Botox® Cosmetic is a purified protein. It is a non-surgical,
physician - administered treatment  that  can  temporarily
reduce   moderate   to   severe  frown  lines  between  the
brows  in  patients 18 - 65 years of age. During treatment,
very  low  doses  of  Botox®  Cosmetic  are  administered
via a  few  tiny  injections  directly into  the  muscles  that
                               cause those stubborn lines between
                                         the brows.Botox Cosmetic is
                                          the only treatment of its type
                                                approved by the FDA for
                                              this use. The treatment is
                                                   minimally invasive and
                                                  non-surgical. It requires
                                                     no recovery time and
                                                  causes little discomfort.

               Restylane
               Restylane  is  a  safe and  natural  cosmetic  dermal   filler
               that  restores  volume  and  fullness  to  the  skin to correct
moderate  to severe facial  wrinkles and folds,  such as the lines from
your nose to the corners of your mouth(nasolabial folds).

Juvéderm™
Juvéderm  is  a  smooth - consistency gel  made  of  hyaluronic  acid -
a naturally  occurring substance in  your  skin that helps to add volume
and  hydration.  We use Juvéderm™  injectable  gel under  the  skin  to
instantly restore your  skin's volume and  smooth  away  facial wrinkles
and folds, like your "smile lines" or "parentheses" (nasolabial folds - the
creases that run from  the bottom  of  your  nose  to the corners of your
mouth). Juvéderm  is also used to reshape lip contours and increase lip
volume.Treat yourself to a fuller, more beautiful smile.

Hair  removal  can be  done  quickly  and  easily  and  can  now  achieve  more  permanent  results.   Laser is an
improved  technique  over traditional  hair removal techniques such as  shaving,  plucking,  waxing,  or depilatory
creams which give only temporary relief.  Historically,  only electrolysis could permanently remove hair but it took
several tedious sessions which were time-consuming and uncomfortable.  With the new  laser systems we can
remove unwanted body hair on most skin types after three to five,  sometimes more,  treatments  based a month
to six weeks apart. These areas can be treated very safely and easily and with minimal pain. Facial areas, bikini
areas,  leg areas,  and  the  back  can  also be treated.  the  Gentlelase  system is the system that we use in our
office. It is very safe and FDA approved for permanent hair removal.

                                                              The procedure is performed while
you  are  awake,  you  will  require  a  topical  gel  anesthetic and can
expect a minimal discomfort during the procedure. The Palomar Lux
1540  Fractional™  laser delivers light in an  array  of  high precision
microbeams.  These  microbeams  create  narrow deep columns of
tissue coagulation that penetrate deep in the skin sparing the tissue
surrounding the columns from damage.

CO 2 resurfacing is  a  procedure  that  has  been  around  for  several  years  that  is FDA  approved for the
treatment of severe wrinkles (rhytodosis).  This  procedure is done under IV  anesthesia with Versed and an
anesthesiologist will administer this at our surgery center.  With  this procedure there is 10 days of downtime
in which  the face is raw and oozing and requires extensive would care.  The patient will basically look like a
burn victim and they will be seen in our office every day or every other day as follow-up after the procedure
until  their  skin  is  100%  reepithelialized.  Once  you are reepithelialized you must stay out of the sun for 2-3
months  after  and  wear  sunscreens  thereafter.  The  procedure  is  the  best  procedure  known to reduce
wrinkles  in  patients  who  are  good  candidates  for  this  procedure.  The best candidate is the patient with
fair  skin  with  deep  wrinkles. As described in our brochures, you will undergo a pre-treatment with Retin-A
several  weeks  to  several  months  before the procedure  and  then  would  care with  dilute vinegar rinses.
We put  everyone  prophylatically  on   an  antibiotic  and  antiviral  briefly  if patients have a history of herpes
simplex.  This  procedure  is  very,  very effective in patients who have deeper wrinkles. A consultation with
one of our doctors is important to determine which technique is best for you.

The Thermage
procedure is the only
non-invasive,
no-downtime
treatment that
delivers tighter skin,
renewed facial
contours and
healthier collagen.
Ask us how you
can benefit most
from the Thermage
procedure.

                                                        Intense pulsed light technology is a treatment breakthrougn that can correct a variety of benign
                                                        skin conditions such as facial imperfections,  photo-aging,  birthmarks, small veins, and other
blemishes.  It is a safe,  non  invasive solution tailored to your skin type to provide superior cosmetic results and outstanding
satisfaction through a process called photorejuvenation. The photofacial is a beam of light that is not a laser. This means that
it is a spectrum of light with  several  wavelengths.  The  spectrum  of  light includes 550 nanometers up to 1200 nanometers.
With 550  nanometers  the  light  beam  is  very  effective  at  getting  redness  and  ruddiness  of  the  skin  including  rosacea.
In     the      700-800      range     there    is  pigment    absorption    with   this     specturm     of    light,    therefore,    it   improves
brown spots,  sun  spots  and  solar  damage  to  the  skin,  with 1200  nanometers is a water absorbing technique that helps
improve fine  lines  and  wrinkles.  The  way  that this  technique works is that the spectrum of light hits the blood vessels and
the  brown  spots  and  the  light  is  changed  to heat energy that selectively destroys these lesions at the level of the collagen
beneath  the  skin.  Facial  imperfections  and  discolorations  of  the  skin  and  rosacea  are  very  effectively treated  with  the
photofacial.  It  takes  approximately  3-5  visits  to  achieve  the  best  results  in  most  patients  and  treatments are spaced a
month  apart.  The  procedure  is  not  painful.  When  you  arrive  at the office a topical anesthetic is applied to your face that is
then  rinsed  off  and  a  gel  is  applied  to your face at which time protective eye coverings are placed. Once the eye coverings
are in place then the laser is applied to the entire surface of your face, neck, or hands, or whatever areas are being treated.

The V Beam is a vascular laser by Candela. It's a pulsed dye laser
system for vascular lesions and is used to treat
•Rosacea • Facial veins • Leg veins
• Scars (acne scars, or C section scars, etc.) • Psoriasis
• Periorbital wrinkles • Port wine stains • Hemangiomas
• Angiomas • Poikiloderma of Civatte (red neck and chest)
• Venous lakes. Stretch marks, and warts
The  pulsed  dye  laser  is  a  system   designed   to  rid patients of benign
vascular  lesions.  How  does   it  work?   The  laser   delivers   an  intense
delivery  of  yellow light of 595 nanometer wave length of  light,  therefore,
it  is  a laser  with a   monochromatic  wavelength   of   light.   The   light  is
specifically  absorbed  by  blood  vessels   in   the   dermis.  These   blood
vessels  are  coagulated  and  then  reabsorbed  by  the   body  during  the
natural healing process, i.e. absorbed like a bruise. The treatment is safe
and  FDA  approved.  It is  basically  painless  and  it  is  recommended  to
avoid   the   sun  before  and  after  the  procedure  a  sunblock  of  30  spf
with  zinc  or  titanium  should  be  used  both  pre and post treatment and
you can discuss this with your physician before your treatment

Unwanted blood vessels on the legs can be treated with an injection method.   The procedure is called sclerotherapy.   One of the several kinds of  solutions called sclero skin solution is injected with a very fine needle directly into the blood vessel.   This procedure has been used for spider veins since the 1930's and before that for larger veins.   The solution irritates the lining of the blood vessel causing it to swell, stick together and the blood to thicken.   Over a period of weeks the vessel turns into scar tissue that is absorbed essentially becoming barely noticeable or barely visible.   A single blood vessel may have to be injected more than once several weeks or months apart depending on its size.   In any one treatment a number of vessels can be treated.

Microdermabrasion is the most
natural way to evenly and safely
exfoliate the skin without
chemicals or laser and is one of
the most requested non-invasive
cosmetic procedures. It uses
crystals to gently resurface
superficial layers of the skin.
When a more aggressive
treatment is necessary,
vacuum pressure can be
increased to evenly
penetrate deeper layers
of the skin.
Microdermabrasion
revitalizes dull skin,
reduces large pores,
erases fine lines and
wrinkles, acne scars,
reduces mild pigment
irregularities
(hyperpigmentation),
stretch marks and
age spots.

Portrait Plasma uses plasma energy to deliver true regeneration of a natural collagen and elastin structure of the skin thereby improving contours, tightening skin, smoothing wrinkles and enhancing your overall appearance. It is the first and only cosmetic treatment clinically proven to do all that. The energy of Portrait Plasma uses heat to treat 100% of the targeted area without direct contact to the skin. Plasma energy uniquely preserves the skin's outer layers which act as a protective dressing until your new healthy skin regenerates.

ActiveFX is a fractional CO2 laser treatment for pigmentation and fine lines that yields remarkable results with minimal downtime. With ActiveFX treatment, a high-energy beam of laser light interacts with the skin's surface causing the upper layer to peel off and regenerate a layer of new, healthy skin. The laser beam is applied in a fractional pattern, leaving small "bridges" of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner.

The new DeepFX is a revolutionary fractional CO2 laser technology for aged, sun-damaged or scarred skin. Each laser pulse removes a narrow column of tissue while simultaneously treating surrounding skin. This deep heating causes immediate collagen contraction and long-term collagen remodeling. The result is softening and smoothing of wrinkles and scars, and improved skin texture.