For years I suffered with the unsightly effects of Rosacea –redness, veins, and finally rhinophyma. Dr. Yamamoto used a laser to remove the bumps and bulges of my rhinophyma, and the results were terrific. Then Annette did three microneedling treatments which took out much of the redness and gave my old skin a new, youthful glow. “Competent, friendly, and reasonably priced” sums up my experience. I highly recommend Dr. Yamamoto and his staff at Sierra Nevada Cosmetic & Laser Surgery.