# Coastal Dermatology + Aesthetics > Medical, surgical and pediatric dermatology plus aesthetics on California's Central Coast. Board-certified care in San Luis Obispo and Santa Maria. - **Website:** https://coastaldermaesthetics.com/ - **Last updated:** 2026-10-06 - **Publisher:** Coastal Dermatology + Aesthetics - **Sitemap:** https://coastaldermaesthetics.com/wp-sitemap.xml - **Expanded services:** https://coastaldermaesthetics.com/services.md ## About - Areas served: San Luis Obispo, Edna, Shell Beach, Avila Beach, Pismo Beach, Grover Beach, Arroyo Grande, Oceano, Santa Maria, Orcutt, Garey, Guadalupe, Casmalia, Nipomo, Sisquoc ## Key Information - [Home](https://coastaldermaesthetics.com/) ## Our Locations - [San Luis Obispo](https://coastaldermaesthetics.com/locations/coastal-dermatology-aesthetics/): Phone: (805) 544-5567. Hours: Mo-Fr 08:00-12:00,13:00-17:00. - [Santa Maria](https://coastaldermaesthetics.com/locations/santa-maria/): Phone: (805) 544-5567. Hours: Mo-Fr 08:00-12:00,13:00-17:00. ## Providers - [Brady Van Beurden, PA-C, PA-C](https://coastaldermaesthetics.com/providers/brady-van-beurden-pa-c/): Brady Van Beurden is a Dermatology Physician Assistant with a passion for helping others. - [Crissa Thomas, Aesthetics Coordinator, Aesthetics Coordinator](https://coastaldermaesthetics.com/providers/crissa-thomas-aesthetic-coordinator/): As our aesthetic coordinator and licensed esthetician, Crissa Thomas brings her 23 years of experience providing exceptional skincare and aesthetic services to our clients.  - [Dr. Christine Kilcline, MD](https://coastaldermaesthetics.com/providers/dr-christine-kilcline/): Dr. Christine Kilcline is a board-certified dermatologist and pediatric dermatologist treating complex skin conditions at every age, in English and Spanish. - [Dr. Joshua Spanogle, MD](https://coastaldermaesthetics.com/providers/dr-joshua-spanogle/): Dr. Joshua Spanogle is a dermatologic surgeon specializing in Mohs surgery, laser surgery, and aesthetic medicine. - [Jessy Arthurs, PA, PA](https://coastaldermaesthetics.com/providers/jessy-arthurs-pa/): Jessy Arthurs is a fellow of the American Academy of Physician Assistants and Board Certified by the National Commission on Certification of Physician Assistants. - [Laura De La Cruz, NP, NP](https://coastaldermaesthetics.com/providers/laura-de-la-cruz/): Laura De La Cruz is a nurse practitioner specializing in dermatology and has been a nurse for well over a decade. - [Natalie Robertson, PA-C, PA-C](https://coastaldermaesthetics.com/providers/natalie-robertson-pa-c/): Natalie is a member of the Society of Dermatology Physician Assistants and has advanced her specialized knowledge of the skin through their Diplomate Fellowship program. - [Tressa Esty, PA-C, PA-C](https://coastaldermaesthetics.com/providers/tressa-esty-pa-c/): Tressa Esty was born in Minnesota and spent over 10 years visiting the central coast before relocating here in 2012. ## Treatments ### Aesthetic Treatments - [Belotero Balance®](https://coastaldermaesthetics.com/treatments/belotero-balance/): The tired look under your eyes and the fine lines around your mouth are the two places a firmer filler gives itself away. Belotero is soft enough to go where those gels cannot, and it is one of the few fillers actually approved for the hollow under the eye. - [BOTOX® Cosmetic & Xeomin®](https://coastaldermaesthetics.com/treatments/botox-cosmetic-xeomin/): Nobody wants to look like they had something done. They want to stop looking tired and cross in photographs. Done properly, that is exactly what this is: the frown softens, your face still moves, and nobody can tell you why you look better. - [Chemical Peels](https://coastaldermaesthetics.com/treatments/chemical-peels/): A peel takes off the damaged skin you have been trying to cover and lets the skin underneath come up in its place. How far down it goes is the entire decision, and it is the difference between glowing on Monday and hiding for a two weeks. - [Clear + Brilliant®](https://coastaldermaesthetics.com/treatments/clear-brilliant/): Clear + Brilliant is a gentle laser for tone, texture, pores and early lines. It treats your skin in thousands of tiny spots and leaves the skin in between untouched, and it never takes the surface off, which is why the appointment runs about thirty minutes and costs you days rather than weeks. - [Collagen Boost](https://coastaldermaesthetics.com/treatments/collagen-boost/): Collagen Boost is our name for three treatments that do the same job in different ways. Instead of filling a space, they get your own skin building new collagen. There is a heavily diluted skin wash for overall quality across a wide area, PRF made from your own blood, and dissolving threads for support underneath. All three take months, and all three end up looking like your own skin. - [DAXXIFY®](https://coastaldermaesthetics.com/treatments/daxxify/): The two vertical lines between your brows are the reason people keep asking if you are annoyed. DAXXIFY softens the muscles that make them, so your face reads the way you actually feel. It is the newest of the neuromodulators we carry, and it is not automatically the right one for you. - [FlexSure™ RF Body Sculpting](https://coastaldermaesthetics.com/treatments/flexsure-rf-body-sculpting/): Firmer skin and a smoother line on the parts of the body other treatments avoid: the backs of the arms, the outer thighs, the curve at the side of your waist. FlexSure is a wrap rather than a flat panel, so it bends around those places and holds contact all the way. Fifteen minutes, hands free. - [Heliocare®](https://coastaldermaesthetics.com/treatments/heliocare/): You mean to reapply. On a boat, on a hike, at a kid's game in Pismo, you never do. Heliocare is a daily capsule made from a fern extract that adds a second layer for exactly those days. It is not sunscreen and it does not replace any part of what you already do. - [HydraFacial®](https://coastaldermaesthetics.com/treatments/hydrafacial/): Cleansed, exfoliated, cleared out and hydrated in one sitting, and you walk out looking like you slept for nine hours. Half an hour, no recovery, makeup back on in the parking lot. The difference here is who is standing behind the person doing it. - [HydraScalp®](https://coastaldermaesthetics.com/treatments/hydrascalp/): HydraScalp is a HydraFacial for your scalp. In one sitting it cleans, exfoliates and hydrates, lifting off product buildup and excess oil, then feeding a nourishing serum into the skin underneath. It takes under an hour, most people head straight back to their day, and it suits most hair and scalp types. - [ICON™ Laser Hair Reduction](https://coastaldermaesthetics.com/treatments/icon-laser-hair-reduction/): Stop shaving, waxing and threading. Laser hair reduction clears unwanted hair from the underarms, bikini line, legs, face, back and chest, and most people stay hair free for months or years afterward. An underarm takes about fifteen minutes, a chilled tip keeps you comfortable, and you go straight back to your day. - [IPL Photofacial](https://coastaldermaesthetics.com/treatments/ipl-photofacial/): An IPL photofacial uses pulses of light to clear the two things that make skin look weathered: brown spots and small red veins. The light is soaked up by the brown and the red, breaks them apart, and your body carries away what is left over the following days. Most people need three to five visits about a month apart, and a dermatologist checks your skin first. - [JUVÉDERM® Fillers](https://coastaldermaesthetics.com/treatments/juvederm-fillers/): Faces do not sag so much as empty. The cheek goes first, everything below it follows, and the mirror calls it sagging. Filler puts back what left, in the places it left from. Which product goes where is the whole skill. - [Nutrafol®](https://coastaldermaesthetics.com/treatments/nutrafol/): You noticed it in a photograph, or in the drain, or because your ponytail got thinner. Nutrafol is a daily supplement with a real six-month study behind it, which is more than most of that shelf can say. We stock it here, after somebody has worked out what is actually causing the thinning. - [PDRN Booster](https://coastaldermaesthetics.com/treatments/pdrn-booster/): PDRN is the ingredient behind the salmon DNA treatments filling your feed. Here is what it is, what the evidence supports, and the part almost nobody explains: whether it reaches your skin at all depends entirely on how it is delivered. - [Pendulum® Probiotics](https://coastaldermaesthetics.com/treatments/pendulum-probiotics/): Most probiotics are built around the handful of bacteria that are easy to grow and easy to keep alive on a shelf. Pendulum is built around one that is neither. We stock it at our San Luis Obispo office because patients ask us about gut health constantly, and we will tell you plainly what it is for and what it is not. - [Platelet-Rich Fibrin (PRF)](https://coastaldermaesthetics.com/treatments/platelet-rich-fibrin-prf/): PRF turns one vial of your own blood into a treatment for thinning hair and tired-looking skin. We draw it, spin it, and put it back where you want the change: under the eyes, across the cheeks, or into the scalp. Nothing synthetic is added, so almost nobody reacts to it, and the result builds gradually enough that it simply looks like you. - [Potenza® RF Microneedling](https://coastaldermaesthetics.com/treatments/potenza-rf-microneedling/): Creams work on the surface. Acne scars, loose skin and fine lines are not on the surface. Potenza reaches the layer underneath and gets your skin building collagen again, so the change comes from your own tissue rather than from something sitting on top of it. - [Préime NanoTap™ Nano-Infusion](https://coastaldermaesthetics.com/treatments/preime-nanotap/): Most of what you put on your face never gets past the outermost layer. Nano-infusion opens a temporary path through that barrier so the actives you paid for actually reach the skin underneath, with nothing to recover from afterwards. - [RHA® Dermal Filler](https://coastaldermaesthetics.com/treatments/rha-dermal-filler/): Most filler looks right in a mirror and wrong in a conversation. The RHA Collection is built to stretch and recover the way your own tissue does, which is why it is the family we reach for around the mouth and the smile lines, where everything moves all day long. - [SculpSure® Body Contouring](https://coastaldermaesthetics.com/treatments/sculpsure-body-contouring/): You already did the work. The diet changed, you exercise, maybe you are on a GLP-1 and the scale has moved. And there is still one pocket that never went anywhere. SculpSure targets the fat in that pocket in about twenty five minutes, with flat paddles held against your skin, nothing going in and nothing taken out. - [Sculptra®](https://coastaldermaesthetics.com/treatments/sculptra/): Filler puts volume in. Sculptra gets your face making its own again. Nothing changes the week you have it, and then over the next few months people start telling you that you look well without being able to say what changed. That is the point of it. - [Skin Care Consultations](https://coastaldermaesthetics.com/treatments/skin-care-consultations/): A cosmetic consultation is thirty minutes with a provider who looks at your skin, tells you what will actually work and what will not, and hands you a ranked plan with a cost estimate before anything is booked. You leave knowing what to do first, what it takes, and what it costs. - [Skin Care Products](https://coastaldermaesthetics.com/treatments/skin-care-products/): Most bathroom shelves hold six products and two of them are working. We build the routine around what your skin is actually doing, using lines sold through practices rather than off a shelf, and we adjust it as your skin changes. Five of our staff are ZO certified, so the person choosing your products has been trained in them. - [SkinPen® Microneedling](https://coastaldermaesthetics.com/treatments/skinpen-microneedling/): Acne scars sit below the surface, which is why creams never reach them. SkinPen works at that depth, making thousands of controlled channels that prompt your skin to rebuild the collagen the scarring interrupted. - [Smartskin®+ Laser Skin Resurfacing](https://coastaldermaesthetics.com/treatments/smartskin-laser-skin-resurfacing/): Creams and facials work on the surface. Deep lines, pitted acne scars and years of Central Coast sun are not a surface problem. Smartskin+ takes the damaged layer away in thousands of microscopic columns and lets your skin grow new tissue in its place. It is the deepest, most transformative treatment we offer. - [TempSure® Envi Skin Tightening](https://coastaldermaesthetics.com/treatments/tempsure-envi-skin-tightening/): TempSure Envi warms the layer of skin just below the surface, and that gentle heat gets your body doing what it used to do on its own. Your skin builds new collagen over the months that follow. Nothing is cut, nothing is removed, and there is no recovery. Three or four visits, four weeks apart. - [TempSure® Firm Body Tightening](https://coastaldermaesthetics.com/treatments/tempsure-firm-body-tightening/): Smoother, firmer skin on the thighs, buttocks, stomach and the backs of the arms, and softer-looking dimpling where it bothers you most. Radiofrequency warmth with a massage head, five minutes an area, no recovery. Most people say it feels like a hot stone massage. - [ThreeForMe™ Photorejuvenation](https://coastaldermaesthetics.com/treatments/threeforme-photorejuvenation/): Brown spots, red veins and fine lines, all handled in one appointment. Treating all three separately would mean three courses of treatment. ThreeForMe runs two passes back to back in about the time one treatment usually takes, so you run one course instead of three. - [VBeam Photorejuvenation](https://coastaldermaesthetics.com/treatments/vbeam-photorejuvenation/): VBeam is a laser tuned to one color, the exact red of blood. The light passes through your skin, gets soaked up by the vessel that is making you red, and leaves everything around it alone. A burst of cold spray protects the surface with every pulse. Most people need two to four visits. - [ZO® Skin Health](https://coastaldermaesthetics.com/treatments/zo-skin-health/): ZO was built by a dermatologist and is sold through practices rather than stores, which means the products are stronger and the strength is the point. Five of our staff are ZO certified, so what you leave with is a routine matched to your skin and a schedule for using it, not a bag and good luck. ### Medical Treatments - [Nitronox™](https://coastaldermaesthetics.com/treatments/nitronox/): Nitronox is laughing gas, breathed through a mask during a treatment you are already having. It takes the edge off the discomfort and the nerves without putting you to sleep, so you stay awake, aware and able to talk the whole time. It starts working in a minute or two and it is gone five to ten minutes after you stop. - [Photodynamic Therapy](https://coastaldermaesthetics.com/treatments/photodynamic-therapy/): If you have kept finding rough, scaly spots on your face or scalp, photodynamic therapy treats the whole sun-damaged area in one visit rather than freezing them off one at a time. A solution goes on, a blue light activates it, and the precancerous cells clear as your skin heals. - [Skin Cancer Diagnosis](https://coastaldermaesthetics.com/treatments/skin-cancer-diagnosis/): A full skin exam takes about ten minutes, needs no preparation and involves nothing more than a careful look by a board-certified dermatologist. Found early and treated properly, skin cancer is highly treatable, and that is the entire reason the appointment is worth putting in the calendar. - [Skin Cancer Surgery & Mohs Referrals](https://coastaldermaesthetics.com/treatments/cancer-surgery-mohs-referrals/): A biopsy has come back and there is something to treat. From here the question is which approach suits this particular cancer, in this particular place, on you. Many are treated here in the office. Where a Mohs surgeon is the better route, we arrange it and stay involved. - [Skin Tag Removal](https://coastaldermaesthetics.com/treatments/skin-tag-removal/): The one that catches on your necklace, or your collar, or your razor. Skin tag removal is one of the quickest things we do: the growth is examined to confirm what it is, the area is numbed, and it comes off in a few minutes. You leave without it. ## Concerns We Treat - [Acne & Acne Scarring](https://coastaldermaesthetics.com/conditions/acne-acne-scarring/) - [Actinic Keratosis](https://coastaldermaesthetics.com/conditions/actinic-keratosis/) - [Alopecia](https://coastaldermaesthetics.com/conditions/alopecia/) - [Atopic Dermatitis](https://coastaldermaesthetics.com/conditions/atopic-dermatitis/) - [Autoimmune Disorders](https://coastaldermaesthetics.com/conditions/autoimmune-disorders/) - [Contact Dermatitis](https://coastaldermaesthetics.com/conditions/contact-dermatitis/) - [Cyst Removal](https://coastaldermaesthetics.com/conditions/cyst-removal/) - [Facial Volume Loss](https://coastaldermaesthetics.com/conditions/facial-volume-loss/) - [Genetic Skin Disorders](https://coastaldermaesthetics.com/conditions/genetic-skin-disorders/) - [Hair Loss & Thinning](https://coastaldermaesthetics.com/conditions/hair-loss/) - [Hyperhidrosis](https://coastaldermaesthetics.com/conditions/hyperhidrosis/) - [Infantile Hemangiomas](https://coastaldermaesthetics.com/conditions/infantile-hemangiomas/) - [Melasma](https://coastaldermaesthetics.com/conditions/melasma/) - [Moles](https://coastaldermaesthetics.com/conditions/moles/) - [Nail Disorders](https://coastaldermaesthetics.com/conditions/nail-disorders/) - [Psoriasis](https://coastaldermaesthetics.com/conditions/psoriasis/) - [Rosacea](https://coastaldermaesthetics.com/conditions/rosacea/) - [Sagging Skin](https://coastaldermaesthetics.com/conditions/sagging-skin/) - [Scalp Health](https://coastaldermaesthetics.com/conditions/scalp-health/) - [Shingles](https://coastaldermaesthetics.com/conditions/shingles/) - [Skin Cancer](https://coastaldermaesthetics.com/conditions/skin-cancer/) - [Skin Tags](https://coastaldermaesthetics.com/conditions/skin-tags/) - [Spider Veins](https://coastaldermaesthetics.com/conditions/spider-veins/) - [Stubborn Fat](https://coastaldermaesthetics.com/conditions/stubborn-fat/) - [Sun Damage](https://coastaldermaesthetics.com/conditions/sun-damage/) - [Unwanted Hair](https://coastaldermaesthetics.com/conditions/unwanted-hair/) - [Vascular Anomalies](https://coastaldermaesthetics.com/conditions/vascular-anomalies/) - [Vitiligo](https://coastaldermaesthetics.com/conditions/vitiligo/) - [Warts](https://coastaldermaesthetics.com/conditions/warts/) - [Wrinkles and Fine Lines](https://coastaldermaesthetics.com/conditions/wrinkles-and-fine-lines/) ## Promotions - [Boo-tiful Skin, No Tricks Required (expires 2026-10-31)](https://coastaldermaesthetics.com/promotions/boo-tiful-skin-no-tricks-required/): As Halloween approaches, we are spotlighting BELOTERO, the Merz Aesthetics filler collection designed to enhance rather than transform. BELOTERO BALANCE (+) smooths moderate to... - [October is Eczema Awareness Month. (expires 2026-10-31)](https://coastaldermaesthetics.com/promotions/october-is-eczema-awareness-month/): Eczema is often mistaken for ordinary dry skin, which is why many patients go months without a clear diagnosis. Persistent itching, dry or scaly... - [Fall Into Your Best Skin (expires 2026-10-31)](https://coastaldermaesthetics.com/promotions/fall-into-your-best-skin/): With less time in the sun, fall is an ideal season for treatments that require protected, untanned skin. IPL, laser resurfacing, and chemical peels... - [Ultherapy PRIME (expires 2026-10-31)](https://coastaldermaesthetics.com/promotions/ultherapy-prime/): Thank you to everyone who joined us in September for our Ultherapy PRIME launch event with Merz Aesthetics. If you couldn’t attend, we are...