General Practitioners

• Warts
• Family Practice
  Board certified Physician Assistant, Born in Michigan, came to California in 2015 to practice dermatology. She earned Bachelors of Biology at Oakland University in Michigan and her Master’s degree in Physician Assistant studies at Chatham University in Pittsburgh, PA. She has worked 4 years in family practice and urgent care where she acquired a broad experience in general medicine.
• Emergency Care

Ophthalmologists

• Ophthalmology
  Silicone is an inert substance that has been used in an off-label manner for facial volumizing for over a half of a century. Liquid injectable silicone is FDA-approved for use in ophthalmology, but highly purified, medical grade silicone can be used in an “off-label” manner for soft tissue augmentation and the correction of scars.

Gynecologists

• Pregnancy

Internists

• Internal Medicine
  Dr. Jennifer Rullan, daughter of Dr. Peter Rullan, is a Board Certified Dermatologist and fellow of the American Academy of Dermatology (FAAD). She is fully bilingual in Spanish. Known for her comprehensive examinations as well as artistic eye, Dr. Rullan is committed to providing her patients with the best options to restore, maintain, and rejuvenate their appearance. She was born in Anaheim, California and raised in San Diego where she attended Bonita Vista High School. She earned her Bachelor of Science in Psychobiology from the University of California, Los Angeles (UCLA), and her Medical Degree from the Ponce School of Medicine. She completed her internship in Internal Medicine at the San Juan Veterans Hospital in Puerto Rico and her residency in dermatology at the University of Puerto Rico Department of Dermatology (only US dermatology program that is fully bilingual & accredited by the ACGME). She began working in private practice in 2013 with her father and is also a Dermatology Consultant for Scripps Mercy Chula Vista Hospital.

Radiologist

• Chemotherapy
  Melanoma is usually diagnosed through a full skin exam and a biopsy of the suspicious-looking area. If melanoma is found, a stage will be assigned to it; stage I melanoma is the earliest stage, while stage IV indicates that the cancer has spread elsewhere on the body, making treatment more difficult. Melanoma is typically treated by surgically removing the melanoma; later stages of melanoma may also include chemotherapy or radiation therapy to destroy all cancer cells. Sometime a sentinal lymph node biopsy is needed for staging by a general surgeon.
• Radiation Therapy
  Squamous cell carcinoma affects the area just below the outer surface of the skin. Most cases can be completely removed through minimally invasive procedures that may include freezing, excision, laser therapy, Mohs surgery or radiation therapy. Skin cancer can usually be treated successfully if detected and removed quickly. It is important to take precautionary measures such as avoiding sun exposure and performing regular skin checks to prevent new cases of squamous cell carcinoma.

Surgeons

• Mohs Surgery
  Basal cell carcinoma affects the top layer of the skin known as the epidermis. It may appear on the skin as a new growth that bleeds easily or does not heal quickly and may be white, pink, flesh-colored or brown. Removal treatment depends on the size, depth and location of the cancer, but may include excision, cryosurgery, Mohs surgery, laser surgery or electrodesiccation and curettage. Basal cell carcinomas are often a recurring condition, so preventive measures and regular body screenings should be taken advantage of.
• Reconstructive Surgery
  His areas of special interests and training include the treatment of Acne and Psoriasis, Chemical Peels for Acne Scars, Skin Rejuvenation and Pigmentation, Tumescent Liposuction and Lipotransfer, Skin Cancer Treatment with Mohs Surgery and Reconstruction, Immunodermatology and Sclerotherapy of Spider and Varicose Veins. He also has dozens of other publications in peer-reviewed journals such as The American Academy of Dermatology, The Archives of Dermatology, the American Journal of Cosmetic Surgery, the Journal of Plastic and Reconstructive Surgery (PRS), the Journal of Facial Plastic Surgery and the Journal of Drugs in Dermatology. He is one of only 20 physicians in the U.S. that were part of a 5-year prospective study on the safety of Artefill/Bellafill injections for the correction of facial wrinkles.

Plastic Surgeons

• Botox
  It takes just a few minutes to inject this neuromodulator directly into the area where results are desired. Our wrinkle Our dermatologists will use an extra fine needle to inject the appropriate amount of Botox, which varies depending on each patient’s specific needs. Our doctors’ goal is to produce natural looking results with Botox injections, relaxing the muscles just enough to reduce wrinkles without compromising normal facial expressions. A Botox wrinkle treatment is generally pain free, but some patients experience a slight tingling sensation or soreness in the injected area for a brief period of time. Patients in SD can return to their normal daily activities immediately after the injections.
• Eyelid Surgery
• Liposuction
  Tumescent liposculpture is a vast improvement over traditional liposuction. In the tumescent method, relatively large volumes of diluted local anesthetic are used to “inflate” the fat before it is suction-aspirated. This allows for a very safe and almost painless procedure, with minimal bleeding and very fast healing. As opposed to “smart lipo”, “cool-sculpting” and “radio frequency “, this technique is time honored and consistently produces satisfactory results.
• Plastic Surgery
  J. of Facial Plastic Surgery, Dec 2004- “My Personal Experience with Artecoll” (Dr. Rullan was one of the 8 leading investigators for an FDA-study in the use of a permanent filler for wrinkles)
• Face Lift
  This filler can also be utilized in a “liquid facelift” procedure to sculpt and reshape facial or hand contours for a more supple, youthful appearance.
• Blepharoplasty
  Blepharoplasty can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and lower eyelids. It may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision.
• Lip Augmentation
  Significant acne scarring often responds well to liquid silicone injection treatment. Depressed traumatic scars respond favorably as well. Lip augmentation, facial volume loss, and HIV lipoatrophy have all been treated successfully with liquid injectable silicone and reported in the medical literature.
• Laser Resurfacing
  When it comes to acne scars, Dr. Rullan emphasizes the concept of “defect-oriented therapy,” in which the choice of therapy depends on the specific type of scar. Ice pick scars are best treated with chemical reconstruction of skin scars (CROSS), which can be done with either trichloroacetic acid (TCA) 30-60-90-100% or carboxylic acid 88%. Dr. Rullan prefers the latter because it has less risk of scar widening. A cotton tip applicator or fine tip brush can be used for spot treatment of individual scars, and in his experience this treatment can be performed in all skin types with minimal risk of post-inflammatory hyperpigmentation. For rolling scars, he recommends subcision as the treatment of choice, with the goal of “breaking the tethers” under the skin. He uses an 18- or 22-gauge cannula rather than the Nokor needle. For boxcar scarring, multiple treatment options exist including CROSS, microneedling, fractionated erbium or CO2 laser resurfacing, and even 2-day phenol chemabrasion for more severe, generalized scarring. Finally, for atrophic scars, filler remains the preferred treatment.
• Moles
  If a mole is changing or is otherwise concerning, a shave biopsy may be recommended. This quick in-office procedure consists of injecting local numbing medicine and removing the affected mole. The procedure takes approximately 5 minutes and leaves a minimally detectable scar. Benign moles may either be removed by shave or surgical excision.
• Cosmetic Surgery
  * Most scholarly article of 2004: American Journal of Cosmetic Surgery”- awarded by the Trustees of the American Academy of Cosmetic Surgery for his work with Phenol Peels
• Dermabrasion

Dermatologists

• Cosmetic Dermatology
  * Live 2-day Phenol peel at Brazilian Cosmetic Dermatology Society Annual Convention “Cosmetria”, July 2004, Sao Paolo’s Sirio-Lebanes Hospital
• Skin Cancer
  Skin cancer is the most common form of cancer in the United States and involves abnormal growths of skin cells that can form anywhere on the body, but most frequently appear on skin that is exposed to the sun. There are more than a million new cases of skin cancer in the US each year. Although most cases of skin cancer can be successfully treated, it is still important to keep skin safe and healthy and try to prevent this disease.
• Dermatology
  Line & Wrinkle Reduction in San Diego County (Located in Chula Vista and Coronado) in Chula Vista & Coronado, CA | Dermatology Institute
• Acne Treatment
• Cyst
• Eczema
  “Piper” began working in dermatology in Hemet, California in 2015 and received extensive training with a Moh’s surgeon. She is able to access and surgically repair complicated skin surgeries and she works closely with Dr. Peter Rulan repairing surgical wounds. She is also clinically experienced in treating skin cancer, precancers, vitiligo, eczema, warts, and hundred of other common dermatological skin conditions. She is kind and works alongside our 3 dermatologists to provide the best care for all patients.
• Lesions
  Atypical moles or “dysplastic melanocytic nevi” or “Clark’s nevi” are terms reserved for unusual moles. These moles look atypical both clinically and under the microscope. Dysplastic nevi are genetically inherited. The presence of dysplastic nevi greatly increases the risk of melanoma. Dysplastic nevi can be precursor lesions to melanoma. Individuals with 10 dysplastic nevi increase their risk of melanoma 12-fold compared to the general population (according to the Skin Cancer Foundation ). Individuals with atypical moles should conduct monthly self-examinations and be examined at least annually by a dermatologist. Patients with larger numbers of dysplastic nevi should undergo a full skin examination every 6 months. New or changing moles should be evaluated and may require a biopsy to evaluate for cellular changes under the microscope.
• Chemical Peels
  In his review of chemical peels, Dr. Rullan began with a reminder of the pre-peel evaluation (skin thickness, skin phototype, and goals of treatment) as well as skin prep, including topicals and antiviral prophylaxis. He emphasized the importance of patient comfort during and after a chemical peel, advocating for prescription analgesics for deeper peels as well as use of cold compresses, cooling devices, and soothing topicals. Dr. Rullan then began a review of chemical peels, ranging from very superficial to deep. He provided insight into his peels of choice for various dermatologic indications. For acne, he prefers 20-30% salicylic acid and Jessner’s, while for melasma he opts for 70% glycolic acid gel, 25% glycolic solution, 20-30% salicylic acid, or RevePeel Enlighten. For photo-aging, he prefers superficial-to-medium depth peels including trichloroacetic acid (TCA) 10-15% alone or Jessner’s + 10-15% TCA, or if opting for a true medium depth peel he uses Jessner’s + TCA 35% or a light phenol peel with croton oil 0.1% and phenol 30%. He also discussed spot treatment of actinic keratoses with croton/phenol or 50-60% TCA peels.
• Rashes
• Skin Care
  Our trained esthetician will assess your current skin care regimen, your skin type, your problem areas, and offer you tips on how to improve your complexion.
• Microdermabrasion
  Microdermabrasion improves mild to moderate sun damage, scarring, wrinkles and other superficial skin problems. A gentle stream of tiny particles exfoliates the outer layer of skin and provides a fresh, glowing, younger appearance.
• Psoriasis
  * “Using a handheld phototherapy module for treating patients with psoriasis and vitiligo”. PRullan, Cosm Derm July 2010; Vol23,No7,p321-326