Our Services
Botulinum Toxin A
Botulinum Toxin A is a substance derived from the bacterium Clostridium botulinum, one of the most potent toxins in existence. Botulinum injections work by blocking chemical signals from nerves that cause muscles to contract. This prevents the injected muscles from tensing up, which can relax and soften wrinkles.
Botulinum products are most commonly used to treat facial wrinkles, such as frown lines, crow's feet, and forehead lines. The effects of Botulinum injections are temporary and can last anywhere from three to twelve months, depending on the product used and the area being treated. The effects become noticeable in two to three weeks (or sooner, depending on the product).
Botox is the most famous brand, but other brands of Botulinum toxin exist. These include Xeomin, Jeuveau and Dysport. Each brand has its own unique features.​​
Areas Treated
The Glabella
The glabella is the area of skin between the eyebrows and above the nose. Treating the glabella region with Botulinum toxin treats the frown lines between the eyebrows, commonly referred to as "Eleven Lines". It also elevates the height of the eyebrows, by allowing the forehead muscles to pull the relaxed eyebrows upwards.
Crow's Feet
Crow’s feet are pronounced lines at the outer corner of the eyes. They are one of the first signs of premature aging skin because the skin around the eyes is the thinnest.
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Crow’s feet appear due to the activity of muscles around the eyes, which move when we laugh, smile, squint, etc. When the skin is young, the wrinkles are visible only when we make these facial expressions. However, as we age, the levels of collagen and elastin decline, and wrinkles remain visible even after the muscles stop contracting.
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Several factors accelerate collagen decline and the formation of crow’s feet. They include:
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Sun exposure
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Smoking
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Alcohol
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Chronic stress
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Inadequate skin care
Other Facial Areas
Horizontal Forehead Lines
These horizontal lines can form across your forehead, usually caused by raising your eyebrows repeatedly over time.
"Bunny Lines"
These wrinkles appear on either side of your nose when you scrunch up your face, and they can be treated with Botulinum toxin injections in the bridge of the nose to smooth them out.
Lipstick Lines (Smoker's Lines)
Small vertical lines can develop above your upper lip. They are often referred to as "Smoker's lines" or "Lipstick lines" and can be treated with Botulinum toxin injections in the area between the nose and upper lip, giving the lips a more youthful appearance
Jawline
Botulinum toxin can be injected into the muscles along your jaw for a more defined jawline, resulting in more relaxed facial muscles and a slimmer appearance.
Neck
Botulinum toxin can improve the appearance of Platysmal bands or “turkey neck” by relaxing the muscles in this area. It can also help to reduce the appearance of a double chin.
Chin
A small amount of Botulinum toxin injected into the chin can help reduce the appearance of a double chin and give the skin a smoother, tighter appearance.
Corners of the Mouth
Botulinum injections at the wrinkles at the corners of the mouth (sometimes called “Marionette lines”), can help soften them by relaxing the muscles in that area.
Dermal Fillers
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Many HA products have been approved in the US for the treatment of wrinkles including: Juvederm,
Revanesse and Belotero. Each of the HA dermal fillers has distinguishing characteristics. For example, Belotero and Juvederm are the softest and best for the body of the lips and large areas such as the cheeks, but Belotero is best used for superficial lines such as crow’s feet and smoker's lines around the mouth.
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Dermal fillers are an injectable treatment that contain a modified form of Hyaluronic Acid (HA). They are made from a synthetic form of hyaluronic acid, a naturally occurring substance found in the skin that helps maintain hydration and volume. Treatment with dermal filler products by a licensed specialist provide long-lasting, natural-looking results. Plus, fillers that use HA have been a top choice for patients—over 90% of patients treated with dermal fillers receive an HA dermal filler. Using HA injections in the skin may help prevent some of the signs of skin aging. HA can be broken down within hours using an injection of hyaluronidase- a naturally occurring enzyme- therefore the results are completely reversible.
You should plan not to have any important social events for a week after dermal filler injections in case of bruising or swelling. If bruising does occur, it can take 7-10 days to resolve. To prevent bruising, patients should discontinue using the following:
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NSAIDs such as Aspirin, Ibuprofen, and Naproxen
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St John’s Wort
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Vitamin E
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Fish Oil/Omega-3 fatty acids
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Gingko Biloba
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Ginseng
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Green tea
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Krill oil
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Flaxseed oils
You should not get dermal filler injections if you are allergic to Hyaluronic Acid or Lidocaine (an anesthetic agent contained in some dermal fillers), or if you are pregnant, breastfeeding, have a herpes blister in the area to be treated, or if you have a disorder that prevents blood from clotting normally.
Plexr Plasma Treatment
Imagine achieving the same results as traditional cosmetic surgery without the need for scalpels, stitches, or downtime. With the Plexr Plasma soft surgery system, you can do just that! This innovative technology was first launched in Europe in 2012 by the GMV Group, a leading manufacturer based in Italy, and in the United States in 2019.
Plexr Plus is a non-surgical, plasma-based therapy that is extremely safe, minimally invasive, and highly effective. It can be used to treat skin laxity and improve the appearance of the skin. Plasma is the fourth state of matter, made up of ionized particles which are charged. It causes tissues to tighten and boosts collagen production. Unlike surgical treatments for these problems, Plexr Plus does not require general anesthetic and recovery time is much shorter.
​​​The Plexr Plus creates plasma, the fourth state of matter after solid, liquid and gas, by ionizing nitrogen in the atmosphere. This allows an immediate contraction, tightening and reorganization of collagen fibers. It also stimulates skin fibroblast cells in the deeper skin dermis, which leads to the formation of new collagen and a renewal of the epidermal tissue.
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Over the past few decades, various modalities have been used for skin resurfacing and rejuvenation, including lasers, chemical peels, light-based energy, radiofrequency, and dermabrasion. Each has its own unique properties, as well as advantages and disadvantages.
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One of the newest technological advances in this arena is the development of plasma energy to alter skin surface and architecture. ​Plexr Plus works by using plasma created from ionized gas molecules in the air. The skin is touched with these gas molecules during the treatment, causing the skin fibers to contract. Treatment with the Plexr consists of a series of these touches so that you can work with precision on particular target areas.
Plexr has a wide range of therapeutic uses, treating several imperfections without actual skin cutting. It can be used for:
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Eyelid reconstruction (non-surgical blepharoplasty), including resolving baggy lower eyelids and excess upper eyelid skin.
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Tattoo removal.
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Skin imperfections and benign lesions include warts, fibromas, pigmentation, and sun spots.
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Improvement in the appearance of scarring, including post-surgery scars, acne scars, and stretch marks.
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It enhances lines and wrinkles around the mouth.
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Facelift and neck lift.
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Active acne.
Plexr is a non-invasive alternative to traditional surgical procedures, which means less time spent recovering and fewer complications to worry about. Whether you want to rejuvenate your skin, reduce wrinkles, revise scars, or even undergo eyelid surgery, Plexr Plus can help you achieve your desired results with minimal discomfort and downtime.
Immediately after certain treatments (such as eyelids and wrinkle sublimation) a series of fine dots caused by the treatment will appear. These resemble minor scabs ("carbon crusts"), and will gradually heal, falling off after around five days to reveal new pink skin underneath. These are easily covered with a concealer temporarily. In some cases, swelling may occur, particularly when treating eyelids, but typically lasts no more than 3-5 days.
GLP-1and GIP Medications
GLP-1 ("Glucagon-like peptide-1") medications such as Semaglutide and the GLP-1/GIP ("Gastric inhibitory polypeptide") medication Tirzepatide were initially developed to help people with type 2 diabetes control their blood sugar levels. Studies of these medications revealed that they had the potential to help with weight loss.
We all have naturally occurring GLP-1 and GIP hormones in our bodies, which are released after eating. The function of these hormones is to boost the amount of insulin our bodies make in order to keep our blood sugar within a normal range, and provide the sensation of fullness after a meal. The same effect on insulin regulation and appetite happens when GLP-1/GIP medications are taken. People who take these medications feel fuller after and between meals, have improved glucose levels, and experience reduced thoughts about food.
​​Although both Semaglutide and Tirzepatide work for weight loss, a recent study comparing the two showed that Tirzepatide demonstrated superior weight loss benefits, with a 20.2% average weight loss vs. a 13.7% average weight loss compared with Semaglutide. Both medications offer benefits, but it is important to consider potential side effects to be fully informed about the treatment.
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​​​​​​​​GLP-1/GIP medications should not be taken if you
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Are pregnant or considering pregnancy
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Have hypersensitivity to GLP-1/GIP medications
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Have a history of severe GI conditions such as inflammatory bowel disease
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Have a history of pancreatitis
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Have had gastric bypass surgery
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Have Type 1 diabetes
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Have a family or personal history of medullary thyroid cancer or multiple endocrine neoplasia type 2
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Please note that these treatments are not covered by insurance, and that payment is required in order to receive your medication.
Dr. Joe is not just a provider of this class of medication, he is also a success story. Here he is before starting Tirzepatide at 251 pounds, and then seven months later at 186 pounds.
