REDEFINE YOUR RELATIONSHIP WITH THE MIRROR

Despite all the jars and bottles in your bathroom, you just can’t seem to put on, rub in or lightly spritz the younger looking face that you want. Sure, you could get a face lift, but surgery seems so extreme—and besides, with your schedule, you simply can’t afford the downtime.

When lotions and potions aren’t enough and a face lift is too much, a Thermage Face Procedure is the perfect solution. Thermage helps smooth and tighten your facial skin, while redefining the natural contours of your face—all in a single treatment with little to no downtime. So before long, you’ll love what you see in the mirror.

What the face procedure treats:

• Sagging skin
• Loose jowls or lack of definition in jaw line
• Sagging skin under the chin (“turkey neck”)
• Wrinkles and fine lines around the mouth, eyes or forehead
• Lack of definition in lips

Natural looking results:

• Smoother, tighter skin with less sagging
• Redefined contours along the jaw line and under the chin
• Softening of wrinkles and fine lines
• Reduction of excess skin under the chin
• Fuller lips with improved definition

The Thermage Face Procedure averages about 45 minutes, and you can reapply make-up and return to routine activities right after treatment.

GET BACK THE BODY YOU USED TO KNOWget rid of your wings!

Truth is, as your skin ages, your collagen breaks down faster than your body can rebuild it—which often results in unwanted sags, bulges and wrinkles. But Thermage can help renew your body’s collagen to firm, lift and contour your skin. With no surgery, no injections, and little to no downtime.

In other words, with Thermage, you can celebrate the return to your younger looking shape. Thermage can help you get back to your pre-pregnancy jeans, get a handle on the love handles, address that thin layer of skin you just can’t seem to shake, and tighten and lift all over.

What the body procedure treats:

• Wrinkled, crepey or sagging skin on the tummy, knees, arms, legs, hands or buttocks
• Sagging skin or unwanted bulges after pregnancy or weight loss
• Love handles
• Thin, loose, crepey skin on hands
• Appearance of cellulite

Natural looking results:

• Flatter, smoother skin on the tummy, knees, legs, arms, hands or buttocks
• Tightening, firming and lifting of love handles and unwanted bulges
• Softened wrinkles above the knees and elsewhere
• Reduction of crepey skin on the arms and other areas
• Thicker, smoother skin on the hands
• Smoothed dimples for temporary improvement in the appearance of cellulite

The Thermage body procedure takes anywhere from an hour to 90 minutes, and you can return to routine activities right after treatment

 Fillers =

Restylane / Perlane, Radiesse, Volence, Juvederm Sculptra.

What is RESTYLANE? A natural beauty lift

Impressions of beauty change with time - as do our faces as we age. With RESTYLANE, you can have a natural beauty lift with the body's own material. RESTYLANE is a crystal-clear, non-animal, biodegradable gel based on a natural substance, called hyaluronic acid. The gel is injected into the skin in tiny amounts with a very fine needle. The result is instantaneous and produces a long-lasting, natural enhancement, gentle and safe to your skin.

Natural beauty. Made in Sweden

RESTYLANE is made in Sweden, a nation known for health, nature and beauty. Since 1996, more than a million people have been successfully treated in more than 60 countries worldwide.

Designed to match your skin

RESTYLANE is available in three tissue-tailored variants, each specially designed for a particular different purpose and effect such as smoothing out tiny lines, shaping facial contours or sculpting lips to perfection. The difference between the products is the gel particle size. To achieve the optimal result, your practitioner chooses the product, or combination, that best matches your skin and personal needs.

• RESTYLANE is intended for wrinkle correction and lip enhancements. 
• RESTYLANE Touch is used for correcting thin superficial lines, around the mouth, for example, forehead lines and smile lines.
• RESTYLANE Perlane can be used for shaping facial contours, such as cheeks and chin, correcting deep folds and for the volume augmentation of the lips.

Depending on the effects you wish to achieve, the initial treatment is best maintained with occasional follow-up treatments.

RESTYLANE vs. other treatments

How does a treatment with RESTYLANE differ from injections with other products? This comparison chart will answer the question.

Description Procedure Safety Duration Botulinum Toxin Type A Botulinum Toxin Type A is a toxin that blocks neuromuscular transmission when injected in tiny amounts into specific muscles to treat and improve lines and wrinkles associated with facial expression. Manufactured under the names of Botox© and Dysport© Botulinum toxin is injected in minute quantities. It blocks the nerve impulses to the facial muscles responsible for contraction, thereby relaxing the muscles and smoothing facial lines. It is most effective on frown lines and crow's feet around the eyes. Accurate dosing and precise positioning are critical in order to freeze the right muscles just enough. The treatment takes about 30 minutes and the effect of a treatment can be seen within 1 - 2 weeks. The long-term risks of botulinum toxin are unknown. Redness may occur, as well as bruising, numbness, swelling and headaches. If overdosed or the injection is performed incorrectly, the patient can be left with an immobile face or droopy eyelids until the effect of the injection wears off. The result lasts for about four months. Collagen treatment Collagen is derived from the hides of cows specially bred for the purpose. Collagen can also be derived from pig skin. Because collagen is an animal product, a collagen test skin implant is administered to determine whether the patient is allergic to the implant, four weeks prior to the treatment. Collagen is manufactured under many names, two of which are Zyderm and Zyplast. Collagen can be injected under the skin to fill lines and wrinkles. It is also used for lip enhancement. The treatment takes less than an hour. Redness and swelling may occur. Allergic reactions are possible in 3-4% of patients. The effect normally lasts for three to four months. Stabilized Non-Animal Hyaluronic acid gel (NASHA) Hyaluronic acid is a substance that exists naturally in the body. Its most important function is to carry and bind water. Non-animal, stabilized hyaluronic acid (NASHA) does not contain animal protein and does not require a skin test prior to treatment. NASHA is a unique form of hyaluronic acid, manufactured under the name of RESTYLANE. RESTYLANE is designed for different purposes and effects, from reducing wrinkles and folds to enhancing facial contours and sculpting lips. The treatment often takes less than half an hour. Injection-related adverse reactions such as swelling, redness and tenderness might occur. Other adverse reactions are very rare. The result is immediate and can last from 6 - 12 months, depending on the patient and the area that is being treated. Wrinkle treatment tends to last from 6 - 12 months and lip enhancement for around 6 months. Other Hyaluronic acid products In addition to RESTYLANE, a range of hyaluronic acid treatments is available. Some of these products are derived from cockscombs bred especially for this purpose. Hyaluronic acid is manufactured under the names of Hylaform, Juvederm, Rofilan and AcHyal. Hyaluronic acid is used to treat lips, wrinkles and facial lines. The treatment takes less than an hour to perform. Swelling, redness and tenderness may occur at the site of injection. The duration varies depending on the type of product, the condition of the patient and the area being treated. Permanent/semi-permanent skin implants Permanent and semi-permanent skin implants contain a range of different synthetic ingredients to make the product last longer. Permanent and semi-permanent skin implants are manufactured under the names of Artecoll, Dermalive, NewFill, Evolution, Outline and Amazingel. These products are used to fill lines and wrinkles and to augment lips by injection. Some of the products require at least two treatment sessions. For some of the products, very little or no safety data at all are available. Immediate reactions include redness and swelling at the injection site. Longer-term reactions are also known to occur over time. They include permanent redness, inflammation, lumpiness, skin discoloration or granulomas. The duration differs between the products. Some claim to last for ever, while others offer a sustained improvement for up to twelve months. Fat injections / liposculpture Fat injections or liposculpture are performed using the patient's own fat cells (autologous fat) taken from unwanted fat deposits. There are many variables in this treatment, including the way the fat is extracted, whether frozen or fresh fat is used, the area that is injected, the amount of fat that is used and how deeply the fat is injected. The fat is injected under the skin to treat hollow cheeks, to enhance lips or cheeks or to treat deep folds. The procedure is performed under local anaesthesia and can take from less than one hour to several hours.

GIVE A LIFT TO TIRED LOOKING EYES

Do you look tired even though you’re not? Do people think you were out late last night when you were actually in bed by 9pm? From under eye bags and sags to crow’s feet and puffy eyelids, some eye conditions can make you look more tired and older than you really are.

The good news: Thermage is a great sight for tired looking eyes. The non-invasive Thermage procedure helps smooth and tighten skin around the eyes and eyelids—for eyes that look younger, lifted and more awake. All with no surgery, no injections, and little to no downtime. In fact, Thermage has the industry’s first and only FDA clearance for non-invasive eyelid treatments.

What the eye procedure treats:

Natural looking results:

• Brighter looking eyes that appear more lifted and less tired
• Smoother, tighter skin around the eyes
• Reduced under eye sagging and tauter contours around the eyes
• Reduced hooding to reveal more of the eyelid
• Softening of wrinkles and fine lines

                     before                                  after

CLENZIderm M.D.™ Systems 

                   Penetrate to the root of acne to clear skin fast

Obagi CLENZIderm M.D. Systems are the only prescription-strength acne treatments that contain a patented, solubilized form of 5% benzoyl peroxide (BPO) to penetrate deep into the follicle and treat acne where it starts.

DeepFX 

CO2 Fractional Laser Treatment

          Benefits of DeepFX

• Results in a single treatment
• Minimal downtime
• Improves scars, wrinkles and texture
• Deep dermal stimulation
• Dramatic results

As we age, changes deep in the dermis accumulate leading to visible signs that include fine lines, deep wrinkles, texture irregularites and scarring.  To adequately treat these problems, treatments need to reach the deep layers of your skin and renew the collage foundation.  Previous treatments produced great reults but were limited in appeal due to length recovery times.  With the NEW fractional DeepFX treatments, Dr. Welch is able to treat the deep layers of your skin, but keep downtime to a minimum.  Now, deep wrinkles, skin texture and scares are dramatically improved after just ONE TREATMENT.

What is DeepFX?

DeepFX is a revolutionary fractional laser technology for aged, sun-damaged or scarred skin. The low-downtime procedure uses fractional CO2 laser microbeams to precisely target the deep dermal layers of the skin.  This stimulates a cascacde of healing responses that leads to tissue regenreation and new collagen formation throughout the entire treatment area.  And because only a fraction of the skin is actually touched by the laser, healing time can be limited to just a few days.

Power, Speed and Versatility

Power
With 240W of pulse power to tissue, the UltraPulse is 6 times more powerful than any other CO₂ laser available. The first CO₂ lasers delivered energy in continuous waves. These lasers could not produce very high peak powers for sustained periods, and therefore had limited pulse energy. As a result, charring often occurred when attempting to resurface tissue with practical spot sizes.

240 Watts of power allows the Ultrapulse to
treat with safe and effective pulse durations that are less than 1 millisecond

Speed
Speed comes twofold with the UltraPulse.  First the UltraPulse has the highest pulse power and energy of any fractional CO₂ system marked today.  This lends itself to minimal time on tissue, which results in lower collateral thermal damage reducing patient pain and complications.

In addition to the benefit of a short pulse, the scanner has a capability to produce 6oo treatment spots per second and can treat up to a 10mm x 10mm area.  
The high pulse power also allows the UltraPulse to go up to a 1.3mm treatment spot for the ActiveFX superficial fractional and conventional ablative procedures.

Versatility
The UltraPulse is the most versatile CO₂ laser system available.  It is capable of offering the full range of fractional resurfacing: DeepFX offers a small, deep spot microablative treatment and ActiveFX offers a large, superficial spot treatment.  DeepFX and ActiveFX can be combined to form TotalFX, for total outcomes in the treatment of scars, fine lines, texture, dyschromia and deep wrinkles.

Complete control of depth per spot, density of scanned spots, spot shape, and pattern size make this system an extremely versatile machine. 
In all, the UltraPulse has 34 cleared FDA indications for Aesthetics

DYSPORT® (abobotulinumtoxinA for Injection).

What is Dysport?

Dysport is a prescription injection for temporary improvement in the look of moderate to severe frown lines between the eyebrows (glabellar lines) in adults less than 65 years of age.

Dysport is a simple, effective, non-surgical treatment that works by relaxing facial muscles, thereby reducing and smoothing away frown-lines and wrinkles. Dysport, like Botox Cosmetic® is a protein extracted from the bacterium Clostridium Botulinum. The Dysport protein was initially used for the treatment of motor disorders and various kinds of involuntary muscular spasms, including cerebral palsy.

Dysport was originally to be licensed in the United States under the brand name Reloxin. Most articles pertaining to this drug in the United States referred to it as Reloxin. The FDA mandated that the drug be branded under its original name, Dysport (rather than Reloxin) prior to its April 2009 FDA approval

Wrinkles are not only age related. Frown lines are “dynamic”—they happen because of the way a person’s face moves. Because frown lines are created by facial movements such as frowning or squinting, they may develop even in younger adults. Dysport is used to treat moderate to severe frown lines in adult patients less than 65 years of age.

The muscles above and between the eyebrows contract and tighten, and can cause wrinkles. Dysport blocks the nerve signal that causes these facial muscles to contract. This ultimately results in a localized reduction of muscle activity in the treated area and temporarily stops the contraction of these muscles.

How does Dysport work?

With just 1 injection into each of 5 points between and above the eyebrows, Dysport stops the signal from the nerve to the muscles, ultimately resulting in a reduction of muscle activity and temporarily preventing contraction of the muscles that cause frown lines.

Injection sites for Dysport

The untreated facial muscles still contract normally, allowing you to freely show facial expressions, such as smiling, in untreated areas

Clarisonic improves the appearance of skin tone and reduces the appearance of pore size

Clarisonic is the sonic technology proven to gently yet effectively loosen dirt and oil to clear your pores. The Clarisonic Cleansing System uses a patented sonic frequency of more than 300 movements per second to clean, soften and smooth your skin. In just 60 seconds a day, the Clarisonic micro-massage action cleans more than twice as effectively as manual cleansing.

Clarisonic Sonic Cleansing Benefits

• Removes 6x more makeup than manual cleansing
• Leaves skin feeling and looking smoother
• Cleanses so well that products absorb better
• Gentle enough for twice daily use
• Helps reduce oily areas, dry skin patches and blemishes
• Helps reduce the appearance of visible pores
• Reduces the appearance of fine lines and wrinkles

  Kevin Welch, M.D. & Welch Skin Care