Skin Services

Our various skin treatments, sculpting, tightening and laser services exceed even the highest demands and standard in the medical spa industry.

Botox/Dysport/Xeomin


Cosmetic Denervation of Frown Lines, Forehead, and Eye Expression Lines

What is Cosmetic Denervation?

Cosmetic denervation is a ​procedure used to improve the appearance of "worry lines", "crow's feet", and other so-called "dynamic" or aging wrinkles. "Dynamic" wrinkles occur when we smile, laugh, or frown and the delicate muscles underlying the skin contract. In cosmetic denervation, Botox or other neuromodulator is injected into these tiny muscles. Neuromodulators work by weakening these tiny facial muscles. By doing so, the overlying skin will smooth out, whereas untreated facial muscles contract normally, allowing facial expression to be unaffected. Hence, those frown lines between the eyes, forehead creases, and crow's feet around the eyes can be softened.

Although cosmetic denervation is a relatively new treatment for wrinkles, botulinum toxin injections were FDA approved in 1989 and have been used safely and effectively for over a decade for many neurologic disorders. No irreversible clinical effects have been reported. Today the use of Botox, Dysport, and Xeomin has emerged as an exciting new treatment for erasing the visible consequences of aging skin.

How is Cosmetic Denervation Performed?

Cosmetic denervation is a safe and simple procedure. A small amount of diluted neuromodulator is injected with a very fine needle into several locations in the muscles of the face. Because the needle is so fine and only a small amount is injected into each site, the pain associated with the injections is usually minimal without any anesthesia. The medicine may sting during the injection and has been compared to the sting of an insect bite, but clears rapidly within minutes. You will be able to drive and engage in your normal daily activities immediately after your injections. A small number of people will have some bruising on the skin at the injection sites, which will fade over several days. Foundation may be applied if this occurs. Otherwise, there will be no visible sign of your treatment.

What are the contradictions to neuromodulators?

1. Persons allergic to human albumin or Botulinum toxin.

2. Pregnant or lactating women.

3. Those with neurological disorders such as myasthenia gravis.

4. Active infection at the injection site.

Are there any side effects?

Mild, temporary bruising may occur. The very slight droopiness of the upper eyelid occurs in about 2% of people who have frown lines injected. About 5% of people who have their foreheads injected immediately above their eyebrows may notice this effect. A much smaller number of people will notice the slight asymmetry of the lower face after injection of crow's feet muscles. These effects are usually not noticed by others and fully recover after 3-5 weeks. To minimize the possibility of such rare side effects, please be sure to follow the post-treatment instructions.

What kind of results may I expect?

If dynamic wrinkles are making you look older and more "serious", cosmetic denervation can smooth these out and give you a more youthful and relaxed appearance. However, this treatment will not improve the more common "static" wrinkles that are unrelated to facial muscle contraction, nor does it improve loose or sagging skin. Results are typically seen within 2 to 10 days of treatment. (Most patients achieve 60% to 90% improvements in wrinkles in 3-14 days). Occasionally, there is a muscle that does not respond, and a "touch-up" may be required in 2 weeks.

How long does the result last?

Initially, most people require repeat injections every 3-4 months to maintain the effect.

What instructions should I follow after treatment?

Do not rub the injection site for at least 4 hours as this may spread the solution to adjacent muscles. Do not lie down for at least 4 hours for the same reason. If you see no improvement after 2 weeks, please call us for a touch-up as some people may require higher doses to obtain the effect desired. Occasionally, someone may not respond to one neuromodulator but will have better results from a different neuromodulator.

How much will it cost?

The cost per treatment area is approximately $280.00. For example, crow's feet would be one treatment area and forehead/brow area is a second treatment area.

JUVEDERM/RADIESSE/BELOTERO


What are Dermal Fillers?

Dermal fillers are gels that are injected under the skin to fill and smooth wrinkles or add volume to an area. Hyaluronic acid is commonly used in dermal fillers but there are other synthetic substances that are FDA approved and can be used. Silicone injections are not FDA approved and are not performed at Ageless and should not be performed. Some patients may benefit from autologous fat transfer to add volume to the face and body but are not done at Ageless. We offer a variety of hyaluronic acid fillers and Radiesse® to choose from for your treatments.


Juvederm® Revanesse®, Belotero®, Restylane®: Hyaluronic Acid Fillers

These dermal filler injectable gels are made of naturally occurring hyaluronic acid which temporarily softens and fills moderate to severe wrinkles. The most common areas to treat are the cheeks, lips, marionette lines, chin, under-eye, and laugh lines. They are injected under the skin to add volume to the area being treated thereby lifting and filling in the wrinkle. The injectable gels differ in composition or concentration of hyaluronic acid by the manufacturer and these differences create treatment options for wrinkle severity, cost, and duration of esthetic effects. Our doctor will work with you to choose the right filler for your needs.


Are Dermal Fillers Permanent?

The hyaluronic acid fillers are not permanent. Your body will start to degrade and remodel them after your treatment; however, most will last at least 9 months and some up to 2 years. It is common to add touchups to your treatment areas before they completely dissolve. The touchup treatments usually do not require as much filler as a first correction treatment. Correction treatments may take 2 or more syringes.


Are There Other fillers?

Yes, there are other treatment options for dermal soft-tissue augmentation which include but are not limited to, products such as Radiesse®, Perlane®, and other synthetic products. We do have Radiesse® for use with some patients after consultation and discussion of risks and benefits. Radiesse® is not a natural-occurring product like hyaluronic acid but can give nice, cost-effective, lasting esthetic results. We do not use permanent fillers here at Ageless.


Are They Painful?

There is minimal discomfort to the injections. We will use topical lidocaine cream and ice to help you feel comfortable and the products we use contain Lidocaine. Most people do very well throughout the procedure. The actual injection procedure only takes minutes to perform and is done by the doctor herself.

You can bring a friend with you if it makes you feel more comfortable.


What Are Common Side Effects and Complications?

Most side effects are mild or moderate in nature, and their duration is usually short-lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection-site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching. Infection and discoloration are possible but very less frequent. Rare but serious complications can occur if the gel is inadvertently injected directly into a vein or artery or compresses the vasculature. We do have Hyaluronidase® to dissolve hyaluronic acid if necessary. In the first 24 hours after injection, you should avoid strenuous exercise, extensive sun or heat exposure, and alcoholic beverages. Exposure to any of the above may cause temporary redness, swelling, and/or itching at the injection sites. If there is swelling, you may need to place an ice pack over the swollen area. You should ask the physician when makeup may be applied after your treatment. Be sure to report any redness and/or visible swelling that lasts for more than a few days, or any other symptoms that cause you concern. We may ask you to come in for a follow-up visit, send in a selfie, or be able to handle your concern over the telephone.


Contraindications:

~Hyaluronic Acid dermal fillers or Radiesse® injectable gels should not be used if you have:

~Severe allergies marked by a history of anaphylaxis or history or presence of multiple severe allergies. 

~Prior allergy to the product.

~A history of allergies to Gram-positive bacterial proteins.

~Infection at the treatment site.

~Pregnancy or breastfeeding.
~Use of certain immunosuppressive medications.
~Safety in patients under 18 years of age has not been established.
~Certain collagen vascular diseases.

KYBELLA


Kybella treatments are performed under the chin to remove excess fatty tissue. It will help to define the jaw by reducing that double chin.


How does it work? Kybella is an injection of a chemical that destroys fat cells. After the procedure you will experience swelling for a few days. The results take time as your body needs to remove the damaged cells so don’t expect to see any results immediately. It may take about a month.


How many treatments will I need? Many persons will need at least 3 sessions to adequately treat the area. The sessions are spaced about a month apart.


Does it hurt? There is some mild discomfort to the injections and the injection may sting but this is only temporary. You will be given an ice pack after the treatment to help with comfort.


Are there complications? Most adverse events are mild and temporary but any time you have an injection there may be bruising, infection or allergic-type reactions. Some persons have experienced a temporary palsy of the lower face.


Do I need a consult? Yes, we will discuss your health and go over the procedure with you. We will discuss with you other options that you may wish to explore depending on your individual needs.

SKIN TIGHTENING


Ageless Medical Spa has varying skin tightening procedures to use for a customized skincare treatment plan. Skin tightening procedures all rely on stimulating your body’s natural healing and repair mechanisms. Downtime is dependent on the degree of injury that is done to the skin. Skin peels can help lighten, brighten and tighten with minimal downtime, less than one week, by exfoliating the topmost layer of skin. Radiofrequency devices, such as Evoke, Exilis, and Pelleve work by heating the skin and underlying tissues causing contraction of the collagen and stimulation of the body’s repair mechanisms. Downtime is very minimal for radiofrequency devices but they can take time to see results, up to 3 months. Our newest treatment using micro-needling with or without PRP also stimulates the body’s repair mechanism to tighten the skin. This is done by making tiny needle holes in the skin and adding growth factors to help in the body’s repair process. Intense pulsed light photo facials use light-based therapy to decrease unwanted pigmentation but in a series may also improve the tone and texture of the skin. A consultation is required to determine which type of treatment will best fit your needs and lifestyle.

IPL/INTENSE PULSE LIGHT LASER TREATMENT


What does Intense Light Treat?

The IPL provides skin rejuvenation by treating aging and sun-damaged skin. It can treat a number of brown and red-pigmented skin problems including age and sun spots, Melasma, freckles, facial veins, and Rosacea. The IPL can also be used for acne treatments, leg veins, and skin toning.


How does it work?

Intense pulsed light treatments use a broad spectrum of high-energy light to treat the pigmented areas. The light energy is absorbed by the pigment, melanin, which causes this pigment to be released from the cells. This released pigment can then come to the surface and exfoliates off as the skin cells mature. The process may take a few weeks to be completed. The treatment for red flushing or veins may be immediate or may also take a few weeks for full effects.


Does it hurt?

For most people, there is minimal discomfort. Cold compresses or anesthetic creams may be used; however, most patients do not require them. The pulses feel like a quick warm snap and last for a very short time.

What will I look like after the procedure?

Many people do not look very different immediately after the procedure. You may be a little pink/red and puffy, or notice that brown areas are darker but this should subside in 1-7 days. Your skin may feel tight or as if you had been out in the sun or wind.


What are the risks?

As with any high-energy light-based therapy it is best to avoid sun exposure before and after treatments for best results. The risks of light-based therapy include a thermal injury such as a burn and skin pigment changes. You will be asked to use a daily sunblock.


Who can be treated? People with dark or tan skin should not have intense light therapy treatments. It is safe to use on light skin. No recent use of Accutane and other photosensitizing medications. Retin A and Retinols should be discontinued prior to treatment.


Do I need a consultation? Yes, All clients need to have a consultation. We need to be sure you would benefit from the therapy and that there are no reasons not to perform the treatment. Often we can do your procedure the same day if you choose to but please let the staff know when booking your appointment so we will have the time set aside for you.

Who performs my treatment? Your treatment will be performed by Dr. Peggy Bleezarde.

MICRONEEDLING W/PRP

Automated Micro-Needling with the Eclipse MicroPen Elite is an innovation in esthetic medicine for the treatment of the appearance of fine lines and, acne scars and the improvement of the skin's texture, tone, and color. The Eclipse MicroPen Elite can improve the appearance of age spots, blackheads, and hyperpigmentation as well as exfoliate the skin. It can improve your skin tone and texture for softer younger-looking skin. 


What areas of the body can I treat:  The Eclipse MicroPen Elite can be used on all parts of the body, the face, neck, décolleté, arms, hands, legs, abdomen, and back.


How is the procedure done: First Dr, Bleezarde will apply a topical anesthetic cream such as Emla Cream to decrease any discomfort associated with the procedure.  The skin is then washed and a disinfectant is applied. A sterile cartridge containing 12 tiny micro-points is attached to the Eclipse MicroPen Elite. You can decide to do Micro-Needling with or without PRP. (Platelet-Rich-Plasma)  PRP is your own blood spun in Centrifuge which separates your blood into plasma, for which she uses on your face with the Micro-Needle to produce more collagen, you may notice a tingling feeling when your own Platelet-Rich Plasma is activated..  If you choose not to use your own plasma, Dr, Bleezarde will use Hyaluronic Acid. The Micro-needle pen will be gently pressed against the skin while simultaneously gliding in one direction until the entire treatment area has been treated.  It feels similar to light sandpaper being moved across your skin. Some areas are more sensitive than others, but the speed of the reciprocating tip makes the treatment more comfortable.  The treatment is then repeated for another 1-2 passes across the skin. Micro-needling usually takes 15-30 minutes once initiated, but factor in prep time for HA or PRP, so we will block an hour. for your procedure.


What to expect afterward:  Patients notice an immediate "glow" to their skin. You will notice redness immediately after but most patients experience that for only 24 hours and on average and 2-4 days is the healing time.  During the healing period staying out of the sun is recommended.  Visible changes to the skin develop over the course of several weeks and continue up to 6 months.  You will leave with an Epionce SkinCare Kit to use post-treatment.  Multiple treatments may be required but Dr. Bleezarde will let you know the best course of treatment is based on your skin concerns. They are usually done in 6-8 week intervals..  


Side Effects: You will likely experience mild to moderate swelling and redness of the treated area, which may last 12-24 hours. Ice or cold compresses may help if swelling occurs.  In rare cases, skin infections may happen but should be easily treated with an antibiotic. You will be given a prescription for an anti-viral if you have a history of cold sores.

SKINMEDICA REJUVENIZE PEEL

SkinMedica Rejuvenize Peels address the visible skin imperfections that result from skin aging and sun exposure, such as fine lines and wrinkles, uneven skin tone, and texture. Peels also address skin tone unevenness that can be caused by acne scarring or pigmentary changes. This peel can be used not only on the face but the chest and sides of the neck, but not the throat area.

The Rejuvenize Peel is appropriate for patients with moderate to severe skin imperfections that result from skin aging and sun exposure, such as fine lines and wrinkles, uneven skin tone, and texture.  Multiple treatments may be required to achieve desired results. The number of treatments is based on the initial level of skin damage and can vary from 3 to 6.  The complete treatment is expected to take 45 minutes, which includes ample time to address any questions you may have, and a discussion on your post-peel care. The actual application procedure is approximately 20 minutes. Tolerance to the procedure varies from patient to patient. Tingling or burning sensations are normal and expected reactions. A handheld fan can be used during the procedure to minimize discomfort, which usually subsides in a few minutes. 


WHAT TO EXPECT: Immediately after the peel and for up to 24 hours:

  • The skin may be tight and redder than usual.
  • The skin may feel tacky and have a yellow-orange tinge but it is temporary and will fade in a couple hours.
  • The patient should wait until bedtime to wash their face.
  • The patient should avoid strenuous exercise the day of the procedure and while peeling.

24 hours after the peeling is complete:

  • The skin may be tight until the skin starts to peel
  • Peeling will generally start between 48-72 hours after the procedure and last 2-5 days.
  • DO NOT pick or peel the skin.
  • Do an after-care regimen recommended by the doctor.

After the peeling is complete:

  • The patient may resume regular use of Retin-A, retinol, and AHA products.
  • The patient can proceed with other facial procedures once the peeling is complete.

CONTRAINDICATIONS: 

  • Active cold sores or infections
  • Accutane use within the last year
  • Allergy to salicylates like aspirin
  • Women who are pregnant, planning to become pregnant, or are breast-feeding
  • Patients with history of autoimmune disease should discuss it with MD

ELOS HAIR REMOVAL


Laser Hair Reduction


Laser is a convenient way to permanently remove unwanted facial and body hair. We use an Elos System with a Diode laser. The light emitted from the laser is attracted to melanin, which is the pigment in the hair. The light energy is transferred into heat energy at the hair follicle causing permanent damage to the hair root.


Which hair will the laser target? The hair needs to have enough pigment in it for the laser to see the hair. White, gray, red, and light hair are not able to be treated with the laser as there is not enough pigment for the laser to target.

Who can undergo laser treatments? Candidates for laser hair removal have light skin, no tan and dark unwanted hair. There are medications and conditions that would exclude you from laser therapy therefore you will need a consultation before your treatment begins.


How long does it take to permanently remove hair? The procedure itself only takes a short time but it will take a number of sessions to complete the process. Many persons will need six sessions, occasionally more or less. The sessions are done at different intervals depending on the body area being treated, usually 4-6 weeks apart.


Does it hurt? The treatments may feel like a rubber band snap as the laser is pulsed. Most persons do not require numbing creams but the doctor may prescribe one for you if you are uncomfortable during the treatment. This discomfort is temporary and usually resolved before you leave the office.


Are there complications? The complications are usually mild and resolve quickly but more serious reactions may occur. There is a risk of burning the skin or increasing/decreasing the skin pigment but this has been uncommon. Dr. Bleezarde has been using different forms of lasers for over 20 years.