This 58 year old woman has been using physician supervised prescription grade skin care for eight months. Note the reduced dark sun spots at the jaw line, the softness of the cheek folds and the smooth texture of the cheek skin.

Seen better in real life are the rosy glow and the loss of the sallow color of the flattened surface cells. Both of these effects came from the consistent use of a skin care system that included prescription strength tretinoin, exfoliants, and hydroquinone.

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This 57 y/o woman was unhappy with the heavy lines around her mouth. The photos were taken immediately before and after the injection of 2.0 ml of Restylane dermal filler. The various fillers have specific characteristics of viscosity. Longevity, graininess, etc. so the exact choice is discussed with the patient.

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