Who We Are

You are always family at My Family. Since 2008 Dr. Mubina Shah and Dr. M. N. Khan have been providing compassionate care to individuals as well as families. My Family Practice is your convenient medical home where we care for people of all ages from infants to children, adults, and the elderly.

We perform medical aesthetic procedures including laser facial re juvination, wrinkle removal, sun spot removal, hair reduction, Toe nail fungus treatment with Laser, Acne and acne scar treatment. Call for free appointment/consultation for the above mentioned treatments.


Acne Scarring

Conventional acne treatment has being used by almost everyone and many of them have little or no effect. People have tried various types of cleansers, TV products, home remedies and prescription drugs. It can be very frustrating to deal with failed acne treatment, side effects and even non-effective topical antibiotics that just don’t work.

Acne it is the most common skin condition that involve overactive sebaceous glands of the skin. It affects approximately 80% of adolescents and many adults. Acne occurs when oil produced by the sebaceous glands is trapped inside the pores or follicles of the skin. Obstructed pores cause an inflammatory response where pustules are formed inside the pores by a bacteria on the skin and process create pimples. The bacteria that cause acne are called Propionibacterium acne. It thrives in the clogged follicles. The inflammatory process also causes blackheads and whiteheads to form from. Blackheads occur when the pores are opened on the skin surface and become darkened. The causes of acne are a result of excess androgen but may be multi-factorial in relation to environmental exposure, heredity, and nutrition.

The conventional treatments for acne are available in topical treatments which normally slow in resolving the condition and very irritating to the skin. Oral therapies such as antibiotics are frequently associated with bacterial resistance and aide effects because they are harsh on the stomach. Oral isotretinoins produce severe side effects including hypertrophic scarring and cannot be used in conjunction with many other acne therapies. Hormone replacement therapy is an option for females but it is not an appropriate choice in some cases.

One of the best acne treatments that have shown excellent results is laser light energy therapies. This is possible because of the porphyrins that are naturally produced by Propionibacterium acnes. The therapy has shown to decrease inflammatory acne lesions. The use of laser light energies (Aerolase NEO) reduces inflammatory acne 85% in as little as (4) treatments. In treating acne, reduce the bacterial load of inflammatory lesions using laser light energies as well as long-term shrinkage of the sebaceous glands the reason for acnes using lasers.# Laser Treatment in Monroe

Botox & Fillers

Botox® has been used therapeutically for more than 17 years to treat a variety of medical conditions. It is approved in more than 75 countries and remains the most-studied botulinum toxin and one of the most widely researched medicines in the world. In 2002, the same formulation – under the label Botox® Cosmetic – was approved by the US Food and Drug Administration (FDA) for treatment of moderate to severe frown lines between the brows in people ages 18 to 65.

What causes frown lines between the brows?

The lines that appear between your brows actually result from muscle movement and the passage of time. When powerful muscles between the brows contract, they draw the brows together, causing the skin to fold or furrow. As skin becomes less elastic with age, those folds or furrows result in stubborn lines.

How does Botox® Cosmetic work?

During treatment, very low doses of Botox® Cosmetic are administered via a few tiny injections directly into the muscles responsible for frown lines between the brows. By blocking the release of a chemical that causes these muscles to contract, Botox® Cosmetic enables them to relax. The effects are very localized and, when administered by an experienced physician, do not affect your ability to smile, laugh, or otherwise show expression. Botox® Cosmetic is the only product of its kind that has been approved for use in this area.

What are the common side effects?

The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection.

What is the treatment like?

Botox® Cosmetic is a quick and minimally invasive procedure consisting of a few tiny injections. Your nurse will determine exactly where to administer these injections to achieve the best results for you. No anesthesia is required, though he or she may choose to numb the area with a cold pack or anesthetic cream prior to injecting. The entire procedure takes approximately 10 minutes, and there is no downtime afterward. Discomfort is minimal and brief. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/swelling may be associated with the injection.

Will I still be able to make facial expressions? Although you may see a marked improvement, a treatment with Botox® Cosmetic does not make you look like you’ve “had work done.” The muscle activity that causes frown lines is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

How soon will I see a difference?

You can expect to see results within days after your treatment, and the appearance of the area between your brows may continue to improve for up to a week.


Fillers

Juvéderm®, is one of the most recent hyaluronic acid fillers approved by the FDA. This treatment helps to fill aging lines and wrinkles, enhances the lip border, size, and shape of the lips, and minimizes the appearance of some acne and surgical scars.

What does Juvéderm® accomplish?

Juvéderm® temporarily adds volume to facial tissue and restores a smoother appearance to the face.

This treatment is used to enhance and improve the following:

  • Lip borders, vertical lip lines and wrinkles
  • Superficial forehead lines and crow’s feet
  • Thinning lips
  • Deep folds on the sides of the mouth – nasolabial folds
  • Marionette lines and Jaw Area to fill and contour Cheekbone area
  • Chin
  • Earlobes for thin or sagging skin

Is there more than one Juvéderm® treatment?

Juvéderm® offers two treatments to choose from. This provides the advantage of having treatment choices for everything from modest lines around the mouth to more prominent wrinkles and lip augmentation.

How many treatments are necessary?

Most patients need one treatment to achieve optimal wrinkle smoothing. Just one treatment could smooth your lines and wrinkles for up to 1 year.

Laser Hair Removal

Laser hair removal remains the #1 cosmetic laser treatment performed in the United States. Underarms, facial hair, bikini, legs, back and other body part areas are easily eliminated using the latest in laser hair reduction technologies. For permanent hair removal, the hair follicle’s bulb, bulge, and papilla must be destroyed using joules of light energy. Laser hair removal requires a target (melanin) to see the actual hair within the follicle so it is not as effective with blonde and white (gray) hair individuals. The number of treatments vary based upon the hair growth cycles of various body locations and is safe and comfortable to the patient.

The reason for multiple treatments is due to the target of the laser hair treatment being melanin, only actively growing hair contains melanin in the bulb and germinal matrix of the hair. The growth cycles for hair are Anagen (active growth), Telogen (no growth), and Cathagen (hair is ejected) stage of development. Lasers only effectively treat hair in its Anagen Phase: multiple treatments are required.

Body location of hair also is important in the number of laser treatments needed as the percentage of hair that is in the Anagen stage is different for various body locations.

We use the Aerolase Neo 1064 system for hair removal because it works for all skin types.  An important factor in 1064 YAG laser hair removal is the differences in patient skin types and how we are able to safely treat patients with higher Fitzpatrick types or have different ethnic backgrounds where treatments need to vary for each individual skin type. The Aerolase NEO system allows for varying pulse rates and utilizes micro-second technology allowing for the treatments for all skin colors as well as eliminating the need for anesthesia at the area of treatment.  Longer 1064 wavelengths penetrate deeper under the skin sparing the epidermis (where malanocytes are contained) and effectively wounding the hair follicle residing in the dermis. Pulse durations determine the amount of thermal damage that can be obtained when each laser shot is administered. Short pulse durations give more thermal damage and longer pulse durations are safer for darker skin and compromise effect.

Laser hair removal requires an expertise in wavelength selection, fluency, pulse duration, and cooling (skin relaxation) in order to give comfortable and effective treatments. We are the laser hair removal experts and we are able to make the fluency adjustments for anatomical location, hair and skin color, diameter and depth of hair follices, and hair density. When it comes to lasers no one setting is correct for every individual, call us today and setup your free consultation for a lifetime of being hair free.

Body location of hair also is important in the number of laser treatments needed as the percentage of hair that is in the Anagen stage is different for various body locations

Laser Skin Tightening

If loose skin associated with underarm, cheeks, neck area, abdomen, knees or other areas are becoming troublesome then skin tightening lasers may offer you the solution to avoid surgery, excessive expense or downtime associated with other treatments. Skin tightening lasers can be used wherever loose skin is indicated on the body and is safe and effective for all body areas where there is no prominent bony structures.

Skin tightening for all body areas use infrared laser energies to heat the reticular dermis to effect tightening of the skin. The Aerolase NEO laser heats the lower dermis responsible for skin contraction and results are achieved in a manner of a few treatments. As part of the process, the 1064 ND-YAG laser system  will coagulate the upper dermis where collagen is created and will rebuild and repair collagen leading to healthier, denser skin as well as skin tightening. Our laser can either be utililized in the face or in larger body areas such as the thighs, abdomen, or flanks. The treatments are safe for all skin types with no age restrictions and the typical treatment takes (30) minutes or less depending upon the body area.

As stated prior, there are (2) different ways of creating skin tightening and are not independent of each other and in fact are complimentary to the other. Collagen stimulation or remodeling is used to increase skin density and in turn causes the skin to become more taught and stretched. Collagen shrinkage is used when the lower reticular dermis is wounded and there is a contraction of the reticular dermis thus creating the skin tightening effect. Together, facial atrophy, facial wrinkling, and large body premature wrinkling can be corrected.

Collagen remodeling require an inflammatory response of the skin to heat, typically this is done at the papillary dermis. This controlled wounding stimulates fibroblast activity (collagen growth) that replaces lost collagen. Collagen shrinkage is achieved by bulk heating of various body and facial areas that will cause the collagen shrinkage in the papillary dermis thus achieving the contraction of the skin.

Results will vary between individuals depending upon present skin condition, age, and overall health. Typical protocols require 3-5 treatments but results can vary based upon the amount of skin tightening desired, the area for skin tightening, and the total area requested. The treatments are not painful, there is no need for anesthetic, and there is no “downtime” to the procedures. Final results last between 6-12 months depending upon lifestyle issues and maintenance is required for long-term results. Individuals that fluxuate in weight, do not exercise, or continue to damage the skin (i.e. UV rays) may not achieve the long-term results as compared to others and the results will be more temporary unless additional maintenance procedures are performed.

Laser Vein Removal

80 million Americans have some kind of venous disorder and out of these 80% are cosmetic. Although most Americans do not have a major circulatory disorder, visible veins give the impression of aging and of poor health. The major reason for unwanted veins is related to heredity and have a large hormonal element as women are 3x more likely to develop varicose veins than men. Other factors contributing to the onset of unwanted veins are work related (standing for long periods of time), pregnancy, and trauma (injury) to the immediate area.

Surface veins such as spider veins are like a sponge that collects and drains into deeper vein channels. This passive collection network is redundant so even when damaged they are not essential to the circulation of the blood in the legs or facial areas. There are so many misconceptions concerning the elimination of unwanted legs because of the way unwanted veins were eliminated in the past. With the advent of new sclerosing agents that create an enzymatic reaction in destroying unwanted veins, the procedure of eliminating unwanted veins has been greatly enhanced and the clearance of these veins have also improved dramatically from traditional methods of only a few years ago.

As part of our practice we also incorporate laser light technologies in eliminating unwanted veins in the face and leg areas.  Modern sclerosing agents are limited in the correction of certain types of veins and areas across the body.  The Aerolase NEO system allows for treatments below the ankles, is less painful than injection therapies, and works better with older veins where fibrosis within the vein has taken place.  The 1064 ND-YAG system effectively treats deeper blue (de-oxy) veins as well as superficial veins in as little as 2-3 treatments.  Treatments are (4) weeks apart and though new vein formations can occur after successful treatments of present veins they are more unlikely as compared to traditional injection therapies.  Typical improvement after each session is 80%, so in as little as 2-3 treatments you will achieve almost 98% clearance of unwanted veins.

Spider Veins, blue reticular veins and other talengectasias are now easily treated painlessly and effectively and clearance of these veins is easily achieved in one to three sessions. We offer laser solutions for telangectasias of the face and spider veins of the legs as well as injections of spider veins and reticular (blue) veins in the legs.

Medical Weight Loss

Many weight loss programs offer quick weight loss but are ketosis (starvation) diets where you limit calorie intake to an extreme.  When eliminating calories to such an extreme you will lower your metabolic rate and your body will start to use lean body mass as a source of calories.  Prolonged ketosis diets also eliminate fat from desired areas such as the face and may leave you with a body image that you may not have expected. Diet shakes, powders, and other fad diets are all designed to make you lose weight by delivering empty calories and also allow for rapid weight gain after dieting. Bariatric surgeries and non-surgical procedures are expensive and without considerable risk.
Therefore, you must be careful when adopting any type of weight loss program and understand that there is a science involved with short-term and long-term weight loss.  Do not be influenced by false claims that these various diets contain.  Many of these diets are not safe for your health based on your medical history and don’t help you to keep the weight off after the diet or teach you how to manage your weight while living a healthy lifestyle.

Medical weight loss is different. This type of weight loss program involves doctors monitoring your health as they design a diet and fitness regimen that will help you lose pounds. At My Family Practice Associates we monitor your weight and metabolism and prescribe safe low-calorie meals and diet pills that will help your body shed excess fat. In addition, we also examine your medical history, taking into account any prescription medication that may be contributing to your weight gain. By working with your primary health physician, we can also ensure that the program will allow you to lose weight without endangering your health as you also learn about all the proper eating habits you can do to live a healthy lifestyle.

Medical weight loss is the safest path for a person to lose weight, whether it is only a few pounds to over 100 pounds. If you experience any complications during the weight loss program, we can immediately address the issues. Your overall health is the main priority. At My Family Practice Associates, we can help you recognize the reasons why you may have a food addiction and focus on helping you overcome your obesity problem. We offer the latest bariatric and prescription therapies using the latest standards of care in weight loss. You can lose the pounds you want and feel great knowing that you are on the path of having a healthy body.

Our medical weight loss program is run by dedicated staff who has a vast array of experience in handling weight loss treatment and post management of weight loss. Together we will give you all the comprehensive information and options you need to make an informed decision on whether medical weight loss is right for you.

To learn more about Medical Weight Loss please contact us at and speak with one of our specialist.

Photo Facial

If you’re a sun lover and you’re seeing the damaging signs of the sun on your skin, or if you’re seeing a few age spots pop up here and there the  photo rejuvenation is definitely for you.

The photo rejuvenation is the perfect procedure to bring back a health, youthful glow. It will even out your complexion and diminish the damage that time and sun does to your skin.

What is a photo rejuvenation?

The photo rejuvenation is a non-invasive procedure that helps to rejuvenate your skin. Light is used to even out the skin tone and stimulate collagen growth. Collagen is a protein that helps the skin keep its form and strength. As we age collagen decreases and we begin to see wrinkles, sagging skin and lines. Photo rejuvenation stimulate collagen growth keeping your skin youthful. The earlier you start this process the less aging you will see on your skin.

What skin issues is the photo rejuvenation used for?

Aesthetic lasers see various chromophores (targets) within the skin, for skin rejuvenation we target melanin (browns) and red spots (vascular).  The laser light energies see these (2) conditions and allow for the elimination of unwanted veins and dyschromias (brown spots) throughout the skin.  The Aerolase NEO system is the best system to target these unwanted conditions because it incorporates a higher wavelength (1064) and has the flexibility to adjust light energies and pulse rates that allow for treatments of all skin types.  The 1064 ND-YAG laser utilizes micro-second pulse rate technology allowing for the treatments of all skin types but also eliminates the need for anesthesia since the body cannot react to tissue wounding in a shorter pulse duration.  This also eliminates any adverse effects such as hyper-pigmentation or hypo-pigmentation from the treatments and is the most efficient and efficacious way to treat both vascular lesions and pigmented lesions across the face and other body part areas

Rosacea

Rosacea is a very common condition of diffuse redness in the facial skin, but the affected area sometimes also contains small broken capillaries and larger facial vessels. The LightPod Neo is a unique 1064nm laser that can clear Rosacea and vessels in 1 to 2 quick, gentle treatments without skin contact or cooling.

Rosacea is characterized by areas of diffuse redness on the face, but it may also include various small broken capillaries and larger telangiectasias.

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Welcome to My Family!

My Family Practice is your convenient medical home where we care for people of all ages from infants to children, adults, and the elderly.

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Insurances

We accept most insurances and offer a 50% discount to new self pay (uninsured) patients. Call us today and let us help you take care of your family.

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Services

We offer preventive care for healthy children and adults as well as those who are acutely or chronically ill. We have also integrated aesthetics to our practice for your convenience.