With a foundation in family practice, which values long-term patient relationship with a broad expertise in clinical medicine, Dr. Birchall has honed his cosmetic skills and rapidly became one of the top providers of Botox and Juvederm, attaining Black Diamond status. Added to this is a stable staff of estheticians, that provide relaxing yet effective skincare procedures, and with continuous training are experts in Dermacare’s and other skin care products. The registered nurses who assist in the application of the laser technologies have all been certified in the use of our Dermacare lasers and have years of experience. Because of this ongoing commitment to excellence, Dermacare is the first clinic in San Diego to reach Black Diamond Status with Fraxel.