Poor quality of care and lack of care was astonishing. I saw Dr. Elmer for mainly melasma and milia, but I had other concerns. Don't expect her to take the time to discuss more than one issue or elaborate on concerns you have. She removed about half of my milia and every time I pointed to another one she missed she kept saying I could come back to get the ones she missed. My appointment was incredibly rushed. She was literally out the door when she asked if I had any questions.