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Skincare Overview

It is important to develop a daily regimen to help ward off signs of aging and correct or prevent sun damage that can lead to skin cancer. There is a wide array of products on the market that make it difficult to know what really works. It is important to remember that with any skin care regimen, it will take time to see improvement, and in some cases, your regimen may do more to prevent and minimize wrinkles than reduce them dramatically. Don’t lose hope if you are unable to see improvement in one month after starting your routine….keep with it!! We offer consultations that allow us to personalize your regimen. Remember to apply your sunscreen just before your makeup. TNS Essential Serum and a hydrating gel are always first.

Cleanse and Tone: Variety of cleansers available depending on your skin type and whether you have rosacea or acne tendencies. It is important to use a non-alcohol toner that restores the pH of your skin to normal.

  • Revale Cleanser
  • SkinMedica Facial Cleanser and Rejuvenative Toner, Sensitive Cleanser, Purifying Cleanser and Toner,
  • Elta Deep Pore Cleanser
  • Cera Ve Ceanser or CV Foaming Cleanser for sensitive skin or for use after procedures such as Fraxel.
  • Elette: cleanser system for acne prone skin.

Prevention: Topical antioxidants help retard oxidative damage to our skin cells that can lead to brown spots, wrinkles, and skin cancer. Current available antioxidants that we feel are helpful are listed below.

  • SkinMedica TNS Essential Serum
  • SkinMedica Vitamin C&E complex
  • Revale: antioxidant from CoffeeBerry® extract. Great for rosacea prone skin.
  • SkinCeuticals Vitamin CE Ferulic Acid and Phloretin CF

Correct: Lightening brown spots, minimizing fine lines, and correcting sun damage may utilize a variety of products such as AHA’s (alpha hydroxy acids) or PHA’s (poly hydroxy acids). TNS falls into this category.

  • SkinMedica TNS Recovery Complex: combination corrective and preventative growth factor formulation, TNS Ceramide Tx Cream, 15% AHA/BHA for acne prone skin, TNS Lip Plump, TNS Body Mist/ Lotion, TNS Line Refine.
  • Ascorderm XCP
  • SkinCeuticals Phyto Plus
  • SkinMedica Redness Relief Calmplex helps rosacea prone skin and redness.

Moisturize There are a variety of moisturizers that will help your skin appear more radiant and combat dryness. For many, using your sunscreen as a moisturizer may be enough for daytime use. This may change depending on the seasons.

  • Skin Medica Hydrating Complex
  • SkinMedica Ceratopic Replenishing Body Lotion (for dry, cracked skin), Ultra Sheer Moisturizer (oil-free),
  • TNS Ceramide Tx Cream, Cera Ve Lotion or Cream and Skin Medica Dermal Repair & Rejuvenative Moisturizer

Protect: Apply sunscreen daily that has Zinc Oxide and a minimal SPF 30. Remember to reapply if outdoors and sweating or in water. Below is a list of some of our favorites and the most popular brands. Please see our sunscreen handout.

  • SkinCeuticals SPF 30 Ultimate, SkinCeuticals Physical SPF 30 for sensitive skin
  • Elta SPF 40 (dry skin), Elta SPF 45 (for oily skin), water-resistant SPF 50, SPF 41 with tint, SPF 46 Clear,
  • Solar Lip SPF 45 stick
  • SkinMedica Environmental Defense SPF 30 and SPF 50
  • Jane Iredale Tinted Moisturizer with SPF 25 and Lip Drink SPF 15

Eye Repair: Many patients desire a more specialized treatment for the eye region.

  • SkinMedica: TNS, TNS Illuminating Eye Cream, TNS Eye Repair, Uplifting Eye Cream
  • Auriderm Illume Eye Cream (dark circles)
  • Revale Eye Cream (especially good for puffiness)

Retinoids: A key ingredient to stimulating collagen, helping with precancerous skin conditions, brown spots and acne.

  • TxSystems Afirm Retinol 1x, 2x, 3x
  • SkinMedica Retinol Complex
  • Tretinoin: Retin-A, Atralin, Differin, Epiduo, Tazorac, Ziana, Veltin

Heliocare: oral dietary supplement with antioxidant properties which help maintain the skin’s ability to protect against sun-related effects and aging. Helps prevent sunburns. Great for athletes, gardeners and boaters. We sell these pills in the office.


Botox & Dysport: Tiny injections are placed into the muscles that cause frown lines, crow’s feet, and forehead lines. We are also able to treat neck bands/cords that become unsightly and help minimize the lines around the mouth and nose. For patients who have noticed that their lips are beginning to take a downward turn at the corners, Botox/Dysport can improve this unwanted look. For most patients, to achieve the best cosmetic improvement, we will combine Botox/Dysport with a variety of other procedures. For more info,,

Fillers: We can use a variety of fillers known to contour the face and soften wrinkles such as Radiesse, Restylane, Perlane, Juvederm and Sculptra. We highly recommend that patients use a topical anesthetic 30-45” prior to the procedure to minimize any discomfort ; For women wanting their lips injected, we perform a “dental block” so it will be painless. You may experience mild swelling of the lips afterwards for 24-48 hours and may apply makeup on the treated area the following day. For more info,,

Fraxel: Excellent resurfacing option for patients who have more wrinkles or acne scarring. Periorbital lines respond very well to this modality. Using fractionated energy pulses, we can minimize downtime and treat non-facial areas such as the neck, chest, and hands. Treatments consist of 3-5 about every 2-3 weeks. All types of scarring respond well to this therapy. It is considered to be safer than laser resurfacing with less risk of changing the color of the skin. Fraxel helps us be able to make your pores smaller and improve the texture of your skin.

FotoFacial / IPL: A wonderful procedure that is non-invasive to help improve the appearance of rosacea and photodamage. Broken capillaries and brown spots are lightened or removed with the intense pulsed light (IPL) while improving the overall skin tone. There is minimal down-time. Patients are advised to apply a topical anesthetic prior to the procedure.

Thermage & Accent: We offer Thermage and/or Accent to patients who are not candidates for a surgical face-lift or simply do not want to undergo the risks that are involved. These modalities use radiofrequency energy to heat and contract our collagen in the deeper layers which then stimulates collagen production over the next 3 months. Patients may find that doing this procedure every 1-2 years will help improve the overall elasticity of their skin and appearance. &

Superficial Chemical Peels:
A common treatment option for patients who do not have a great degree of photodamage or who have some problems with acne. Generally, there is minimal down-time with the procedure, especially with Dermasweep. These treatment options will help your skin feel smoother, lighten brown spots, and help with fine lines. Insurance may cover the chemical peel portion if you have acne.

Medium Depth Peels
: A great procedure for those patients who have brown spots from sun exposure. It helps tighten the skin and improve fine lines. There is a week of down-time before you can begin to wear makeup but the results are worth it. Patients love the glow they obtain. This procedure helps correct sun damage and pre-cancerous spots. In some cases, we can get your insurance company to cover part of the procedure if you have a history of skin cancer and actinic keratosis.

Cellulite Reduction: Accent uses radiofrequency energy to minimize those unwanted dimples and improve your body shape. We see reduction in inches as well as tighter skin using this new exciting treatment. Our office served as one of 50 clinics in the US who performed a FDA study evaluating the Accent. The procedure consists of 6 treatment sessions which usually take approximately 45 minutes and feels like a hot stone massage.

Fat Reduction:
ZELTIQ Cryolipolysis. Developed by Harvard scientists, this procedure involves freezing fat cells without damage to your skin. On average, you’ll see a 20% reduction of fat in the treated area after one visit. You can lose even more with additional appointments. The fat cells are naturally eliminated from your body over the following few months. Sessions usually take an hour per area treated.

Hand Rejuvenation: Using a combination approach, we can help make your hands look the same age you feel. Radiesse is often used to help plump the hands so the veins are not as visible. Fraxel can resurface the wrinkles and lighten the brown spots while our freezing spray can be used just for the “spots.” Ask about our full hand rejuvenating packages.

Hair Laser: We offer one of the most advanced painless hair laser treatments available with the Soprano XL Diode laser. Within 5 treatment sessions spaced about 1 month apart, you will find a marked difference in the area treated. Dark hair responds the best and unfortunately we cannot treat any area that is tan. The bikini area and underarms are the most popular.

Mole Removal: We offer cosmetic removal of unwanted moles which costs $150. The results leave a very faint flat scar which is usually much improved from the unsightly or irritated mole that was removed. This procedure can be preformed at the time of your office visit.

Sclerotherapy for leg veins: We utilize the only FDA approved sclerosing agent, Aesclera, to help remove unwanted leg veins. The treatment is not painful though we ask that you wear compression hose for 10 days after the treatment if possible. The veins slowly disappear over a 3 month period so it is best to have these treated before summer is actually here.

Ear Piercing and Torn earlobe repairs: torn earlobes is a very common problem considering the size of earrings many women wore back in the 1980's. We are able to repair partial or completely torn earlobes and re-pierce them so you may wear your stud type earrings again. As the lobes thin thru the years, we also can inject filler, Restylane, into the earlobe and make it youthful again.

We can help determine the amount of sun damage your skin contains and tailor your skincare regimen. In many instances, we will recommend using a combination of procedures listed above. We can help improve wrinkles with botulinum toxin, minimize lines with one of our fillers, “resurface” the skin with Fraxel or a chemical peel and help tighten the laxity of the skin with Thermage or Accent. When we utilize a personalized procedure regimen, we can help your skin look its best.

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