Wrinkles & Lines

A wrinkle is a fold, ridge or crease in the skin. Skin wrinkles typically appear as a result of aging, habitual facial expressions, sun damage, smoking, poor hydration, and various other factors.


Chemical Peels

A chemical peel is a technique used to improve and smooth the texture of skin using a chemical solution that causes the outer layers of skin to peel. The regenerated skin is usually smoother, less wrinkled, and less pigmented than the old skin. The most common uses of chemical peels are to aid in the reduction ofwrinkles, reduce unevenpigmentation and brown spots, aid in the control of acne and improve texture of skin.

ALPHA HYDROXY ACIDS (AHAs) are naturally occurring organic carboxylic acids such as glycolic acid, a natural constituent of sugar cane juice, and lactic acid, found in sour milk and tomato juice. This is the mildest of the peel formulas and produces light peels for treatment of fine wrinkles, areas of dryness, uneven pigmentation and acne. Alpha hydroxy acids can also be mixed with a facial wash or cream in lesser concentrations as part of a daily skin-care regimen to improve the skin's texture.

BETA HYDROXY ACID: It is becoming common for beta hydroxy acid (BHA) peels to be used instead of alpha hydroxy acid (AHA) peels due to BHA's ability to get deeper into the pore than AHA. Studies show that BHA peels control oil, as well as acne and removes dead skin cells to a certain extent better than AHAs due to AHAs only working on the surface of the skin.

JESSNER’S PEEL: Jessner's peel solution is 14% salicylic acid, combined with lactic acid, and resorcinol in an ethanol base. It is thought to break intracellular bridges between keratinocytes. It is very difficult to "overpeel" the skin due to the mild percentages associated with the acid combination.

RETINOIC ACID PEEL: Retinoic acid is derived from retinoids; which is denatured vitamin A. It is chemically similar to Retin-A. This is a deeper peel than the Beta Acid peel and is used to reduce the appearance of scars as well as wrinkles and pigmentation problems. It is usually performed in conjunction with another peel which is done first in order to open up the skin so the retinoic can penetrate on a deeper level.

TRICHLOROACETIC ACID PEEL (TCA) is used as an intermediate to deep peeling agent in concentrations ranging from 20-50%. Depth of penetration is increased as concentration increases, with 50% TCA penetrating into the reticular or upper dermis. Concentrations higher than 35% are not recommended because of the high risk of scarring.

Skin Medica Line Of Peels

ILLUMINIZE PEEL™ is non-invasive very superficial chemical peel utilizing a novel approach to chemical peeling with a newer generation of alpha-hy`droxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation. Illuminize peels increase skin glow and radiance, tighten the skin and restore a more youthful appearance, improve clarity, color and skin texture. Patients achieve enhancement of skin appearance with minimal downtime and discomfort. These peels are appropriate for first-time chemical peel patients or patients looking for a gentle, very superficial peel. They may be performed on Skin types I- VI with little or no visible peeling.

VITALIZE PEEL™ helps fight the effects of time, sun damage, and environmental assaults. This powerful yet non-damaging peel can take years off aging skin. Vitalize peels address various skin conditions, such as pigmentation abnormalities, post-inflammatory hyperpigmentation, melasma, and photodamage, and achieve visible improvement after one treatment. Significant results may be seen after a series of treatments. They may be performed on Skin types I- VI with little or no or down time. Vitalize peels combined with Retinoic acid creates more exfoliation than other chemical peels and is well tolerated.

REJUVENIZE PEEL™ are an advanced formulation of peeling agents, with a built-in anti-irritant and penetration enhancer that provides controlled exfoliation of the uppermost damaged layers of the skin to reveal fresher and healthier skin. It provides predictable results with minimal down time and is effective for use on skin with sun damage, melasma, pigmentary changes and acne scarring. Recommended for Skin types I-VI and can be used on skin types V-VI after the patient has established tolerability to Vitalize Peel, or with physician consent.

A novel synthetic surfactant, Isoceteth-20, creates more uniform peeling while controlling penetration of salicylic acid, and therefore reduces skin irritation associated with the stronger chemical peels without diminishing peeling effect.

ENERPEEL EL is a gel-based skin remodelling solution that is especially designed for these sensitive areas, allows you to achieve similar results as you would with a high strength acid, thus limiting and controlling any irritation and reddening of these sensitive areas and receiving a significant increase in skin firmness around eyes and lips, decreasing fine lines and wrinkles. You also have a noticeable reduction in moderate hyperpigmentation and dark circles around eyes.

NEOCUTIS NEO-PEEL with MELAPLEX® technology combines glycolic acid with skin brightening agents to target the signs of photoaging. Lines and wrinkles, Uneven tone and texture, Brown spots and skin discolorations.

MELAPLEX® is a proprietary skin brightening complex consisting of four ingredients to address unwanted skin discolorations from a new perspective. MELAPLEX® targets an enzyme important in melanin pigment production, works to block transfer of the melanosome into keratinocytes, and helps minimize sun induced melanin formation. By addressing pigment formation at multiple steps, MELAPLEX® helps reduce the appearance of skin discolorations and visibly brightens skin tone.


Botox combats wrinkles that are created when nerve cells within the muscles beneath the skin release a chemical called acetylcholine. This chemical triggers a muscle contraction that creates wrinkles. The Botox product, medically known as Botulinum Toxin Type A, is an injectable compound that disrupts the release of acetylcholine, which essentially paralyzes the muscle and stops the contraction. Results are fully evident within one week after treatment and remain for a minimum of three months.


Dysport combats wrinkles that are created when nerve cells within the muscles beneath the skin release a chemical called acetylcholine. This chemical triggers a muscle contraction that creates wrinkles. The Dysport product, medically known as abobotulinum Toxin Type A, is an injectable compound that disrupts the release of acetylcholine, which essentially paralyzes the muscle and stops the contraction.

*individual results may vary*

CO2RE Fractional CO2 System

CO2RE is the versatile fractional CO2 system that enables your physician to precisely target and effectively treat the skin’s surface, middle and deep dermal levels, plus perform traditional CO2 resurfacing and laser excision of lesions. This treatment is lighter, faster, and a more versatile solution for skin resurfacing, traditional ablation and minor dermal excisions. CO2RE has the ability to treat both superficial and deep skin layers simultaneously with precision-control over the intensity, pattern and depth of ablation. Experience dramatic improvement in skin tone & texture, sun-damaged skin and age spots.

How do I know if CO2RE treatments are right for me?
Ideal candidates for CO2RE are in their 30’s or older with skin damaged by exposure to the sun, age spots, fine lines, discoloration, rough texture and other skin imperfections. It is ideal for anyone seeking younger looking skin without the long downtime associated with conventional resurfacing procedures.

What is the CO2RE procedure like?
You can expect some moderate discomfort during the treatment, but the anesthetic applied prior to the procedure typically makes any discomfort tolerable. For more aggressive, higher powered treatments, your practitioner may recommend a subcutaneous anesthetic, oral pain relievers and/or sedatives during the treatment session. Over-the-counter pain relievers may be taken in the days after the procedure to alleviate any residual discomfort.

Is CO2RE safe?
Yes. You should speak with your practitioner about your complete medical and skin history to minimize the potential for any negative reactions.

How many CO2RE treatments will I need?
Generally you will see the difference you want after only one treatment and maximum results with three treatments. In the days after the treatment your skin will gradually look softer and smoother. The age spots and uneven textures will start to show immediate improvement.

How long will the results last?
The durability of CO2RE results approaches that of surgical procedures. However, there are a number of variables that will determine how long you can expect the results to last, including your health, age and how you care for your skin after treatment.

What can I expect after my procedure?
Immediately following the procedure you can expect a sensation similar to a sunburn, lasting several hours. You can expect peeling of dead skin from the treatment area. This is a natural exfoliation process that may last 7-10 days.

Do I need to take any special precautions after treatment?
Your practitioner may recommend a short course of antibiotics to minimize any risk of infection. Use of a moisturizer and sunscreen is recommended during the healing process and for the weeks and months following treatment.

Are CO2RE treatments covered by insurance?
Most insurance companies do not offer reimbursement for cosmetic and aesthetic procedures. Please consult your insurance carrier for more details.

How much do treatments cost?
Cost depends on the area being treated, the condition being treated, and the aggressiveness of the treatments themselves. Speak with your doctor to create a treatment plan to meet your personal needs.

*individual results may vary*


Photorejuvenation is a skin treatment that uses lasers, intense pulsed light, or photodynamic therapy to treat skin conditions and remove effects of photoaging such as wrinkles, spots, and textures. The process induces controlled wounds on the skin, prompting it to heal itself by creating new cells.



Microneedling is a minimally invasive collagen induction, skin rejuvenation treatment. A device with fine needles creates tiny punctures in the top layer of the skin, which triggers the body to create new collagen and elastin. Results can include improved texture and firmness, as well as a reduction in scars, pore size and stretch marks.


Microneedling with PRP

When PRP is used with microneedling, it penetrates your skin through the tiny channels the microneedles create. The PRP supercharges the microneedling benefits. PRP also addresses under-eye puffiness and dark circles to give you a more youthful, well-rested appearance. Since PRP is derived from your own blood, the side effects are virtually eliminated.


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