the-scenes of a neuromodulator treatment for my brilliant assistant Christie and a reminder that the injections are only one small part of the process.

We start by cleansing the skin, then carefully assessing the anatomy and muscle activity before marking the treatment points.

In this case, we’re treating the glabella (frown lines), frontalis (forehead lines), nasalis (bunny lines) and masseter muscles (for clenching/facial slimming).

• Forehead: treatment needs to be balanced with the muscles that elevate the brows.
• Glabella: the injection pattern is guided by the individual’s muscle activity and movement.
• Nasalis: can be treated when specific muscle activity contributes to unwanted movement around the nose.
• Masseters: treatment is planned based on muscle size, activity and the reason for treatment.

The goal is not simply to treat every line or movement we see. A thoughtful treatment plan considers the underlying muscle activity, anatomy, and how those structures contribute to the patient’s overall expression. The objective is to identify which areas are likely to benefit from treatment, while maintaining natural movement and preserving the character of the face.

We love a dramatic transformation - but we love a plan that can fit with our patient's day-to-day life even more. This b...
08/31/2026

We love a dramatic transformation - but we love a plan that can fit with our patient's day-to-day life even more. This before and now sequence highlights the type of soft improvement that can be achieved with Clear + Brilliant® combined with a carefully curated skin care routine.

Clear + Brilliant® is a gentle fractional laser treatment designed to improve overall skin quality by addressing concerns such as uneven texture, dullness, and early signs of sun damage. It is safe to use on all skin types.

By creating controlled micro-treatment zones within the skin, the treatment stimulates the skin’s natural renewal process to help achieve a smoother, brighter, and more refreshed appearance.

During a consultation, we can determine whether Clear + Brilliant® is the right treatment option for your skin goals.

Fraxel 1927 vs. Clear + Brilliant — which one is to treat your sun damage?Both are fractional laser treatments, but they...
08/27/2026

Fraxel 1927 vs. Clear + Brilliant — which one is to treat your sun damage?

Both are fractional laser treatments, but they are not the same treatment and they are not designed to achieve exactly the same result.

Clear + Brilliant is a gentler, more approachable option for improving overall skin quality. It can help with skin tone, texture, pores and early signs of sun damage, with relatively minimal downtime.

Fraxel 1927 is a more intensive fractional laser that delivers more energy density to the skin. It can be used for more significant sun damage, pigmentation, uneven texture and even certain types of scarring. Because it is a more potent treatment, it also comes with more downtime and recovery.

So, is Fraxel better?

Not necessarily. The strongest treatment isn't automatically the best treatment. What matters is choosing a treatment that matches the concern we're actually trying to address — and one that fits into your life.

Sometimes that means a more intensive treatment. Sometimes it means something lighter that can be done with less interruption to your routine, but may have to be repeated more often.
We don’t live for the treatments. We do the treatments to enjoy our lives.

Check out our newest blog post on our website to find out more!

Vascular laser treatments are designed to target visible blood vessels and redness, but how you prepare your skin matter...
08/25/2026

Vascular laser treatments are designed to target visible blood vessels and redness, but how you prepare your skin matters too.

Before your treatment, there are a few things we recommend avoiding:

• Sun exposure and tanning — keep the treatment area protected from the sun and avoid having a deep tan on the skin before your appointment.
• Self-tanner — skip artificial tanning products on the area being treated.
• Harsh skincare — avoid aggressive exfoliation and irritating products so the skin is calm and not broken out when you arrive.

Good preparation doesn't need to be complicated. The goal is simply to have healthy, calm skin so we can safely and effectively treat the area.

If you're unsure about a medication, skincare product or activity before your appointment, ask us beforehand.

Would you like to learn more about aftercare for vascular laser treatments? Let us know in the comments!

Many of our patients take outstanding care of their skin - or have gone to great lengths to get it to be and look as hea...
08/17/2026

Many of our patients take outstanding care of their skin - or have gone to great lengths to get it to be and look as healthy as it is now - and they may be keen for a further "pick-me-up".

Skin tone, texture, light reflection and pore size are features that often require some degree of maintenance, and so treatments with shorter social downtime are often well-suited to this objective.

Some common options include:

• Laser Genesis — a gentle heat-based laser treatment that can curb flushing, with no downtime
• 30% Salicylic Acid Peel — helps improve skin tone, texture, and suppress acne breakouts with minimal recovery
• Clear + Brilliant® — supports skin renewal with a short recovery period
• SkinVive™ — an injectable treatment designed to improve skin hydration and dewiness
• Secret RF — combines microneedling and radiofrequency energy to stimulate collagen production

Recovery time can vary depending on the treatment, your skin, and your individual response. A personalized consultation helps determine which option best aligns with your skin goals.

Book a consultation through the link in our bio.

You may be wondering — what is this device?This is the HALO® laser, a hybrid fractional laser treatment designed to impr...
08/14/2026

You may be wondering — what is this device?

This is the HALO® laser, a hybrid fractional laser treatment designed to improve overall skin quality by addressing concerns such as uneven tone, irregular texture, sun damage and acne scars.

By combining two wavelengths of laser energy, HALO® works at different depths within the skin to support collagen remodeling and improve the skin's surface.

The goal is smoother texture, brighter complexion, and more even-looking skin.
Every patient’s skin is unique, and treatment plans are customized based on individual skin concerns and goals.

We perform HALO® laser year round - if our patients are careful enough to avoid a tan prior to the procedure and know to protect themselves during the recovery, they can keep working on reaching their results.

During a consultation, we can determine if HALO® laser is the right treatment option for your skin.

Many of our patients take outstanding care of their skin - or have gone to great lengths to get it to be and look as hea...
08/12/2026

Many of our patients take outstanding care of their skin - or have gone to great lengths to get it to be and look as healthy as it is now - and they may be keen for a further "pick-me-up".

Skin tone, texture, light reflection and pore size are features that often require some degree of maintenance, and so treatments with shorter social down time are often well-suited to this objective.

Some common options include:

• Laser Genesis — a gentle heat-based laser treatment that can curb flushing, with no downtime
• 30% Salicylic Acid Peel — helps improve skin tone, texture and suppress acne break outs with minimal recovery
• Clear + Brilliant® — supports skin renewal with a short recovery period
• SkinVive™ — an injectable treatment designed to improve skin hydration and dewiness
• Secret RF — combines microneedling and radiofrequency energy to stimulate collagen production

Recovery time can vary depending on the treatment, your skin, and your individual response. A personalized consultation helps determine which option best aligns with your skin goals.

Book a consultation through the link in our bio.

08/10/2026

As we age, changes in facial structure and skin quality can gradually affect how we look and feel. Addressing these changes often requires more than simply adding volume.

HarmonyCa™ is an innovative injectable treatment that combines two approaches: hyaluronic acid to provide immediate support and calcium hydroxyapatite to stimulate collagen production over time. It has been in Brazil for nearly 10 years and in Europe for nearly 5 years, and it as come to Canada this Spring.

Combining these two treatments that we know and love by themselves is especially relevant over the cheekbone area, on the skin in front of the ear and by the jawline, where both structure and improvement in skin quality and elasticity yield results.

In this video, we discuss how HarmonyCa™ works, who may benefit from treatment, and how it fits into a broader approach to facial rejuvenation.

Book a consultation to discuss whether HarmonyCa™ may be appropriate for your goals.

Address

200-2425 Hemlock Street
Vancouver, BC
V6H4E1

Opening Hours

Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 8:30am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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