This 58 year old woman has been using physician supervised prescription grade skin care for eight months. Note the reduced dark sun spots at the jaw line, the softness of the cheek folds and the smooth texture of the cheek skin.

Seen better in real life are the rosy glow and the loss of the sallow color of the flattened surface cells. Both of these effects came from the consistent use of a skin care system that included prescription strength tretinoin, exfoliants, and hydroquinone.

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This 57 y/o woman was unhappy with the heavy lines around her mouth. The photos were taken immediately before and after the injection of 2.0 ml of Restylane dermal filler. The various fillers have specific characteristics of viscosity. Longevity, graininess, etc. so the exact choice is discussed with the patient.

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These photos were taken before three vials of Sculptra® were injected deeply under the dermis and down to the cheek bones. The Sculptra® stimulates collagen growth in about three months, and builds up the cheek bones, lifting the cheek skin, improving the sagging jowls. The Sculptra® also builds collagen in the skin which tightens the skin. The after photos are taken two years later. These photos are courtesy of Dermik®.

I have been using Sculptra® since 2007 and getting fantastic results, because it addresses the absorption of cheek bones and loss of strength and thickness of skin.

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For an immediate effect, a filler will be used. These injections last about four to twelve months. These photos are courtesy of Restylane®, note how the nasolabial lines down from the nose, are markedly improved. They take off about five to ten years.

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These are my personal results showing the immediate plumping of the lip. Note that the look is natural, not over done. This is what the patient wanted.

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