Cosmetic Dermatology Treatments


Almost everyone worries about signs of aging. These concerns include lines on the forehead, wrinkles around the eyes and mouth, and other wrinkle or skin fold issues. Thanks to Botox®, Dysport® and Xeomin®, these worries can be put to rest with little effort and no down time. In the past, only celebrities in Hollywood commonly used these treatments, but this is no longer the case. The fact that these treatments are easily accessible and available through a qualified dermatologist makes removing signs of aging simpler for the everyday woman.


Botox®, Dysport® and Xeomin®, are injectable treatments used for the rejuvenation of the skin. A purified protein is injected into the skin in order to relax the muscles that form facial expression, and the results typically last for three to four months. The procedure is quick and very well tolerated. Botox®, Dysport® and Xeomin®, are FDA-approved for treating the glabellar area, which is the area between the eyes where wrinkles form. These injectables are also used off-label to treat other problem areas, like crow’s feet around the eyes, smoker’s lines around the mouth, a dimpled chin, creased forehead, and wrinkles on the neck.

Botox®, Dysport® and Xeomin® not only relax lines that are present, but can also help prevent new lines from getting “stuck” in the skin. These “aging” lines are formed by repetitive facial movements such as scowling and deep thinking.

It is imperative that Botox®, Dysport® and Xeomin® procedures are performed by a qualified provider with experience in cosmetic injectables. This is the best way to safely ensure a great outcome and make sure you receive the best possible results without complications.

These cosmetic injections provide great, non-surgical results.

Dermal Fillers

Dermal fillers are substances that are injected into the skin to replace lost volume. Typically, lost volume comes from aging. At Midstate Skin Institute, we use products we feel are best engineered and give the best results. These products include Restylane, Juvederm, Perlane, Radiesse, and Sculptra.

Dermal fillers are used predominantly to fill lines around the mouth, but they are also used off label to treat cheeks, lips, tear troughs, marionette lines, temples, chest, forehead, ears, hands, and other locations. In general, a filler injection procedure results in no downtime and the changes are seen immediately after injection.


Hyaluronic acid fillers such as Juvederm, Restylane and Belotero are popular because they can be dissolved should a complication arise. When having a dermal filler injection procedure, it is important that the dermatologist evaluate the entire face and balance the outcome. If the filler is concentrated in one area, it may make the face look unnatural. Therefore, it is important to have a filler injection performed by an experienced professional.

When fillers first came on the market, “line filling” was popular. Line filling was the practice of injecting fillers into visible line areas only. Over time, the standard of care has evolved and today professionals focus on “pan facial volumization”, or the injection of fillers into the face in a way that creates natural and balanced appearing volume. As we age, our temples become hollow, our cheeks become sunken, and our chins become less prominent. Replacing lost bone and fat with filler substances can create a more youthful contour to the face. Fillers are used in patients of all ages.

For younger patients, the focus of dermal fillers is often augmentation, which means enhancing a naturally occurring feature, like making lips fuller and thicker. Fillers can also be used to help minimize the visibility and contours of acne scars and to improve the contour of a patient’s profile. When a dermal filler is injected into the nose, it can change the shape of the nose and make it more aesthetically appealing.

For older patients, the focus of fillers is on correction and restoration of lost volume from aging. Patients of all ages can benefit from the scientific advances in filling agents, which allow for comfortable, safe volume replacement or augmentation.

Rejuvenating Peels

Depending on the depth of the peel (how much of the outer skin layer that is effected), rejuvenating peels can reduce the appearance of fine lines, improve the texture of environmentally damaged skin, even out skin tone, help control acne, and minimize acne scarring. MidState Skin Institute offers glycolic, salicylic acid, TCA.

Photodynamic Therapy

PDT is a light-based treatment used for photorejuvenation, treatment of wrinkles, and acne. It can also selectively treat precancerous and cancerous lesions while causing minimal damage to the surrounding normal skin. MidState Skin Institute will offer these procedures starting in the early spring of 2013 at both locations.

Hydrating and Acne Facial Treatment

Facials may include a mild peel followed by an appropriate masque, hydration, extraction of blackheads, whiteheads and clogged pores, and moisturization. The acne facial helps improve acne and may be covered by insurance. The hydrating facial can help with brightening complexion and improves skin tone and texture.

Sclerotherapy for Spider Veins

This is the treatment of choice for small yet unsightly clusters of red, blue, or purple veins that most commonly appear on thighs, calves, and ankles. This simple procedure involves injecting the affected veins with a solution that causes them to fade away.