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cosmetic dermatology

Restore the appearance of your skin. 


Feeling good about one’s appearance is an important part of your overall health. We are highly trained and experience in providing a variety of cosmetic services to enhance your skin and improve your confidence.

Whether you desire your skin to have its original glow back, a wrinkle to be gone, or youthful fullness in your skin to return we have several options that maybe right for you. 

(Click each treatment below to read more)


Botox, Dysport, and Xeomin are well established and safe methods for eliminating wrinkles around the eyes (crow’s feet), between the eyebrows, and across the forehead. They can also be used to treated a “gummy” smile. These simple injections can dramatically improve the appearance of wrinkles that move (dynamic wrinkles). Topical numbing medicine can be used to make the process virtually painless.


Fillers, like Juvederm, are naturally occurring substances (hyaluronic acid) injection into the skin to restore volume loss. This gives the skin a more youthful appearance. They can be used to treat wrinkle or enhance lip and cheek fullness. Effects from filler usually last 9-12 months.


Microneedling is a minimally invasive technique gaining a lot of popularity with patients and in the scientific literature. It is able to obtain results previously only seen with large laser resurfacing procedures and at a fraction of the cost. Downtown is typical 1-2 days of facial redness. It has been found to improve wrinkles, minimize pore size, stimulate collagen production, and reduce the appearance of stretch marks. 


Chemical peels like trichloracetic acid (TCA) and Jessner’s peels contain medicinal acids and enzymes to exfoliate damaged skin and promote the growth of youthful, fresh skin. They can be helpful in removing sun damage, improving skin tone, and decreasing fine lines. Chemical peels have a long-established safety profile with downtime being slight redness that resolves after a day or two.


If you desire advanced rejuvenation without surgery or downtime, lasers maybe right for you and your skin. Lasers are used to selectively target and treat specific elements of the skin. Using the V Beam Perfecta, we are able to remove scars, facial redness, rosacea, angiomas and other annoying blemishes on the skin. This is a painless, safe, and highly effective treatment.


Reversing the signs of aging is not just for women. In the last few years, there has been a 300% increase in the number of men seeking cosmetic dermatology care. Results are natural appearing and help you achieve confidence in your skin. 

Schedule a Consultation

If you are interested in any of these cosmetic procedures, please contact our office to schedule a consultation.

What Our Patients Say

Wonderful team! I had basal cell carcinoma removed from the bridge of my nose and, as you can imagine, was concerned about all the cancer being removed but also about it being right in the center of my face. Dr. James Tidwell did an excellent job! He was able to remove all the basal cell and did minimal scarring to my nose. It’s been two weeks today and I can easily say that by the time it completely heals the scar will barely be noticeable. Amazing. Thank you Dr. Halden Ford and Dr. James Tidwell, for a job well done. Dr. Tidwell, thank you for your kindness and understanding. I would recommend you to anyone.

Lynda P.

"My boyfriend was treated for a skin cancer.  We knew exactly what to expect on the day of the procedure.  What we didn't know was how courteous and caring the staff would be.  We were impressed with Dr. Tidwell as well.  He was compassionate, personable, knowledgeable, and completely put my boyfriend at ease during the procedure."

Susie C.

"Dr. Tidwell was great and very efficient . He took his time and explained what was going to take place. I would highly recommend his services.  His assistants were very caring also."

Connie M.

"Dr. Tidwell and staff are fantastic!  Informative, quick, easy, painless appointments for a small skin cancer.  Paducah should be proud to have a great dermatologist like Dr. Tidwell.  I trust him so much that I sent my daughter to see him. "

A. Guhy

"Through removal of a cancerous lesion and a skin graft on my 91 year old mother,  Dr. Tidwell was impressive.  He and his staff were caring, compassionate, and considerate on the day of the surgery as well as all of the follow-up visits."

Cindy P.

"When Dr. William James Tidwell walked into the examining room, it was obvious within just a couple of minutes that he was truly interested in my concerns and eager to do the best job possible to take care of me. He was professional and personable and put me very much at ease as a patient.  At age 62 and an avid fan of the outdoors, I have had more than a handful of experiences with dermatologists and plastic surgeons over the years. I will definitely go back to Paducah Dermatology for checkups or any other skin care needs -- which by the way, I learned that Dr. Tidwell also does some 'age-reversing' procedures!"


Steve M.