Cosmetic Dermatology / Rejuvenation

Neuromodulators (BOTOX Cosmetic, Xeomin)

Neuromodulator injections are the most common cosmetic procedure used to reduce the appearance of facial wrinkles. The FDA approved active ingredient in these products is a bacteria-derived protein that, when directed into a target muscle group, blocks the repetitive facial movements that create fine lines. After a set of minimally invasive injections, the appearance of wrinkles begins to improve within 24 hours, with full results developing gradually over the following five days. Most patients achieve their desired result after just one treatment session, although a “touch up” session is sometimes required. The effect of a neuromodulator typically last for up to four months, but with continued use the effect may be extended even longer.

Dermal Fillers

As we age, the action of heredity, sun exposure, and gravity causes a loss of volume in the layers of fat underneath our skin.  With this loss of volume comes sagging skin and wrinkles. Dermal fillers are one way to volumize and lift sunken areas, plump the lips, and fill etched wrinkles. There are generally two types of fillers; the first uses hyaluronic acid to fill the treated areas, while the second stimulates the body to produce new collagen. We currently use Juvéderm® (including Voluma), Restylane®, Radiesse®, Belotero®, and Sculptra® at the Center for Dermatology and Laser Surgery. Your provider will work with you to recommend the particular product that will fit your individual needs.

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Silhouette Instalift

Silhouette InstaLift is the newest procedure to lift the deeper layers of facial skin.  This minimally invasive procedure lifts sagging skin without surgery, providing a more youthful appearance.  The in-office procedure takes about 45 minutes to complete and you will usually see immediate results.  Your provider will use sutures with bidirectional cones to reposition and elevate your facial skin.  Over time your body will absorb the sutures and stimulate production of collagen to produce natural-looking and long lasting results.



Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the face, neck, and chest. Ultherapy uses the safe, time-tested energy of ultrasound to stimulate the deep structural support layers of the skin, jumpstarting the regenerative process that produces fresh, new collagen. Ultrasound, of course, has been used safely throughout the medical field for more than 50 years—and Ultherapy has been established as safe and effective in clinical studies and in over half a million treatments worldwide.

Some patients see an initial effect right after their treatment, but the real results appear over 2−3 months as new collagen works to lift and tighten skin on the neck, chin and brow as well as smooth skin on the chest. While Ultherapy won’t duplicate the results of a facelift, it is a clinically proven non-invasive alternative for those not ready for surgery, and can even be an option for patients who wish to extend the effects of cosmetic surgery. Also, one of the most important benefits of Ultherapy: no downtime.


To learn more about skin rejuvenation options or to schedule an appointment, call us today!

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