Dr. Miguel Barria  is on faculty at the University of Austral in Chile. Dr. Barria’s research expertise is autoimmune diseases and he will work on autoimmune skin diseases during his stay at TXID. Texas Institute of Dermatology is dedicated to provide quality care for the entire San Antonio and Boerne community.  The Institute offers excellence in treatment of various hair, nail and skin disorders. Texas Institute of Dermatology is one of the few private Dermatology Institutes in South Texas that combines clinical care with research.

Non-Surgical Browlifts:

BeforeAfter

Botox Injections Small amounts of Botox injected directly into the tail (outer portion) of the eyebrow will relax the muscles that depress (pull down) the Eye Brows resulting in an elevation of the eye Brows similar to that obtained with a suture suspension Brow Lift.  About 4-6 units of Botox is used for each eyebrow for the Brow Lift.  The Brow Lift effects typically last several months but the procedure is quick, safe and simple to perform as an injection during an office visit.  Botox may also be used to soften the lines and wrinkles of the Forehead.

We, at the Texas Institute of Dermatology, offer several state-of-the art lasers for skin resurfacing and rejuvenation.
Laser resurfacing is one of the most common treatments used for skin rejuvenation, wrinkles and acne scars today. Like many things in cosmetic surgery, laser resurfacing goes by several names: wrinkle laser, laser abrasion, laser peel, laser rejuvenation, and several others. All of these terms mean the same thing: they refer to the use of the laser to treat aged skin, fine wrinkles and acne scarring.
How does it work?
Briefly, the laser beams will pass through the skin and make several microscopic holes. There is a direct relation between depth of laser penetration and its rejuvenation effect; the deeper the laser beams can go, the better the results will be. Following the laser procedure, the skin stem cells are activated to produce new collagen formation deep in the skin as well as regenerate the epithelial layer on the surface. Thus a good laser resurfacing can provide your skin a younger look.
Laser resurfacing makes it possible to remove a lifetime of sun damage and blemishes from your skin. Healthy skin and a more youthful appearance can be restored in a safe comfortable office procedure. The C02 laser was the first resurfacing laser.
How Laser Resurfacing Renews Your Skin Fractional Co2 Skin Regeneration
First, the resurfacing laser will remove all the epidermal damage caused by sun and aging. With extreme precision the laser removes keratoses, premalignant lesions, age spots, and epidermal blemishes.
Second, the upper dermis is sculpted smooth by the laser. Deeper wrinkles are reduced or eliminated. Acne scars are reduced and re-contoured. New epidermis will grow from cells within the follicles that have never been exposed to the sun’s damage.

This takes just four to five days. Thus, your skin is literally “renewed.”

Third, the laser stimulates the growth of healthy new collagen and elastin fibers Fractional Co2 Ablationwithin the skin. This will continue for six to twelve months after resurfacing. During this time the skin will continue to improve. Fifteen to thirty percent firming can be achieved. Loose eyelids and lax skin is tightened. Resilience and elasticity are restored. Any remaining wrinkles will continue to improve for over six to tweleve months.

Laser Resurfacing: The Good News
Laser resurfacing can improve fine wrinkles and acne scars. Some lasers (the CO2 and erbium) accomplish this by vaporizing superficial damaged skin cells and allowing the stem cells to regenerate new skin. As a result, it will smooth your skin texture, improve your complexion, and possibly your skin color. Fine wrinkles will be removed and dynamic (deeper) wrinkles will be improved (see Wrinkles for an explanation of dynamic and fine wrinkles). Acne scars will appear less obvious.

The CO2 laser will also tighten your skin by two methods: a) shrinkage of the extracellular matrix that can be seen immediately after the procedure, b) the laser stimulates new collagen production.

Laser Resurfacing: The Bad News
Fractional C02 is your best option to reduce fine lines, get rid of aged spots and look about 10 years younger. Unfortunately, laser surgery is not a panacea. Your wrinkles and acne scars will improve but will not simply vanish, and more than one treatment may be required to achieve the result you desire. Because of a deeper penetration, C02 laser is more painful than AFL/IPL. Also, recovery from some laser procedures is not a snap; the redness may typically last for days (more below).
Laser Surgery: How and Why It Works?
To understand why the laser works, you must first appreciate some basics about your wrinkles and acne scars. Wrinkles and acne scars share one very important feature: they are lower than the surrounding skin. Because of this, light casts shadows in them, making them visible. Look in the mirror to convince yourself. You will see that everywhere there is a wrinkle or acne scar, there is a shadow. If all wrinkles and acne scars were flush with the level of the skin, the eye would not see them because there would be no shadow. Laser resurfacing works because it makes the wrinkles (acne scars) less visible by vaporizing the surrounding skin (as in the case of CO2) and by stimulating collagen production which makes wrinkles less deep (as in the case of the CO2). Because your skin is vaporized (due to the CO2 laser), it is like a burn. Your skin will be oozing and weeping for 1-2 days, since there will be lots of microscopic holes into your skin. The deeper your wrinkles and acne scars, the more treatments you will need. Shallow wrinkles and scars may be vanished with one treatment.

The FPL (Fluorescent Pulsed Light) or Intense Pulsed Light (IPL) laser is slightly different than the other two in several important ways. First, it does not actually vaporize away the top layer of the skin, so there is no open wound and no recovery period. You may put make-up on immediately and return to work. There is also no discomfort of the procedure, so you do not need to be anesthetized. IPL works by stimulating collagen formation within your skin without removing the older superficial skin layers. Therefore, one treatment with IPL is not enough. Some may notice improvement is skin texture, age spots as early as the first session. You may need 6-8 sessions to appreciate a significant difference.
Fractional or Non Fractional?

There is no doubt that Fractional C02 is less risky with much less downtime as compared to the traditional non-fractional C02. It offers a “fractional” approach to CO2 laser skin resurfacing, leaving tiny microscopic islands of untreated skin between the treated areas. As a result it can impressively repair aging, scarred, discolored and sun-damaged skin with a limited amount of downtime. The fractional Co2 is very effective in reducing lines and wrinkles, and it tightens the skin, possibly reducing the need for future tightening procedures, such as facelifts. Results of a fractional C02, done by an expert, are comparable to a traditional C02. Therefore, we at the Texas Institute of Dermatology highly recommend fractional C02 laser.
Fractional C02 Laser
Benefits of Fractional C02:

• All areas of the skin, including face, neck, hands and body can be treated
• Wrinkles, discoloration, including sun spots, brown age spots and hormonal facial discoloration (melasma) can usually be effectively treated
• The skin is tightened, reducing skin laxity and folds
• Future skin tightening procedures may be avoided or postponed
• Uneven discoloration, sometimes including areas that are too light, can be improved
• Both red and brown spots can be improved
• Precancerous lesions are reduced
• Scarring of all types including acne scarring, burn and surgical scars can be improved, sometimes quite dramatically
• Stretch marks can be improved
• Large pores and skin roughness can be improved
• Warts
• Syringoma, Sebaceous Hyperplasia and pimples around the eyes can be removed

Fractional procedures ablate discrete columns of tissue, deposit heat and promote regeneration throughout the underlying layers of the skin. Short comfortable treatments deliver the consistent results, rapid recovery and minimal downtime that patients want. We use the industry’s most versatile CO2 system available. Our fractional C02 system provides a full spectrum of resurfacing and surgical capabilities with a single-platform interface. With multiple spot sizes and delivery options, the laser offers excellence in Skin resurfacing.

The fractional CO2 laser beam heats and vaporizes the skin tissue, instantly removing the superficial layers of the skin. Each fractional micro spot creates a thermal zone. Intact cells around the treated area help during the healing process. This process induces cell regeneration. Immediate tightening and textural improvement is seeing after one week of the procedure. The result is a smoother, clearer and more youthful appearance of the skin. There is an immediate tightening. The fractional C02 removes sun spots, reduces pore size, wrinkles, acne scars via soft tissue coagulation, and other textural irregularities. There is a progressive improvement of the skin appearance due to the continued collagen production for resulting in added improvements for 6-9 months following the treatment.

Advanced capabilities and intuitive functionality of fractional C02 laser allows clinicians to deliver customized treatments with dynamic and long-lasting results.

The fractional C02 laser is used for treatment of scars, fine lines, texture, dyschromia (skin color changes) and deep wrinkles.
What is Advanced Fluorescent Light Technology (AFT) ?
Benefits of AFT:

• Smoother skin and reduced pore size
• Reduce irregular skin pigmentation
• More even skin tone
• Diminish unwanted redness
• Anti-aging (“turn back the clock”)
• Reduce acne breakouts
• Remove vascular lesions (red spots)
• Erase unwanted spider veins
• Reduce fine lines
• Improve nearly any skin imperfection
• Reduce dark hairs in light-skinned individuals

Treat many different problems:

• Rosacea
• Vascular lesions
• Cherry angiomas
• Telangiectasia
• Lentigines
• Hyperpigmentation
• Sun damage

Intense Pulsed Light (IPL), the traditional form of pulsed light, has been used for 12 years on over two million people to treat facial redness, fine wrinkles, flushing and pigmented problems on the face, neck, hands and chest. We utilize a patented form of Intense Pulsed Light technology, about which magazines often write growingly, called Advanced Fluorescent Light Technology (AFT). AFT prevents the harmful shorter wavelengths of light from hitting the skin. Instead of trying to filter out or reflect the bad light, AFT technology converts all shorter wavelengths to longer, usable, and therapeutic wavelengths. This is why our AFT laser treatments can restore a more youthful appearance to your skin with no down time, mild discomfort, and minimal risk.

The cool tip of the hand piece delivers a warm flash of bright light energy to about one square inch of skin. The device “Photo Rejuvenates” skin by shining intense bursts of light on it for a split second and delivering one flash every two to four seconds. A series of light pulses is delivered to the skin.

This bright light is scientifically tailored to cause the destruction of: unsightly and unneeded spider veins; unhealthy skin infiltrates, like certain bacteria and microorganisms; and damaged cells that signal sun damage (brown spots). The destruction of these items is relatively easy to accomplish with the right type of light. At the same time, studies show that Intense Pulsed Light heats the dermis to above 65 degrees Celsius, which activates the skin to produce a wrinkle-filling material called collagen over the course of 5-12 weeks.

Basically, this light from the Alma will reduce the unwanted effects of aging, but only a little bit each time the skin is treated. Various settings are available, and are chosen depending on your skin type and treatment goals. Most often, three to five treatments are needed, with treatments spaced 3-6 weeks apart.
Carbon Dioxide Vs. Erbium Laser Vs. AFT/IPL: Which One is Right for You?
Choosing a laser is a very personalized decision and depends on how much improvement you want and how much recovery time you can afford. AFT/IPL is the most popular laser.

If you are looking for a laser to treat your fine wrinkles and aged spots and you want to see the results after one or two sessions, the fractional C02 is the right choice for you.

The fractional carbon dioxide (CO2) laser resurfacing is more effective than Erbium (Fraxel) and AFT (works well on deeper wrinkles and scars) and can surprise you by its immediate effect on resurfacing and skin tightening. The Fractional C02 laser, however, imposes more recovery. Typically, one comes on a Friday to receive the laser treatment and rest at home for 2-3 days before going back to work. Your face will be red for about 7 days; the redness can last for weeks (rare).

Erbium Fraxel provides more modest improvement, less recovery time but it’s less efficient than C02. Therefore, we offer fractional C02 and AFT lasers; AFT laser is an upgraded form of IPL.

If you are patient and prefer less down time, AFT is a great choice. AFT lasers offer less improvement among the three, but have the huge advantage of imposing no recovery time. Multiple AFT/IPL treatments are necessary for obtaining a result close to a Co2 laser. After an AFT laser, you may put your make-up on and return to work immediately. Because AFT imposes no recovery and is effective for wrinkle reduction in some people, it enjoyed a period of great popularity. However, you may see little improvement with each session of AFT; multiple treatment sessions are necessary.
Analyzing the Different Lasers:

Preparation for CO2 or Erbium Laser Resurfacing:
Preparing your skin for laser resurfacing is critical to optimizing your result and recovery. Retin-A, glycolic acid, Kojic acid and bleaching agents (hydroquinone) available through our office will help prepare your skin for the CO2 laser resurfacing. (No preparation is necessary for the AFT laser). They will reduce your risk of discoloration, speed healing, and optimize your cosmetic result. You should use these products consistently for at least six weeks prior to your procedure. After your skin heals from the laser, you should resume these skin care products throughout your period of redness.
Recovering From Your CO2 and Erbium Laser Surgery (AFT Laser Recovery is Immediate):

• Anesthesia: Sedation or topical anesthesia
• Length of surgery: 15-30 minutes.
• Length of stay: Outpatient (home same day).
• Discomfort: Anticipate 1 day of prescription pain medication.
• Swelling: lasts 3-10 days.
• Dressings: Treated areas will appear as abrasions. They will weep, and ooze for the first 3 days when uncovered.
• Healing: Your skin will heal in 4-8 days following Co2 laser. It will then appear sunburned. The only problem is that this “sunburn” takes awhile to fade. Redness will improve over days to weeks following CO2. Once your skin heals you can wear camouflage make-up to conceal the redness. Interestingly, as much as everyone hates to be red, the longer you are red, the better your final result.
• Presentable in public: You will be presentable with makeup in about 4 days.
• Sun protection: SPF 30 or higher for 6 months, you need to stay away from sun for at least 2 weeks after the procedure.
• Resume skin care: You may resume skin care products after your skin has healed.
• Final result: Will be seen within nine months; your skin will constantly produce new collagen after the fractional C02 laser.
• Next laser treatment: Typically, you need to wait about 6 months between laser treatments.

CO2 Laser Resurfacing Procedure:
The CO2 Laser allows us to use a high-energy beam to vaporize scars, lines, wrinkles and other skin imperfections, layer by layer. The laser affords a level of precision, control and accuracy that is not available by other methods. The laser setting for the face can only be used up to the jaw line because of difficulties in healing if used on the skin of the neck with high settings. (We treat the neck in a separate session with extreme caution). This procedure is performed on an outpatient basis. You cannot drive yourself home after treatment.
Preparing for Laser Skin Resurfacing:
Please have the supplies listed below on-hand before your laser resurfacing. They will assist in making your recovery more comfortable.

Lip shapes are like fingerprints and no two are exactly alike.

Not everyone is blessed with that ideal set of full lips. Most of us fall into one of the common lip shape categories, which we will cover along with their perceived shortcomings. But we can console ourselves with the thought that the beautiful lips that we conjure up in our minds are within our grasp, thanks to a plethora of lip augmentation procedures.

Lip Shape Categories and Treatment Options

Thin, flat lips: Some have very thin lips with little or no definition. This may be due to genetics, aging or smoking. Tissue degrades as we age and definition is lost over the years. All around lip augmentation is usually necessary to change them.

No upper lip: The upper lip is always the first to lose volume. As the volume diminishes, less and less vermilion shows and the nose to lip ratio becomes even longer. This development can severely age you. The good thing about this shape is that you usually only need upper lip augmentation. However, if augmentation doesn’t do the trick, a lip lift will more than likely be necessary to restore balance.

No bottom lip: This condition is extremely rare, unless there was also no volume in the top lip. Nonetheless, bottom lip augmentation is, by far, the easiest to do and is usually more natural looking than upper lip augmentation.

Irregular vermilion border: The one half of both the upper and lower lips can be smaller than the other. More filler can be injected on that side to turn out the lips and also use nude lip liner to even it out. The only solution is filler and possibly micropigmentation (cosmetic tattooing). Lip liner can also help to correct the vermilion, but if it’s significant only a filler and possibly tattooing will help. You can get a lip lift in extreme conditions, but usually this causes an irregular “pulling” appearance and can make the lip look even worse.

Too large, or overblown, “fish” lips: The approach depends on whether the condition is caused by natural volume or augmented volume. If it is natural volume, a surgery is usually the solution. If it is augmented volume, then the treatment depends upon the product.

Nose Reshaping

Beauty After Baby Program for Moms

At the Texas Institute of Dermatology, Laser and Cosmetics, we offer services to address Mom’s concerns. How she feels about her body and how we can assist her are of most importance to us.

We want you to feel that Mom’s needs and concerns have been promptly addressed in a caring and sensitive fashion. We strive diligently to ensure your Mom’s satisfaction, comfort, and safety.
Moms face a unique set of physical and emotional challenges once the pregnancy and childbirth process is complete.

In a recent Research Survey a sampling of 500 U.S. women who had a child within the last eight years showed:

• 71% of new moms report that they feel less physically attractive after having their baby.
• Women reported that even if they were able to lose some or all of their pregnancy weight, 88% could not get back their pre-baby stomach.
• 48% of women add oversized sweaters and sweatshirts to their wardrobe after having a baby.
• On average, women felt that they needed to lose two dress sizes to reach their ideal shape.

Click the image to the right to learn more about the VelaShape “Body After Baby” program!

Ask us about “Beauty after Baby” packages:

• Body Contouring: The only derm center in South Texas that offers, in partnership with Anytime Fitness, a combination of Velashape and Accent body contouring lasers plus a personal trainer for 10 to 52 weeks.
• Permanent Beauty for Face, Neck and Hands: A combination of Microderm, a state of the art fractional laser resurfacing for wrinkles, AFT laser for red and pigmented spots.
• No Stretch Marks: A state of the art C02 laser for stretch marks combined with Accent laser for skin tightening.

(*) Downtime per treatment
(**)Under the eyes and for lip augmentation only
(***) First treatment – 2 vials, any additional treatment 1-2 vials

Treatments: temporary or permanent fillers. We live in an exciting time where the variety of fillers and volumizers allows the safe and effective correction of volume loss and wrinkles over the entire face. Bovine collagen, for decades the only available injectable agent, has now been largely replaced by other, mostly synthetic compounds that have a variable live span and indication. They can be used to correct static lines over the entire face, to lessen dark circles under the eyes, augment lost volume in the cheeks and in the lips, and plump up the back of your hands for rejuvenation.

With the exception of one (Artefill), they get degraded by the body’s own enzymes over periods of 3-24 months and do not require skin testing prior to the procedure. People who like the effects of the temporary fillers and want to reduce the number of injections over time may choose Artefill, the only permanent injectable filler and volumizer. Because its filler component is collagen-based, it needs a skin test one month prior to injection.

Redness Reduction

Treatments: PDL , Nd:YAG, IPL

Unwanted redness usually occurs on the face, neck or chest of fair skinned individuals who have had chronic sun exposure. When paired with visible blood vessels and brown freckling it is referred to as poikiloderma.

IPL treats red and brown at the same time but many treatments are required and results are usually not lasting. Redness and blood vessels can be targeted very effectively and permanently with pulsed dye laser treatments. For brown freckles, several treatment modalities can be added on the same day. Sunscreens with a broad UVA range should be used meticulously and for life to sustain your results.

Patient comments (source: Patient Satisfaction Report)
2008-01-23 05:56:00	Everyone was extremely friendly. Doctor was fantastic. Would highly recommend.
2008-02-20 11:17:39	Everything was great. See you in 1 year. The office was super clean and nice.
2008-01-31 08:09:00	From the moment I walked in the great experience started for me.

]]> http://www.txid.org/?feed=rss2&p=132 0 http://www.txid.org/?p=128 http://www.txid.org/?p=128#comments Tue, 08 Dec 2009 14:05:30 +0000 admin http://www.txid.org/?p=128 Skin Rejuvenation

Skin Rejuvenation	CO2 Laser	ActiveFX(TM)	Fractional Lasers	TCA Peel	Glycolic Peel	Micro- dermabrasion
Results	++++	+++	++	++	+	+
Social downtime	5-14 days	3-5 days	1-6 days	5-7 days	None	None
# Treatments	1	1-2	4-8	1	6-8	6-8
Lasting results	10 years	10 years	Unknown	1-2 years	1 Year	1 Year
Avg. total cost	$3000	$3000-$4500	$4000-$7000	$500	$700	$1000

Treatments: Glycolic acid peel, TCA peel, IPL ,fractionated lasers and, CO2 laser.

Skin Rejuvenation – Defined

Many stories of our lives leave their marks on our skin: stress lines, scars and even lines of laughter. So, the decision of skin rejuvenation treatment must be extremely personal and tailored to achieve your goals. Skin rejuvenation offers several avenues to restore freshness and vitality of youth.

Skin Maintenance and Chemical Peels

Some of us are simply interested in a refreshed look. This can be easily achieved by daily use of sunscreens and topical retinoids at night (if tolerated). Occasionally, we need to promote turnover of skin cells by targeting the top layer of skin using the time-tested method of peeling. Gentle chemical peels made of glycolic acid or more potent TCA peels can improve appearance by removing some superficial skin to erase dullness. Another method of exfoliation, microdermabrasion uses ultra-fine aluminum oxide crystals to selectively remove dead layers of skin. This process simultaneously stimulates production of elastin and collagen to effectively promote development of a firmer, more youthful looking skin.

As we progress through life, we might want ‘to turn back time’ and look 10 years younger. Fortunately, treatment options for this dramatic rejuvenation are manifold and can be tailored to one’s goals, age, lifestyle and even ability to tolerate downtime. A treatment plan may incorporate several different modalities: skin resurfacing techniques; laser removal of pigmented spots; laser skin tightening; strategic use of synthetic fillers, volumizers and Botox injections.

Skin Resurfacing for Dramatic Results

Skin resurfacing devices, like the paragon carbon dioxide (CO2) laser, effectively deliver dramatic results. They use controlled damage to trigger the skin’s healing response, a process that eventually leads to skin remodeling and improvement in various signs of aging. Laser resurfacing offers a precise, effective and long-lasting approach to skin rejuvenation. Since this technique directs short and concentrated pulsating beams of light at irregular skin, laser skin resurfacing removes skin very precisely. Specially designed pulsed CO2 lasers can vaporize skin layer-by-layer while causing minimal damage to untargeted skin tissue. While fractional resurfacing with Fraxel uses a very narrow column of light to heat layers of the skin to stimulate collagen production, the cool light of erbium laser treatments facilitate removal of uneven pigmentation and superficial roughness from aging and sun-damaged skin. Plasma resurfacing is a relatively new technology that delivers plasma, a high energy ionized gas, through the epidermis into the deeper layers of the skin where collagen production is stimulated. Indeed, CO2 lasers, erbium lasers and plasma devices can deliver dramatic results in a fractional, ablative or non-ablative manner with downtime inversely correlated to the number of treatments needed.

Active FX Treatment

Skin Tightening

Skin tightening will further enhance the effects of skin resurfacing and are built in with CO2 laser treatments. When length of healing is a concern, radiofrequency can be used to tighten the skin, albeit the results may not be as reliable or long lasting.

Skin Luminosity – Brown, Sun, and Age Spots Treatment

Luminosity of the skin has been shown to directly correlate with a youthful appearance. Most rejuvenation plans therefore incorporate removal of brown/age/sun spots. If downtime with CO2 or erbium laser resurfacing are unacceptable, treatments including a range of laser or non-laser intense pulsed light sources (IPL) may be chosen. Many skin problems of adulthood, such as fine lines, blotchiness, age spots (liver spots, dark spots), surface roughness, wrinkles, and dull, lifeless skin, can be attributed to sun exposure. The unique ability of specific lasers and IPL to specifically target pigment in the skin results in safe, effective and rapid treatment of unsightly skin lesions that have brown pigmentation.
Wrinkle Treatment – Fillers – Botox , Restylane, Elevesse, Radiesse, and others

Stubborn wrinkles and fine lines often require more help than is available at the cosmetics counter. Modern technology has provided an array of fillers and volumizers that can be used over the entire face to strategically and effectively correct static lines and volume loss. In recent years, several new skin fillers have received approval by the U.S. Food and Drug Administration (FDA) for treating facial wrinkles and are safe and effective options for combating aging skin. Wrinkles are thought to result from the loss of three crucial skin components: collagen, elastin and hyaluronic acid through external and internal ageing. Cosmetic injectables offer a variety of safe, non-invasive ways to subtly optimize one’s appearance. Injection procedures with synthetic fillers have revolutionized aesthetic medicine and made cosmetic enhancements safe, easy and affordable. Of particular interest, the synthetic fillers (e.g. Restylane/Juvederm, Elevesse, Radiesse, Artefill and Sculptra) represent a new generation of alternatives to animal-based collagens. These newer products are more versatile in their weights and densities, biocompatible and longer lasting. Injectable fillers can be used to round out wrinkles, lines, and scars, or even to subtly give the face a more desirable shape.

In certain cases, treatment plans might also take advantage of removers of dynamic lines, like Botox, and fillers for volume restoration. Botox cosmetic acts as a safe, reliable medication, which blocks the actions of certain nerves. For wrinkles this means relaxing the muscles that crease the skin or pull the skin down.

Skin Rejuvenation – Summary

Clearly, skin rejuvenation can be effectively customized to individual treatment plans by combination of different modalities ranging from laser, light and other energy-based treatments to injectable fillers, volumizers, chemical peels and other non-ablative methods. The result is a smoother, clearer and healthier and more radiant skin.

A personalized treatment plan of pertinent modalities to skin rejuvenation is a veritable route to maintain youthful vitality throughout life.