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January 2007

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Combination Therapy for Middle-Aged Faces
Skin Rejuvenation using StarLux Fractional Laser, Hylaform, Juvederm and Botox

For some women, the 30s and 40s are almost more distressing than the years beyond -- at least where their complexions are concerned. They see themselves in an alarming decline. Their features and skin type happen to be particularly sensitive to the early signs of aging.

During this period the skin's underlying supporting structures and subcutaneous tissue begin to thin out. Already narrow cheeks can take on a hollow look, thinnish lips can get a pinched quality to them, certain kinds of skin texture can become coarse. These women wonder if they'll ever be able to exude a radiant glow again.

Not Candidates for Facelift
This population isn't ready for facelifts. They don't have "neck issues." There's no advanced muscle laxity. But they know they need something. The standard rejuvenating treatments - facials, massages, vacations, microdermabrasion, peels, and so forth -- just don't cut it any more.

For this population, I've discovered a trio of treatments that - taken together - restore a rested appearance. This combination therapy can ease lines and wrinkles, restore volume, improve skin texture and bring back that inner glow. And there's no surgery involved.

The Problem is Threefold
I came upon this cocktail for the skin by isolating each of the problems that add up to the prematurely tired, hollow look:

  • Loss of collagen and elasticity
  • Early deep wrinkles
  • Exaggerated muscle tension

Since the condition has 3 identifiable sources, it makes sense to attack it from 3 different angles, using 3 different modalities. The following trio of treatments is showing extremely positive results on these skin rejuvenation candidates:

  • StarLux Fractional technology for stimulating collagen growth
  • Hylaform or Juvederm (fillers)
  • Botox (a muscle relaxer)

StarLux Fractional for Deep Tissue Remodeling
StarLux Fractional is the most advanced Skin Rejuvenating System on the market. It sends energy deep below the epidermis, penetrating the dermis where collagen is produced. Collagen, as you probably know, is the substructure that adds volume and fullness to the upper layers of your skin.

As soon the fractional energy is absorbed, your body begins the natural process of replenishing its collagen layer. As the collagen builds, the skin takes on a firmer appearance. Deep wrinkles soften and contours become more rounded.

Less Painful Than Earlier Methods
Because this system sends energy only to the intended target, it's less painful than earlier technologies that also heated the surface of the skin.

Most people report little or no pain, and treatments only take 45 minutes. You can return to your normal life immediately - there's no down time. Improvements take place gradually over the next few months as your body slowly lays down fresh, resilient new layers of collagen.

Hylaform and Juvederm - Filling Deep Wrinkles
Now that the supporting layers of your skin are replenishing their collagen, we focus on the surface of the skin.

There I target your deeper lip lines, thinning lips, nasolabial folds and other interruptions in the smooth surface of the epidermis. Hylaform and Juvederm have become the gold standards for treating these imperfections. These non-animal fillers made of hyaluronic acid (a substance that naturally occurs in the human body) can erase folds around the mouth, plump furrows, frown lines and crow's feet, and even soften hollows under the eyes.

Both fillers are biodegradable, so they integrate into dermal tissue and maintain volume without leaving any residue.

Botox - The Final Touch
We're almost finished. Your deep wrinkles have been filled in, and underlying volume is growing every day.

But what about the muscles that have created all these wrinkles in the first place? What about the tension that subtly pulls the eyes toward the middle of the face and results in that worried, pinched look?

Botox, the miracle injectable, adds the final touch. This neurotoxin relaxes the underlying facial muscles, restoring proportion to your features and evening out the small, subtle wrinkles that take away from an open, untroubled look - the look that we call "radiant."

It Takes an Expert
Proper training is essential in performing this combination treatment. The person doing the treatments must be able to tell by looking at you just what proportion of each treatment is necessary. The techniques are only complementary when they are deployed in the correct proportions to each other.

Because this therapy requires so many judgment calls, I do all of it myself. I never hand you over to non-physician personnel for the delicate rejuvenation procedures we've developed in-house. That's the Lawler Centre difference - personalized care from a qualified M.D. Unlike many cosmetic practices, ours doesn't fatten the bottom line by short-changing the patient.

Step by Step

  • I start with Botox injections, which are completed at one office visit. A number of tiny injections and you are on your way. You'll see deep lines fading and your upper face regaining its proper proportions as the Botox takes effect over one week.
  • Next, I'll administer a series of fractional treatments, usually 3 - 4 treatments, 4 weeks apart. (Fractional works best when the skin is given multiple signals to re-grow collagen.) Few changes are apparent after the first 2 treatments, but by the 3rd session you will typically see your skin tightening, and wrinkles fading.
  • Finally, I can do your Hylaform/Juvederm treatments in one session after your last fractional visit. (It's best to delay filler injections until your fractional results are in). A few days after your last visit, your results will come together. These are powerful rejuvenators by themselves, but in combination they really pack a punch.

Gradually, with No Downtime, a Younger You
In just a couple of months, with no downtime and no surgery, you can get the next best thing to a facelift. What could be better? If you have any doubts about the efficacy of my technique, come in for a consultation. I'll show you some results others have gotten. After you see the photos, you can decide for yourself.

www.lawlercentre.com