Structural Skin Tightening with XERF: A New Era in Non-Invasive Lifting

XERF is the world’s first multifrequency monopolar RF structural skin tightening treatment, that uses AI-guided precision to lift, firm, and rejuvenate the skin from within. Its intelligent cooling and multi-depth technology deliver powerful, comfortable, and natural-appearing results—without needles, pain, or downtime.

What is XERF and How does IT Work?

Utilizing dual monopolar radiofrequencies of 6.78 MHz and 2 MHz, XERF generates controlled thermal energy to target the superficial, mid, and deep dermal layers. This precise thermal energy activates the skin’s natural repair response, stimulating the production of fresh collagen and elastin. Over time, the treated area appears lifted and the skin becomes visibly firmer, smoother, and more refined, with softened lines and improved elasticity. The XERF system combines Wave Fit™ pulse and Advanced Integrated Cryogen Delivery cooling technology to control energy delivery while maintaining surface temperature.

Summary of Xerf benefits:

• Deep structural skin tightening and increased collagen levels

• Improved skin texture

• Dual Radiofrequency: The XERF system delivers the world’s first multifrequency monopolar RF treatment, combining 6.78 MHz and 2 MHz frequencies to target energy precisely where it’s needed

• Multiple depths: Histological analyses from multiple clinical studies confirm that the XERF system effectively delivers RF energy to the SMAS (Superficial Musculoaponeurotic System), a key tissue layer beneath the skin that supports lifting, tightening, and reducing the appearance of jowls. In vivo porcine studies demonstrate that XERF stimulates thickening and tightening of collagen bundles across multiple tissue depths, while producing a measurable upward lift of the fascia.

• Artificial Intelligence: XERF uses AI technology to provide a personalized, consistent, and safe approach to skin tightening and contouring by precisely controlling radiofrequency energy delivery.

  • Intelligent treatment parameters: Using advanced AI, XERF precisely analyzes the skin’s depth to customize the ideal treatment depth and energy settings for every patient.

  • Real-time monitoring and feedback: A built-in temperature monitoring system provides instant feedback to maintain effective heating while preventing overheating or discomfort.

  • Smart cooling: The AI-regulated ICD system cools the skin surface in real time, protecting the epidermis and improving comfort during treatment.

  • Predictive performance: XERF uses a "Wave Fit™ pulse" technology that automatically adjusts the energy output based on the treatment conditions, optimizing performance. 

• Customizable: Depth and energy settings can be adjusted to target the skin precisely, allowing the treatment to be tailored to each individual’s unique needs.

• No downtime: There is no associated redness or appearance of external skin injury so patients can immediately return to normal daily activities after the procedure. 

• No numbing: Integrated cooling technology ensures patient comfort, allowing the treatment to be performed without anesthesia or topical numbing.

• Fast and convenient: Each session takes only about 60 minutes, depending on the area(s) treated.

• Versatile: Can be used to tighten skin on face or body.

• Quick results: Although true remodeling after new collagen/elastin formation takes a 3-6 months, the effects of the skin tightening are apparent immediately after the treatment. The initial tightening with wane over time and slowly build back up over the next 3-6 months.

• All skin types: XERF uses radiofrequency energy, safely reaching deeper layers to stimulate collagen and elastin without affecting the surface pigment (melanocytes). While XERF is generally safe for darker skin tones, patients with melasma may experience worsening of their pigment, as their skin is sensitive to heat.

What to Expect After Your XERF Treatment:

Following your XERF session, you may notice mild redness or a gentle tightening sensation—both normal signs that the treatment is stimulating your skin. These effects are temporary and typically fade within a few hours. Unlike more invasive procedures, XERF requires no downtime, allowing you to leave with refreshed, radiant skin and resume your day right away. To support optimal results, we recommend avoiding direct sun exposure and keeping your skin hydrated with a gentle moisturizer in the days after treatment.

What Results Can I Expect From XERF?

One of the most exciting features of XERF is the immediate visual improvement, which offers an encouraging preview of your skin’s transformation. This initial effect may soften after a few days. The full effects of skin tightening and texture improvement appears around three months post-treatment, when collagen stimulation produces more noticeable, long-lasting improvements.

This combination of instant and progressive results makes the XERF journey both exciting and rewarding, with the delayed peak delivering more substantial and enduring changes in skin firmness and texture.

Before and After Photos:

How does XERF compare to other skin tightening devices?

After nearly seven years of dedicated research and development in South Korea, XERF made its clinical debut there. Just over a year later, it received FDA clearance for use in the United States — bringing this advanced dual-frequency RF technology to a broader audience. Below is a brief summary of the nonsurgical skin tightening devices currently on the market based on their mechanism of action. The key difference with XERF compared to all the other devices is it’s depth of penetration and the amount of heat that it can comfortably transfer. No other device on the market besides XERF is able to utilize Artificial Intelligence to measure the skin's depth and accordingly set the optimal treatment depth and energy level for the individual patient.

Ultrasound: Ultherapy, Sofwave, HIFU (High Intensity Focused Ultrasound)

RF (Radiofrequency): Thermage, Ultherapy, XERF

RF Microneedling (micro needling plus radiofrequency): Genius, Potenza, Morpheus 8, Secret RF, Vivace, SylfirmX, etc.)

RF + HIFEM (High Intensity Focused Electromagnetic Energy): EMFACE

Depth of Treatment

XERF vs RF Microneedling:

Radiofrequency microneedling combines the microneedling with Radiofrequency heat to treat multiple depths of the skin to induce collagen and elastin formation. RF Microneedling offers customizable depth settings for surface level concerns, but doesn't penetrate as deeply as XERF to provide the same level of structural tightening. RF microneedling requires topical numbing and can be painful. Different RF microneedling devices have advantages and disadvantages, but that is a topic for discussion on it’s own. There is downtime associated with RF microneedling such as redness, swelling, risks of hyperpigmentation; whereas ZERF is more comfortable and has no associated downtime. With the added topical numbing required, RF microneedling sessions can take longer to perform. RF microneedling delivers energy more precisely to the deeper layers of the skin, while XERF works through bulk heating to treat broader tissue areas. Although XERF can help refine pores and improve the appearance of scars, RF microneedling may offer more targeted results for these specific concerns.

XERF vs Thermage:

Thermage is an older RF technology that uses a single 6.78 MHz frequency to stimulate collagen, primarily targeting skin layers by using pulsed RF energy with fixed cooling cycles and manual impedance monitoring. In contrast, the XERF system is the world’s first multifrequency monopolar RF treatment, combining 6.78 MHz and 2 MHz to reach multiple depths of the skin—surface, mid, and deep—for more effective results. Unlike Thermage, which can be painful and lacks customization, XERF features adjustable settings, continuous controlled RF energy with AI impedance feedback and real-time thermal monitoring, and built-in cooling - providing a safer, more comfortable, and tailored treatment.

XERF vs Exilis:

Both Exilis and Thermage use monopolar radiofrequency (RF), which delivers energy through a single electrode to create a closed-loop circuit that penetrates deeply into the dermis, but does not reach the deeper structures (SMAS level). Unlike Thermage which relies solely on Radiofrequency, Exilis is able to cool the skin for a more comfortable experience and also incorporates ultrasound to control the depth of penetration. Exilis requires multiple sessions to obtain the results of a single session of XERF. Exilis treatments are also lengthy - a full face/neck treatment could take up to 2.5 hours to perform, while XERF treatments takes 60-90 minutes. Both Exilis and XERF do not require topical numbing, and have no associated recovery time.

XERF vs Ultherapy:

Ultherapy uses micro-focused ultrasound energy to heat the tissue to a precise temperature at three specific depths. Ultherapy is difficult to perform and requires an experiences/skilled practitioner to achieve optimal result. The treatment is painful and can unintentionally cause fat loss or nerve damage. Ultrasound also heats everything in it’s path because it does not target a specific chromophore.

• 1.5 mm - mid dermis (skin layer)

• 3 mm - deep dermis (fat layer)

• 4.5 mm - SMAS (Superficial Musculoaponeurotic System)- A network of collagen and elastic fibers, fat, and muscle that lies underneath the skin for lifting effect.

XERF can also penetrate all three depths, but with radiofrequency - not ultrasound. Radiofrequency has the benefit of targeting water as a specific chromophore. So rather than targeting everything in its path like Ultherapy, XERF can specifically target the retaining ligaments which contains high water content while sparing fat and nerves which have low water content. While Ultherapy relies on smaller coagulation zones, XERF relies on bulk heating and can therefore have a broader effect. In addition XERF can emit more energy (higher peak temperature 55-72 degrees Celsius) without being painful because of its surface cooling technology.

XERF vs SofWave:

Sofwave delivers synchronized ultrasound energy into the mid-dermis (1.5 mm) to induce collagen and elastin formation. Although more comfortable than Ultherapy, topical numbing is still recommended for Sofwave. The results from Sofwave develop gradually over time, while XERF produces visible tightening sooner thanks to its bulk heating technology, which targets the skin’s deeper structural layers. With it’s dual monopolar radiofrequencies, XERF can treat multiple depths (surface, mid, deep, whereas Sofwave only treats at the 1.5 mm depth producing superficial skin tightening, rather than the deeper structural tightening seen with XERF.

Comparison Chart:

Feature / Device	XERF	Ultherapy	Thermage	Exilis	RF Microneedling
Technology Type	Dual-frequency RF (6.78 & 2 MHz)	Micro-Focused Ultrasound	Single-frequency RF (6.78 MHz)	Monopolar RF + Ultrasound	Microneedling + RF
Depth of Penetration	Superficial, mid, and deep dermis including SMAS	1.5 mm, 3 mm, 4.5 mm (SMAS)	Mid to deep dermis	Mid to deep dermis	Surface to mid-dermis
Mechanism	Bulk heating with AI-controlled precision	Focused ultrasound coagulation points	Pulsed RF energy with fixed cooling cycles	RF heating with controlled ultrasound depth	RF energy delivered via microneedles
AI Customization	✅ Adjusts energy & depth per patient	❌	❌	❌	❌
Cooling Technology	✅ Advanced Integrated Cryogen Delivery	❌ None	⚠ Fixed cooling cycles	✅ Surface cooling	❌ None
Comfort Level	✅ Comfortable	❌ Painful; numbing required	❌ Painful	✅ Comfortable	❌ Painful; numbing required
Downtime	⚠ Brief mild redness	⚠ Mild redness/swelling	⚠ Mild redness	✅ None	❌ Redness, swelling, hyperpigmentation
Target Layers	Dermis, SMAS, retaining ligaments	Dermis, SMAS	Dermis	Dermis	Dermis (superficial)
Selectivity / Safety	Targets water-rich collagen & ligaments, spares fat & nerves	Non-selective; heats all tissue in path	Non-selective	Limited targeting	Risk of PIH in darker skin tones
Results	Immediate + progressive collagen remodeling	Gradual; results over 3–6 months	Gradual	Gradual	Gradual with downtime
Best For	Structural lifting, tightening, and contouring	Lifting (SMAS level)	Surface tightening	Mild skin tightening	Texture, scars, fine lines

Kybella for Double chin

What is Kybella?

Kybella is an injectable treatment containing synthetic deoxycholic acid for permanent fat reduction. Kybella is FDA approved for the removal of fat under the chin also known as the submental area. Deoxycholic acid is naturally produced by our body to break down and absorb dietary fat. By the same principle, Kybella is designed to permanently reduce fat under the skin for desired aesthetic outcomes such as reducing the appearance of a “double chin”.

Who is a good candidate for Kybella?

Kybella is indicated for reduction of moderate to severe fat in the patients with double chin. However, for people with very large amounts of submental fat, liposuction might be more beneficial than Kybella. Alternatively, some people may mistaken loose skin tissue for fat. For those with loose skin rather than fat, skin tightening procedures would be more beneficial. Treatment options for skin tightening include Genius RF Microneedling or EXILIS (radiofrequency and ultrasound). Patients who are taking blood thinners or who are pregnant cannot be treated with Kybella.

What to expect after Kybella treatment?

After Kybella is injected under your chin, it starts breaking down fat cell membranes. This causes temporary swelling as the contents of the fat cells are being released into the tissues. Swelling peaks in the next 2-3 days, and then gradually improves over 2-3 weeks. Brusing can also occur. We re-evaluate the results in 5-6 weeks and will continue treating to achieve the desired outcome. Kybella usually requires several sessions, depending on the amount of fat in this area.

Patients may experience temporary numbness as the swelling can push against the nerves. Your body will mobilize  macrophages (white cells) to clear out the dead fat cells which usually takes 4-6 weeks. Reassessment after 6 weeks is necessary to evaluate for the need for any additional treatments. The average number of treatment sessions varies between 2 and 4. The average number of vials of Kybella per session varies between 2 and 4 depending on the amount of fat we are targeting.

How is Kybella performed?

We assess the area of treatment for presence of fat tissue. We can determine the depth of the fat tissue using ultrasound. After prepping the area with a medical grade cleanser, the margins of the treatment field are marked with a brow pencil. Injections are spaced about 1 centimeter apart and cover the entire area targeted for treatment.

How do I prepare for Kybella treatment?

The most important thing to consider before treatment is to expect social downtime due to post procedural swelling. To minimize likelihood of bruising, we recommend avoiding consumption of alcohol, NSAIDs (ibuprofen type of products), Vitamin E, and flaxseeds. It would be helpful to take a dose of acetaminophen (Tylenol) 30 minutes prior to treatment unless you don’t have contraindications to this medication. Please, stay well hydrated. You will be able to drive yourself home.

What are alternative treatments to Kybella?

At Rejuve Medspa, Kybella has fallen out of favor due to it’s high cost, associated swelling causing prolonged downtime, and need for repeat treatments to produce noticeble results. In addition, Kybella does not help with skin laxity (loose skin) once volume has been reduced. On the other hand, Genius RF microneedling can both target fat and tighten skin. A newer technology called XERF, can also target fat while in addition to address structural skin tightness.

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QWO - is no longer available.

Cellulite has always been challenging to manage. QWO was discontinued in 2022 due to concerns over bruising and prolonged skin discoloration at the injection site. And quite frankly, it wasn’t really that effective.

Cellulite Formation:

Cellulite is caused by the bulging of fat cells as fibrous connective cords tether down the skin resulting in a dimpled appearance. Cellulite is more common in women and often seen on the buttocks and thighs. About 90% of adult women of all shapes, sizes, ages and races are reported to have cellulite. Are fat and cellulite the same? Fat is not cellulite and does not cause it, but fat cells getting bigger between fibrous bands under the skin can contribute to a bumpy appearance.

What are the options to treat cellulite?

1. RF microneedling

2. Subcision

3. Smooth PDO threads

4. Radiofrequency devices (Tempsure, Emtone, etc)

5. XERF - coming soon to the USA

Cellulite FAQ’s

Can weight loss help get rid of cellulite?

Weight loss might improve the appearance of cellulite for some people, but won’t completely resolve it because weight doesn’t address the fibrous bands under the skin’s surface. In some cases, weight loss can actually make cellulite look more prominent due to worsening skin laxity (loose skin).

Can exercise reduce the appearance of cellulite?

Tough workouts and healthy eating habits are fantastic for your fitness and overall wellness—but won't do much to reduce or treat the underlying cause of your cellulite.

Do topical treatments help decrease the appearance of cellulite?

Topical treatments such as lotions, creams and scrubs have been used to temporarily reduce the appearance of cellulite.

What body parts are most prone to cellulite?

In an online Harris Poll survey of 2,006 women with cellulite, respondents said their cellulite was most commonly present in certain areas: 81% thighs, 66% butt, 42% stomach, 33% hips, 24% arms, 11% calves. Although cellulite can develop in various areas of the body, it mainly affects women and the predominant localization is on thighs and buttocks. This is because women tend to have more fatty deposits in these areas.

How does age impact the appearance of cellulite?

As we lose collagen over time, our skin gets thinner. Thinning of the skin leads to skin laxity (loose skin) which worsens the appearance of cellulite.

Why does treating cellulite matter?

Cellulite isn’t just a superficial problem—it’s actually quite deep. According to a recent Harris Poll online survey of 2,006 women, nearly half said they are bothered “a great deal” or “a lot” by their cellulite.

PRX Skin Tightening “no Peel” Chemical PEEL

As the saying goes, “fall is peel season”, known as the “perfect” time for deep exfoliation and skincare. With PRX, anytime of the year is a perfect time. This no-downtime chemical peel works on the deep skin layers, so you don’t get the traditional sheets of peeling skin that makes it embarrassing to be seen in public. Because PRX activates deeper depths of skin, it has more skin-tightening benefit. Your skin will appear smoother, firmer, and brighter without needles or downtime.

What is PRX T33?

PRX T33 is a revolutionary skin bio-revitalizing procedure from Italy with an international patent that is beneficial for all skin types, and safe to use during all seasons. PRX T33 combines hydrogen peroxide (H2O2) and a high concentration of trichloacetic acid (TCA) for immediate and long-term improvements to the skin. Another key component is Kojic acid which helps to brighten the skin. PRX T33’s effects are unparalleled in the aesthetic industry with proven results over time and more than 3 million applications administered worldwide.

What skin conditions will PRX Improve?

PRX T33 may improve a variety of skin conditions for both the face and body. PRX is also ideal for reversing and preventing signs of aging skin. PRX can help stimulate improvements in the appearance of :

• Pitted scars (acne, surgical, chicken pox, impetigo, etc)

• Stretch marks

• Sagging skin (face and body)

• Fine lines/wrinkles

• Dullness

• Pore size

• Hyperpigmentation (melasma, sun damage, scars)

• Redness

• Aging skin

What can I expect after receiving a PRX Treatment?

Immediately after the treatment, your skin will be glowing. The skincare regimen recommended after a PRX treatment is simple. One day after the treatment, apply the smoothing fluid (at night time only) then 30 minutes later, apply the moisturizing cream (morning and night). You may experience some mild flaky skin which can be exfoliated. At Rejuve Medspa, we recommend only gentle exfoliating cleansers. One of our favorites is DefenAge Step 1 Cleanser.

How many PRX sessions will I need?

If you are doing PRX alone without combining other modalities such as lasers, microdermabrasion or microneedling, then 4-8 sessions may be needed. Sessions are performed 1 week apart ideally for optimal results.

PRX combined with LaseMD Ultra Laser:

Combining treatment modalities will enhance the skin tightening and brightening effects of PRX. LaseMD Ultra will resurface the skin allowing the PRX to penetrate more thoroughly and deeply for enhanced results. The immediate glow and skin tightening benefit will also be associated with some flaky skin as the exfoliating effect of both treatments will be more apparent.

PRX Combined with Hydro Dermabrasion:

Our signature Hydro Dermabrasion facial provides a deep exfoliation utilizing a diamond tip and suction to remove the top layer of dead skin cells. PRX applied after a Hydro Dermabrasion facial will boost the bio-revitalizing effects of PRX to give your skin an immediate firmer appearance and dewy glow.

Before and After 6 Sessions of PRX:

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Rejuve Medspa is located at the Newcastle Commons in Newcastle, WA. This area is conveniently close to Seattle, Bellevue, Mercer Island, Sammamish, Issaquah, Renton, and Redmond.

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Can Healthy Sustainable weight Loss be Achieved with GLP-1 Inhibitors Like Wegovy or Zepbound?

Injectable weight loss medications like Wegovy (Semaglutide) and Zepbound (Tirzepatide) have initiated a significant wave of weight loss success for many in need. Sustainable weight loss involves long-term lifestyle and dietary changes combined with a consistent exercise routine. With the proper monitoring and dosing, a safe level of weight loss can be achieved with injectable weight loss medications such as Tirzepatide and Semaglutide. It’s important to understand the potential side effects before starting and to have the proper guidance from a medical doctor.

Who Should be using GLP-1 Weight Loss Medications?

While GLP-1 inhibitors have shown clear benefits for treatment of obesity with BMI (body mass index) over 30, there is no clear guidance or long-term research information regarding healthy individuals who only want to lose 5-20 pounds. For overweight individuals who also have diabetes or high blood pressure, GLP-1 inhibitors has been shown to reduce the risk of stroke, heart disease, blood sugar control, and even liver health.

How Long Should I be using Injectable Weight Loss Medications?

Dosing duration is variable depending on co-existing health problems and weight challenges. Ideally, long-term use of GLP-1 medications should be limited due to potentially devastating side effects such has thyroid cancer, stomach paralysis (gastroparesis) and even blindness. Patients should be well-aware of any potential side effects and have informed consent with a qualified health professional.

Should you be using Compounded Versions of Wegovy or Zepbound?

In December 2024, the FDA declared that Zepbound was no longer in short-supply and in February 2025, the shortage of Wegovy also ended. Therefore compounding pharmacies have since been prohibited from legally distributing generic versions of Wegovy and Zepbound. Despite that, many online platforms, medical spas and weight loss clinics are still providing generic versions.

Compounding pharmacies ignoring ethics and legalities often mix generic GLP-1’s with Vit B12, Vit D, or other ingredients. There are quality & consistency issues: Compounded or imported GLP-1 may not meet FDA standards for purity, potency, or stability, increasing the risk of under- or overdosing. Patient safety risks include incorrect dosing or contamination can lead to serious side effects, including vomiting, pancreatitis, thyroid issues, hypoglycemia (low blood sugar), bacterial contamination, or vitamin toxicity, among other things.

What is a healthy rate of weight loss?

Typically a healthy rate of weight loss is 1-2 pounds per week for most people. This may vary depending on your overall weight.

What are the dangers of losing weight too fast?

Extreme dieting or medications such as Wegovy (Semaglutide) and Mounjaro (Tirzepatide) may lead to rapid weight loss. However with proper monitoring and dosing, rapid weight loss can be avoided. Losing weight too quickly can pose several risks to your health. Here are the key concerns:

1. Nutrient Deficiencies:

   • Rapid weight loss often involves extreme calorie restriction, which can lead to inadequate intake of essential nutrients such as vitamins, minerals, and proteins which then has cascading effects on muscle mass, facial volume, hair density, skin elasticity, and metabolism.

2. Muscle Loss:

   • Extreme calorie restriction forces the body to use muscle protein for energy, leading to muscle breakdown. Rapid weight loss diets often lack adequate protein, which is essential for maintaining muscle mass. Losing muscle mass will decrease your overall strength and slow down your metabolism.

3. Hair Loss:

   • Rapid weight loss can be a physical stressor, which can disrupt the normal hair growth cycle, leading to a condition known as telogen effluvium, where hair prematurely enters the shedding phase. Quick changes in diet and weight can alter hormone levels, impacting hair growth and potentially causing hair loss.

4. Loose Skin:

   • Losing weight too quickly can result in loose, sagging skin, as the skin doesn’t have enough time to adjust to the body’s new shape.

5. Facial volume loss:

   • Quick weight loss leads to a significant reduction in facial fat, which can make the face appear gaunt and less youthful. Along with fat, there is also loss of muscle mass in the face, contributing to a hollowed appearance. The skin has insufficient time to adjust to the smaller contours of the face, resulting in loose and sagging skin.

6. Gallstones:

   • Quick weight loss increases the risk of developing gallstones, which are hard deposits of cholesterol in the gallbladder that can cause pain and digestive issues.

7. Metabolic Slowdown:

   • A significant reduction in calorie intake can slow down your metabolism, making it harder to maintain weight loss and potentially leading to weight regain.

8. Dehydration:

   • Rapid weight loss can lead to dehydration, especially if it is achieved through extreme diets or excessive sweating.

9. Electrolyte Imbalance:

   • Losing weight too fast can disrupt the balance of electrolytes in your body, leading to symptoms like fatigue, muscle cramps, and irregular heartbeats.

10. Mental Health Issues:

    • Rapid weight loss can contribute to mental health problems such as anxiety, depression, and eating disorders due to the stress and pressure of maintaining extreme diets or exercise routines.

11. Fatigue and Weakness:

    • Extreme dieting and fast weight loss can lead to general fatigue, weakness, and a decrease in energy levels, affecting your daily activities and overall quality of life.

12. Rebound Weight Gain:

    • Quick weight loss is often not sustainable, and many people regain the weight they lost (and sometimes more) once they return to their regular eating habits.

For these reasons, health experts typically recommend aiming for a gradual weight loss of about 1-2 pounds per week, which is more sustainable and poses fewer health risks.

What’s the best way to lose weight?

Sustainable weight loss involves maintaining healthy lifestyle and dietary habits combined with a consistent exercise routine. Those who need a boost, often resort to injectable weight loss medications.

How can Emsculpt NEO or Strength Training help with Healthy Weight loss?

Emsculpt NEO effectively increases muscle mass and strength, contributing to a toned and sculpted appearance. The radiofrequency energy component helps reduce stubborn fat to enhance overall body contour. Emsculpt NEO is non-invasive, with no downtime, only 30 minutes per session making it a convenient and time-saving addition to a weight loss program. Emsculpt NEO works synergistically with diet and exercise, accelerating results and boosting metabolism.

How does increasing muscle mass improve metabolism and contribute to weight loss?

Muscle mass improves metabolism and contributes to weight loss in several key ways:

1. Increased Basal Metabolic Rate (BMR): Muscle tissue is metabolically active and burns more calories at rest compared to fat tissue. This means that the more muscle mass you have, the higher your BMR, which is the number of calories your body needs to maintain basic physiological functions while at rest.

2. Higher Caloric Expenditure: During physical activity, muscles require more energy, resulting in a higher caloric burn. This is true for both resistance training and everyday movements, making weight management more efficient.

3. Enhanced Post-Exercise Caloric Burn: Building muscle through strength training causes your body to continue burning calories even after the workout is finished, a phenomenon known as excess post-exercise oxygen consumption (EPOC).

4. Improved Insulin Sensitivity: Increased muscle mass improves the body’s ability to respond to insulin, which helps regulate blood sugar levels more effectively. Better insulin sensitivity reduces the likelihood of fat storage and aids in maintaining a healthy weight.

5. Fat Utilization: Having more muscle mass shifts the body’s energy utilization towards burning fat, especially during periods of calorie restriction or weight loss efforts.

6. Support for Healthy Hormone Levels: Muscle mass helps maintain balanced hormone levels, including those that regulate metabolism and appetite. This hormonal balance supports sustained weight loss and prevents metabolic slowdown.

By enhancing metabolic rate and increasing the body’s efficiency in burning calories and utilizing fat, muscle mass plays a crucial role in both weight loss and long-term weight management. Emsculpt NEO is FDA cleared for treatment of 10 body areas to include: abdomen, arms (triceps, biceps), obliques (flank region), thighs (anterior, medial, lateral, posterior), buttocks, and calves.

When should I consider weight loss medications?

If dieting and exercise has been unsuccessful, you might consider an alternative approach. Weight loss medications like Semaglutide (Wegovy) or Tirzepatide (Mounjaro or Zepbound) can be considered under specific circumstances:

1. Body Mass Index (BMI) Criteria:

   • Adults with a BMI of 30 or higher (obese).

   • Adults with a BMI of 27 or higher (overweight) with weight-related health conditions such as type 2 diabetes, hypertension, or dyslipidemia.

2. Failure of Lifestyle Changes:

   • Individuals who have not achieved significant weight loss or sustained weight loss with diet and exercise alone.

   • Those who have made serious efforts at lifestyle modifications without the desired results over a reasonable period.

3. Presence of Comorbid Conditions:

   • Patients with obesity-related health issues such as type 2 diabetes, cardiovascular disease, obstructive sleep apnea, or non-alcoholic fatty liver disease, where weight loss is critical for improving health outcomes.

4. Health Risks of Obesity:

   • Individuals whose obesity poses a significant risk to their health and well-being, potentially leading to severe medical complications.

At Rejuve Medspa, Dr. Kaplan can help you determine if weight loss medications are appropriate for your specific situation, ensuring a comprehensive approach to weight management. The decision should not be taken lightly. Awareness of the potential risks is important. Medical clearance with laboratory monitoring will be required.

How much weight loss can I expect with Semaglutide or Tirzepatide?

Semaglutide and tirzepatide have shown significant potential for weight loss in clinical studies. Here is an overview of the expected weight loss with each medication:

Wegovy (Semaglutide)

1. Clinical Trial Results:

   • In the STEP (Semaglutide Treatment Effect in People with obesity) trials, participants taking semaglutide (Wegovy) achieved an average weight loss of around 15% of their initial body weight over 68 weeks.

   • Some participants experienced weight loss of up to 20% or more.

2. Dosing and Duration:

   • The typical dosing for weight loss starts at a lower dose and gradually increases to the full dose of 2.4 mg once weekly.

   • Maximum weight loss is often seen after 6 to 12 months of continuous use.

Zepbound (Tirzepatide)

1. Clinical Trial Results:

   • In the SURPASS clinical trials, participants taking Tirzepatide (Mounjaro) achieved an average weight loss ranging from 15% to 22.5% of their initial body weight, depending on the dose.

   • The higher dose of 15 mg once weekly showed the greatest weight loss.

2. Dosing and Duration:

   • Tirzepatide dosing starts at a lower level and gradually increases to the target dose over several weeks to minimize side effects.

   • Significant weight loss is typically observed within the first few months, with continued benefits over 12 months or longer.

Factors Influencing Weight Loss

• Adherence to Medication: Consistent use as prescribed is crucial for achieving optimal results.

• Lifestyle Modifications: Combining medication with diet changes and regular physical activity enhances weight loss outcomes.

• Individual Variability: Results can vary based on factors such as age, gender, baseline weight, and overall health.

Both semaglutide and tirzepatide offer substantial weight loss potential, especially for individuals who have struggled with traditional weight loss methods. It's essential to consult with a healthcare provider to determine the most appropriate treatment and to tailor the approach to individual needs.

What are the potential side effects of Wegovy or Zepbound?

Side effects may include: nausea, loss of appetite, diarrhea, vomiting, constipation, abdominal pain, dyspepsia (heartburn), headache, fatigue, bloating (burping and flatulence). More serious but less common side effects include: gastritis (stomach inflammation), gallstones, pancreatitis, low blood sugar, abdominal distention (bloating), low blood pressure and syncope (fainting), acute kidney injury, thyroid cancer, allergic reaction, necrotizing pancreatitis sometimes resulting in death.

Is Tirzepatide or Semaglutide better for weight loss?

At Rejuve Medspa, we prefer Zepbound since it has been shown to be associated with fewer side effects and less risk of potential complications. Zepbound is also very effective for weight loss at low doses, especially for those with BMI less than 30.

Is there an alternative weight loss medication?

Metformin has been widely used for many years and has a safety track record. Metformin, primarily used to treat type 2 diabetes, can also aid in weight loss through several mechanisms:

1. Improved Insulin Sensitivity: Metformin enhances the body's sensitivity to insulin, reducing insulin levels and decreasing fat storage.

2. Reduced Appetite: It can help reduce appetite, leading to lower caloric intake and potential weight loss.

3. Lower Glucose Production: Metformin decreases the liver's glucose production, which helps regulate blood sugar levels and can contribute to weight loss.

4. Altered Gut Microbiota: Metformin promotes the growth of beneficial gut bacteria while reducing harmful ones. This improved balance can enhance metabolic functions and contribute to weight loss.

5. Increased Production of Short-Chain Fatty Acids (SCFAs): The beneficial bacteria fostered by metformin produce SCFAs, which have been shown to improve insulin sensitivity, reduce inflammation, and regulate appetite, all of which support weight management.

Metformin is not known to cause rapid weight loss. Thus the potential for hair loss, muscle loss, facial volume loss, sagging skin, gallstones, and pancreatitis are not typically associated. Unlike semiglutide or terzepatide, metformin is not linked with thyroid cancer, anaphylaxis (severe allergic reaction), Patient taking metformin can sometimes experience nausea, diarrhea, reduced appetite but this can be minimized by slowly increasing the dose. Metformin can lead to mild reduction in weight (about 5 pounds) for many people. It may be a good alternative for those wishing to wean off injectable weight loss medications such as Tirzepatide or Semaglutide. It might also be a consideration for those who prefer not to take injectable weight loss medications.

What are the most important elements of proper Nutrition and Lifestyle for sustainable weight loss?

1. Calorie Reduction: Avoid calorie-dense foods such as potato chips, which are easy to eat and can allow us to consume more calories than we need before we sense we’ve had enough.

2. Lean Proteins: Prioritize lean proteins to support healthy muscles. Good sources of protein are lean meats, beans, peas, and lentils. Most patients require around 60-80 grams of protein per day, but this may vary depending on your health conditions. Consider meeting with a registered dietitian for more individualized advice.

3. Fiber: Consuming whole grains, non-starchy vegetables, and fruits as part of a balanced diet, and they are also great sources of fiber.

4. Movement: your body regularly. Make a plan for regular physical activity, which includes strength training and stretching to promote strength, function, and weight maintenance.

5. Stress management: Incorporating stress management, mindfulness, and a healthy sleep pattern to support mental well-being and restoration.

6. Sleep: Adequate sleep supports weight loss by regulating hormones that control hunger and appetite, improving metabolism, and reducing cravings for high-calorie foods. Consistently getting enough rest helps the body burn energy efficiently and maintain healthy weight management.

7. Strength Training: improved insulin resistance and metabolism boost.

In summary, lifestyle, diet and exercise are more important than medication for healthy, sustainable weight management.

Should PDGF (Platelet Derived Growth Factor) be Injected for Cosmetic Purposes?

In recent years, Platelet-Derived Growth Factor (PDGF) has gained attention in the aesthetic and regenerative medicine space. While growth factors play an important role in wound healing and tissue repair, it is critical to understand the risks, regulatory status, and lack of research behind the injection of PDGF. Ariessence is the maker of pure PDGF+ which is touted to help promote skin rejuvenation by using recombinant technology to produce a sterile, pharmaceutical-grade PDGF product.

What does PDGF Do?

PDGF is released by platelets, fibroblasts, and other cells at sites of injury, where it helps:

• Stimulate cell division and growth – especially in fibroblasts, smooth muscle cells, and glial cells.

• Promote angiogenesis – the formation of new blood vessels to deliver oxygen and nutrients to healing tissue.

• Support wound healing and regeneration – by attracting cells needed for repair, such as fibroblasts and macrophages.

What is the proper classification of PDGF?

PDGF (Platelet-Derived Growth Factor) is a naturally occurring protein found in the body that plays a key role in cell growth, tissue repair, and wound healing. Since PDGF has bioliogic properties, some would argue that it cannot be classified as a “cosmetic” product.

Where is Ariessence PDGF being injected?

Despite the website description that Arriesence PDGF is a “cosmetic” product that should only be used “topically”, they also imply that the product is “pure” (thus appropriate for injection). Many injectors are suggesting “off-label” use of PDGF. Common areas currently being injected at many medical spas, dermatology and plastic surgeon’s offices include the under eye region and the scalp.

• Under Eyes (tear trough) - to improve skin brightness, thickness, and elasticity

• Scalp - to promote hair growth

Is PDGF FDA-Cleared for Injection for cosmetic purposes?

Ariessense pure PDGF+ reportedly contains up to 300,000 times the growth factor concentration of competitive applications, and consists of four ingredients: water, sodium acetate, hyaluronic acid, and sh-polypeptide-59 dimer. It is marketed for topical application after cosmetic procedures such as microneedling and lasers to boost recovery and enhance results. Although cosmeceutical products for topical use are not required to undergo FDA clearance, Ariessence advertises that their company “has 4 FDA approvals in other medical treatments” (GEM 21S®, Augment®, Augment®Injectable, and Regranex®). Their website also states that Ariessence pure PDGF+ “is marketed as a cosmetic product and is not intended for any therapeutic use.”

PDGF is currently not FDA-cleared for injection into the skin for aesthetic purposes. The FDA strictly regulates what products and biologics can be injected, and PDGF has not undergone the rigorous testing required to prove its safety and effectiveness in this form. Using a substance outside of its approved indication puts patients at unnecessary risk without clinical proven long-term benefit.

What are the potential complications of PDGF Injections?

Because PDGF has not been specifically studied for aesthetic injections, there is still much to learn about the product in this regard. Many providers have started posting on Instagram about outcomes and complications related to PDGF injections. I would encourage you to have a look at @drgerstmannyc for photos and Instagram posts about PDGF complications. Her Instagram posts reveal several examples of patients having undesirable cosmetic outcomes related to PDGF injections. Because there is no associated objective data such as biopsy or imaging (CT, MRI, ultrasound, etc) coupled with her photos, one can only surmise what the skin appearances are caused by. Viable possibilities include cellular hyperplasia, excess collagen build-up, nodules, or granulomas.

Link to Cancer Cell Proliferation

Scientific literature has shown that PDGF signaling can be associated with the proliferation of certain cancer cells. Because growth factors stimulate cell activity, there is concern that injected PDGF could potentially contribute to abnormal or uncontrolled cell growth. Until proven otherwise in large-scale, long-term studies, this risk should not be ignored. Clinical research links showing PDGF with cancer association: https://www.ncbi.nlm.nih.gov/books/NBK5983/ . https://pubmed.ncbi.nlm.nih.gov/37002577/#:~:text=To%20combat%20hypoxia%20in%20the,;%20PDGF%20receptors;%20Signaling%20pathway. https://pmc.ncbi.nlm.nih.gov/articles/PMC3525704/#:~:text=Autocrine%20PDGF%20signaling%20has%20also,in%20breast%20cancer%5B9%5D. https://www.oncotarget.com/article/14283/text/#:~:text=Our%20results%20showed%20that%20up,in%20CRC%20is%20still%20unknown. https://www.sciencedirect.com/science/article/abs/pii/S1526820921001476. https://pmc.ncbi.nlm.nih.gov/articles/PMC7709832/#:~:text=PDGF%2DBB%20administration%20at%20%3E25,expression%20of%20its%20downstream%20genes.

How PDGF Contributes to Cancer Development and Progression:

• Direct Tumor Growth: PDGF can drive tumor cells to grow and divide through autocrine signaling. In this process, tumor cells release PDGF and then bind it to their own receptors, creating a self-sustaining cycle that fuels uncontrolled growth.

• Angiogenesis (Blood Vessel Formation): PDGF promotes the development of new blood vessels, supplying tumors with oxygen and nutrients necessary for continued survival and expansion.

• Metastasis:

  • Lymphatic Spread: PDGF can stimulate the formation of new lymphatic vessels, making it easier for cancer cells to migrate to lymph nodes.

  • EMT and Invasion: PDGF signaling can trigger epithelial-to-mesenchymal transition (EMT), a process that increases tumor cell mobility and invasiveness, enabling cancer to spread.

• Tumor Microenvironment Modulation: PDGF affects not only tumor cells but also surrounding stromal and vascular cells, shaping the tumor microenvironment. This interaction can enhance tumor growth, promote spread, and contribute to resistance against therapies.

Cancers Linked to PDGF Signaling:

• Gliomas

• Gastrointestinal stromal tumors (GIST)

• Myelomonocytic leukemia

• Nonmelanoma skin cancers (e.g., basal cell carcinoma)

• Breast cancer

• Colorectal cancer

• Pancreatic cancer

Lack of Clinical Trials and Long-Term Data

Another major concern is the absence of clinical trials examining the long-term safety or efficacy of PDGF injection in aesthetics or medicine. Without peer-reviewed studies or data on outcomes over time, there is no way to ensure patient safety. Using products that lack evidence-based backing undermines medical ethics and patient trust.

At Rejuve Medspa, Dr. Kaplan makes sure that clients are well informed of both benefits and risks of cosmetic injections. Dr. Kaplan does not inject PDGF at Rejuve Medspa. She recommends caution when others are considering it as an option for their under eye area, scalp or other cosmetic purposes.

What can be done about PDGF Complications?

Because there is no conclusive scientific data about what causes complications from PDGF cosmetic injections, the potential solutions would also be unclear. When considering treatment options, it is helpful to understand the root cause of the problem. Some are suggesting that corticosteroid injections be employed; however, I would caution against the used of subcutaneous steroid injections as they can lead to fat loss. There is no conclusive evidence that microneedling, Radiofrequency, or lasers would be effective to reduce the appearance of skin lesions caused by PDGF injections. Surgical removal would be an option for treatment of PDGF complications, but surgery will lead to scar formation which can be equally unsightly. In summary, no good options currently exist for the treatment of PDGF complications.

The Secret to Ageless Hands Revealed - Our Signature Hand Rejuvenation Treatment

Your hands are storytellers. They wave, greet, and hold the people you love—but they also reveal the passage of time. Fine lines, thinning skin, sun spots, and volume loss can make hands look older than the rest of you.

That’s why we created our Rejuve Hands - Signature Rejuvenation - our most comprehensive hand rejuvenation treatment designed to restore smoothness, radiance, and youthful volume to your hands.

Why Your Hands Age Faster?

Hands are constantly exposed to the elements. Sunlight, environmental stressors, and natural collagen loss all contribute to:

• Visible veins and tendons from volume loss, mostly due to fat loss. Reduced muscle mass and bone density also occur.

• Sunspots and discoloration from UV exposure and thinning skin

• Thin, crepey skin that loses elasticity due to loss of collagen over time

While we often focus on facial rejuvenation, our hands can give away our age first.

Rejuve Hands -Signature Rejuvenation: The Secret to Ageless, Elegant Hands

A blend of advanced regenerative treatments into one transformative experience:

1. LaseMD Ultra Laser Skin Resurfacing – gently resurfaces the skin, softening fine lines and fading sun damage for a more even tone. Also stimulates collagen production for healthier more radiant skin. Learn more about LaseMD Ultra

2. PRP (Platelet-Rich Plasma) – harnesses your body’s own growth factors to stimulate collagen and improve skin health.

3. Renuva® – a unique treatment that restores youthful volume with your own fat cells. Renuva is an acellular adipose matrix that supports the growth of your own fat - providing a natural look and feel with long-lasting results. Learn more about RENUVA.

4. Healite - harnesses the power of near infrared light to boost your cells’ mitochondrial ATP production to boost recovery and enhance results. Learn more about Healite.

The Results:

After the Rejuve Hands experience, patients often notice:

• Softer, smoother skin

• Improved tone and brightness

• Restored volume for natural, youthful contours

• A refreshed, elegant appearance

Your hands will not only look younger—they’ll feel healthier and more vibrant.

Indulge in Timeless Elegance

Your hands deserve the same attention as your face. Rejuve Hands™ is the ultimate luxury hand rejuvenation treatment, merging science and beauty to create stunning, natural results.

Reserve your Rejuve Hands™ experience today and let your hands tell a younger story.

Redensity Filler - The Wrinkle Eraser

RHA® Redensity is a HA (Hyaluronic Acid) Filler that is unlike any other on the market. It is meant to be injected into the skin (dermis) as opposed to other fillers which are meant to be injected underneath the skin for volume. Because it is very fine and can be injected directly into the skin, Redensity helps to improve the appearance of wrinkles rapidly and with little downtime. Redensity can treat dynamic wrinkles around the mouth (peri-oral) without compromising normal muscle movement when injected properly by a qualified/licensed injector. The key to achieving natural-appearing results is an art in which subtlety is paramount.

How Long Does RHA® Redensity Last?

The effects of RHA® Redensity is injected very superficially into the dermis and in the process will help to subcise the wrinkles and induce collagen along the way. Although outcomes may vary, results can last for more than 1-2 years.

Before and After Photos:

Wrinkle reduction around the lip lines and nasolabial folds

Wrinkle reduction to the horizontal neck lines.

Wrinkle reduction around the lip lines, chin lines and nasolabial folds.

Product information:

RHA® Redensity is a viscoelastic, sterile, non-pyrogenic, clear, colorless, homogeneous and biodegradable gel implant of both crosslinked and non-crosslinked hyaluronic acid. It is produced with sodium Hyaluronic Acid (NaHA) with a concentration of 15 mg/g obtained from bacterial fermentation using the streptococcus equi bacterial strain, crosslinked with 1,4-butanediol diglycidyl ether (BDDE) and reconstituted in a physiological buffer (pH 7.3). RHA® Redensity also contains 0.3% lidocaine hydrochloride monohydrate to reduce pain on injection.

What are the potential side effects of RHA® Redensity Filler?

As with all injections, potential risks include temporary bleeding or bruising. Vascular occlusion would be extremely rare if performed by a skilled injector since arteries are typically not superficial or in the layer of the dermis. Other uncommon risks include: inflammatory reaction, infection, anaphylactic reaction, edema (swelling), filler migration, acne, blisters, scarring, papules and delayed onset of granulomas.

Jawline contouring and Double Chin Treatment with Genius RF Microneedling

Got a stubborn jawline? Would you like a more sculpted look? Getting the best solution to achieve that sculpted appearance requires knowing what the problem is in order to get to the root cause. Usually it’s not just one problem, but a combination of contributing factors. Well luckily, Genius RF microneedling can address multiple problems for optimal results. Let’s take a deep dive.

What causes a double chin or “Turkey neck”?

The natural aging process can lead to loss of collagen causing thinning and loose skin. Gravity contributes to the downward pull of the face and neck. Volume loss in the face, loosening ligaments and excess fat in the under chin area can all result in a “double chin” or “turkey neck” appearance.

• Loose skin

• Excess fat

• Loss of collagen

• Gravity

• Natural aging process

Genius RF Microneedling for Skin Tightening and fat reduction:

Lutronic Genius combines radiofrequency with microneedling to boost collagen production and tighten skin. The depth of the micro needles can be adjusted to target fat and/or skin tightening. The treatment is non-surgical and requires very little downtime. You can expect some minor swelling and redness afterwards. But returning to normal activity within a day or two is typical. Although you will see improvement within 1-2 months, you may need a series of 2-3 sessions for best results.

Before and After Photos of Genius RF Microneedling for Jawline Contouring, Double Chin and Turkey neck:

After 2 sessions of Genius RF 

After 1 session of Genius RF

How does Genius RF Microneedling compare with Kybella?

Kybella is comprised of synthetic deoxycholic acid which helps to dissolve fat when injected underneath the skin. In the body, deoxycholic acid is a natural substance contained in bile acid and aids in breaking down and absorbing fats in our diet. Typically several vials of Kybella are required to cover the area under the chin which can be expensive. Kybella causes a significant amount of tissue swelling, resulting in a “bullfrog-like” appearance which can persist for 3-5 weeks. While Kybella can be effective for melting fat, it usually required multiple (2-5) sessions for optimal results. Kybella does not tighten skin, so loose skin can be problematic after the fat is dissolved.

Genius RF microneedling causes mild swelling and redness that can last for 7-14 days, but is not as dramatic as Kybella. Genius RF targets multiple depths and is effective for both fat reduction and skin tightening. It also improves skin texture and fine lines/wrinkles. At more superficial depths, Genius RF does not target fat so fat loss is not necessary and can be avoided if desired.

Before and After Photos of Genius RF for the Neck and Under Chin Area:

After 2 sessions of Genius RF

* Improved skin texture

* Improved fine lines/wrinkles

* Collagen stimulation

* Skin tightening 

After 2 sessions of Genius RF 

Genius RF microneedling for active acne and acne scars

Acne most commonly affects adolescents, but also extends into adulthood for many. It can be frustrating to manage, as it can lead to pigmentation changes and pitted scarring.

What causes acne?

Acne forms when hair follicles become clogged, trapping dead skin cells, bacteria and oil underneath the skin. Whiteheads will form when the excess oil mixes with the dead skin cells to form a plug close to the skin’s surface. Blackheads will form if the follicle is open to the skin. The usual bacterial culprit is Propionibacterium acnes (P. acnes) which can multiply when trapped within the pores, leading to inflammation, redness, and infection. Sometimes pus will form deep underneath the skin, causing pitted scars.

How can Genius RF Microneedling help with Active acne and Acne scarring?

Genius RF combines Radiofrequency heat with microneedling to reduce pore size, reduce oil production and stimulate collagen production. The reduced oil production and pore size leads to fewer acne outbreaks, while the improved collagen and elastin will help tighten the skin and reduce the appearance of acne scars.

What is the recovery like after Genius RF microneedling treatment?

Because the needles with Genius RF are ultra-fine, there is minimal injury to the skin surface. You can expect some redness and minor swelling following the treatment. The swelling resolves quickly (within 1-3 days). The redness peaks during the first 3-5 days and typically fades over the coarse of 1-3 weeks. You want to avoid soaking your treated skin under water (i.e. avoid saunas, swimming) for 2 weeks. You will also want to avoid strenuous workouts (sweating). But otherwise, you can return to normal activity within 1-2 days.

How can adding LaseMD or co2 laser help with Acne scars?

While Genius RF works underneath the skin to boost collagen, lasers work on the surface of the skin to smooth skin texture and remove pigment. Two of our favorite lasers to combine with Genius RF microneedling for acne scars include LaseMD Ultra and Ecotone eCO2 Laser.

Acne scar subcision may be needed for deeper acne scars

Deeper acne scars have thick fibrous bands of scar tissue below the skin, as well as loss of collagen at the skin surface. These scars respond better to subcision (using a needle to cut the scar bands beneath the skin).

What skincare products should I use after RF microneedling?

Protection against sun damage is important to prevent pigmentation (darkening of skin). 100% mineral sunscreen is recommended. For the first 3 days, it’s a good idea to avoid creams that could potentially clog pores and lead to acne outbreaks. Gentle cleansers are also recommended. Avoid retinol/tretinoin, glycolic or exfoliating cleansers for two weeks. At Rejuve Medspa, we have a variety of advanced skincare products that help to speed recovery, prevent complications, as well as enhance results.

Before and After photos of Genius RF for acne scars:

6 weeks after 1 session of acne scar subcision with PRFM injection, and 2 sessions of Genius RF/LaseMD combo.

2 months after 1 Genius RF session

6 weeks after acne scar subcision with PRFM injection plus 2 sessions of Genius RF/LaseMD combo

What is the difference between RF microneedling and regular microneedling?

Regular microneedling pens have no added radiofrequency. The needles on a typical microneedling pen are shorter and stiffer, potentially causing more surface injury to the skin depending on how aggressive the treatment is. Although great results can be achieved with regular microneedling, more sessions will be required for a similar result compared with one session of RF microneedling.

How does Genius RF microneedling compare with other RF devices such as Morpheus 8 or Pixel 8?

The needles with Morpheus 8 and Pixel 8 are thicker and stiffer, causing more surface injury (more risk for bleeding, bruising, pain, and prolonged healing times), as well as higher risk for hyper pigmentation (darkening of skin). Genius RF has 49 gold-plated ultra fine needles compared with 28 needles on Morpheus 8, so Genius RF can provide more aggressive energy delivery. Despite being more aggressive, Genius RF has less associated downtime. There is more precision and control possible with Genius RF due to the intelligent feedback.

Genius RF for the Body: skin tightening, cellulite reduction, fat reduction

Genius RF microcneedling combines Radiofrequency with microneedling to stimulate collagen production giving your skin a firmer more toned appearance…not just for the face, but for the body too. At deeper depths, unwanted fat can also be targeted if desired.

How does Genius RF work?

Genius RF microneedling at Rejuve Medspa uses a handheld device with 49 gold-plated sterile needles to deliver radio-frequency energy, stimulating your own body's collagen and elastin production. Dr. Kaplan programs the proper settings depending on the problem being addressed. The Genius device monitors the energy delivery in real-time and adjusts the flow as needed to ensure the right amount of energy is delivered for each patient and treatment.

What can Genius RF Treat?

On the body, Genius RF can address loose skin, wrinkles, stretch marks, scars, cellulite and fat reduction. 1 - 3 sessions may be required for best results.

What is the downtime for Genius RF?

Because the needles with Genius RF are ultra-fine, there is little injury to the surface of the skin. You can expect some redness and minor swelling after the treatment. The swelling resolves quickly (within 1-3 days). The redness is at its peak the first 3-5 days and typically fades over the coarse of 1-3 weeks. You want to avoid soaking your treated skin under water (i.e. avoid saunas, swimming and baths) for 2 weeks. You also want to avoid strenuous activity that would cause sweating for 24-48 hours. But otherwise, you can return to normal activity quickly.

What does the Genius RF treatment feel like?

Genius RF requires topical numbing with medical grade numbing creams. The treatment can be a bit “spicy” (hot, stinging sensation), but otherwise well- tolerated.

Before and After Photos of Genius RF for the abdominal area:

RHA Redensity filler - novel wrinkle treatment

The thought of fillers often conjures visions of overfilled cheeks. But Redensity is a unique filler - the only one of it’s kind to be specifically designed for injection directly into the dermis (skin) for treatment of wrinkles. RHA Redensity is created more like your own natural hyaluronic acid (HA), thus allowing for normal movement without interfering with facial expressions.

At Rejuve Medspa in Newcastle, WA Dr. Kaplan uses Redensity filler to address wrinkles on the face - most commonly nasolabial folds and lips lines. Redensity can also improve the appearance of neck lines and even pitted acne scars. The goal is to soften the wrinkles without changing the shape or the natural movement of the face.

Before and after photos of redensity filler:

How long does Redensity Filler Last?

Since Redensity is designed to be injected directly into the skin, it also induces collagen production. Only tiny amounts are injected very superficially into the skin. Wrinkles appear softer immediately. Results can last for up to 15 months.

Botox/dysport for wrinkle treatment and prevention

Neuromodulators relax muscles that form wrinkles. Loss of collagen over time leads to reduced skin elasticity, causing wrinkles to form. Wrinkles can get deeper and deeper with continued muscle contractions, collagen loss, and sagging skin. Using Neuromodulators can not only reverse the appearance of wrinkles, but can also prevent wrinkles from getting deeper.

What areas can be treated with Neuromodulators (Botox, Dysport, Xeomin, Jeuveau, Daxxify)?

Neuromodulators such as Botox, Dysport, Xeomin, Jeuveau and Daxxify contain botulinum toxin A - all help to relax muscles. Common areas treated on the upper face include: forehead lines, frown lines (11’s), smile lines around the eyes (Crows feet), smile lines on the nose (Bunny lines), eyebrow lift. Popular areas on the mid and lower face include: upper lip - to treat gummy smile or relax upper lip (lip flip), lower face frown lines (marionette lines), Masseters for jaw-slimming or to treat TMJ, chin dimpling and neck lines.

Expert injectors at Rejuve Medspa

Dr. Kaplan is a highly skilled medical doctor specializing in aesthetics since 2019 with 20 years experience and Board certification in Emergency Medicine. Your treatment will be customized to address your unique concerns.

Before and After Photos of Botox/Dysport Neuromodulators

Unlock Radiant Skin with DefenAge 8:1 BioSerum

Are you seeking a revolutionary skincare solution that delivers visible, transformative results? Look no further than DefenAge BioSerum - Professional series, available at Rejuve Medspa in Newcastle, WA. Our medspa is committed to providing cutting-edge skincare treatments, and DefenAge BioSerum is a standout product that exemplifies our dedication to excellence.

What is DefenAge 8:1 BioSerum?

DefenAge BioSerum is a breakthrough anti-aging skincare product formulated with Defensin molecules, a revolutionary and patented discovery in the skincare industry. These molecules trigger a natural process in your skin, encouraging the regeneration of fresh, youthful cells. The result? Smoother, firmer, and more radiant skin without the need for invasive procedures. It also pairs well with our advanced skin treatments including RF microneedling and laser skin resurfacing.

The Science Behind DefenAge

Defensin molecules in DefenAge BioSerum activate the LGR6+ receptors in basal layer of the skin, stimulating stem cells to boost collagen production. This initiates a rejuvenation process that is both natural and effective. This unique approach sets DefenAge apart from other skincare products, as it works to:

• Reduce Fine Lines and Wrinkles: By promoting the growth of new, healthy skin cells, DefenAge BioSerum effectively diminishes the appearance of fine lines and wrinkles.

• Improve Skin Tone and Texture: The regenerative process evens out skin tone and smooths rough textures, giving your skin a luminous and youthful glow.

• Boost Hydration: DefenAge BioSerum enhances the skin's moisture retention, ensuring a plump and hydrated complexion.

• Protect Against Environmental Damage: The serum's antioxidant properties shield your skin from environmental aggressors, preserving its youthful appearance.

Why Choose DefenAge BioSerum at Rejuve Medspa?

At Rejuve Medspa, we pride ourselves on offering the best in skincare solutions, and DefenAge BioSerum is a prime example of our commitment to innovation and quality. Here’s why you should consider DefenAge BioSerum as part of your skincare regimen:

1. Expert Guidance: Our skilled and knowledgeable team is here to help you understand how DefenAge BioSerum can benefit your specific skin type and concerns. We provide personalized consultations to ensure you achieve the best possible results.

2. Advanced Treatments: Rejuve Medspa combines the power of DefenAge BioSerum with our range of advanced skincare treatments to amplify your results. Whether it’s through facials, microneedling, lasers, or other rejuvenation therapies, we tailor our services to meet your unique needs.

3. Luxurious Experience: Our medspa offers a serene and luxurious environment where you can relax and indulge in self-care. We aim to provide a rejuvenating experience that leaves you feeling refreshed and revitalized.

What are the 8 ingredients in the 8:1 Bio serum that makes it so effective?

1. Anti-Oxidants: A robust blend of antioxidants, including Ergothioneine, combats environmental damage while brightening and energizing the skin.

2. Niacinamide: Rich in high-performance Niacinamide (Vitamin B3) to soothe, hydrate, revitalize the skin’s moisture barrier, and promotes a uniform skin tone.

3. Hyaluronic Acid (HA): Infused with low-weight Hyaluronic Acid for deep hydration, supplemented by a suite of intense moisturizers.

4. Collagen: Enhanced with beta-defensin 3, the BioSerum boosts collagen, improves elasticity and firmness, and diminishes sagging.

5. Calming Sea Whip extract: the sea’s most potent and swift anti-inflammatory agent

6. Peptides: A blend of peptides, including Palmitoyl Tripeptide-38, targets critical aging areas, smoothing wrinkles and refining skin texture.

7. DNA-Repair Enzyme: enzymes from Mediterranean Arabidopsis, renowned for repairing common DNA damage.

8. Retinol-Alternative Defensins: The 8-in-1 BioSerum is the highest concentration achievable of Alpha-Defensin 5— a bio-synthesized molecule which activates age-repair pathways to stimulate new skin development, and serve as a safe, highly effective alternative to retinol.

Transform Your Skin Today

Experience the transformative power of DefenAge *:1 BioSerum at Rejuve Medspa in Newcastle, WA. Whether you're looking to reduce the signs of aging, improve your skin’s texture, or simply boost your natural radiance, DefenAge BioSerum is the perfect solution.

Visit us at Rejuve Medspa to discover how DefenAge BioSerum can help you achieve your skincare goals. Schedule your consultation today and take the first step towards radiant, youthful skin.

Unveiling Radiance: The Ultimate Guide to Pre-Wedding Medical Spa Treatments at Rejuve MedSpa in Newcastle, WA

Every bride dreams of looking and feeling her absolute best on the most special day of her life. At Rejuve MedSpa in Newcastle, WA, we understand the importance of radiance, confidence, and sheer beauty on your wedding day. Our specialized medical spa treatments are designed to pamper and rejuvenate, ensuring that you walk down the aisle with a glow that reflects your inner joy. In this guide, we'll explore the top face and body treatments tailored for brides-to-be, helping you achieve that flawless and timeless look.

Pre-Wedding Glow: Skincare and Chemical Peels

The journey to radiant skin begins with our customized and skincare treatments. Our expert aesthetic physician at Rejuve Medspa will assess your skin's unique needs and curate a personalized plan to address concerns such as acne, pigmentation, or fine lines. Our low downtime “no peel” chemical peels, work wonders to brighten, hydrate, and tighten your skin, leaving you with a luminous complexion that will be captured beautifully in your wedding photographs.

Revitalize and Rejuvenate: Laser Treatments

For brides seeking a more advanced approach to skin rejuvenation, our laser treatments are the answer. Whether you want to target specific areas for pigment reduction, resurface skin for a brighter tone, address skin texture irregularities, or minimize wrinkles, our state-of-the-art laser therapies can help. The result? Silky-smooth skin and a renewed confidence that will undoubtedly shine through on your big day.

Body Contouring for a Flawless Silhouette

At Rejuve MedSpa, we understand that a bride's confidence extends beyond the face. Our body contouring treatments are designed to sculpt and tone, ensuring you feel your absolute best in your wedding gown. From non-invasive procedures like Emsculpt NEO for building muscle and burning fat to radiofrequency treatments that tighten and firm, our experts will create a tailored plan to enhance your natural beauty. We strive to give you the confidence to walk down the aisle with grace.

Laser Hair Removal

Laser hair removal is offered at Rejuve Medspa for those seeking a more permanent and convenient solution to waxing or shaving. Our laser hair removal device, Clarity II, is safe and comfortable for all skin types.

Relax and Unwind

Stress-Reducing Treatments Wedding planning can be stressful, and self-care is essential during this busy time. Treat yourself to stress-reducing treatments at Rejuve MedSpa, such as a facial or near infrared light therapy sessions. Not only will these indulgent experiences melt away tension, but they will also contribute to a calm and serene state of mind as you approach your wedding day.

Bridal Beauty Package: A Tailored Experience

To ensure you receive the full spectrum of benefits, schedule a consultation to devise a curated selection of treatments designed to prepare you from head to toe. Individual goals may vary and will be customized to address your unique needs and timeline leading up to the wedding day.

At Rejuve MedSpa in Newcastle, WA, our mission is to make every bride feel like the most beautiful version of herself. With our specialized medical spa treatments, you can confidently step into your wedding day with radiant skin, a flawless silhouette, and a sense of tranquility. Let us be a part of your journey to bridal bliss, ensuring that you look and feel your absolute best as you say "I do."

How to plan the timing of my treatments Before my Wedding:

Skincare regimens can be optimized with medical grade products that have scientifically proven benefits with higher concentrations of active ingredients as well as prescription only options. Customization of skincare is necessary to address individual concerns whether it is acne, rosacea, sensitive or dry skin.

For body sculpting treatments, we recommend starting at least 3 months before your wedding. Benefits of fat burning and muscle building treatments often have best results after 2-3 months. It’s important to maintain a healthy diet and exercise routine to maintain the results. We offer a Core Club membership for discounted pricing on Emsculpt NEO for those who would like to save time or reduce risk of injury

For advanced skin rejuvenation, pigment reduction and wrinkle treatments, it’s best to start 6-12 months ahead of your wedding date. Genius RF microneedling, LaseMD Ultra, light CO2 Laser and Clarity Laser often need to be done in a series of 3 sessions (spaced about 4-6 weeks apart) for optimal outcomes.

With Botox/Dysport, it is possible to maintain natural expressions without appearing “frozen”. We tailor your experience depending on your individual goals. If this is your first experience with neuromodulators such as Botox or Dysport, please don’t wait until a month before your wedding to try it for the first time. The effects of Botox typically lasts for about 3 months while Dysport can last 3-5 months (sometimes longer). So it’s best to try it about 6-12 months ahead of the wedding to see the full effects and make minor adjustments according to your desired transformation.

Laser Hair Removal should be considered 9-12 months ahead of the big day.

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How Long Does Filler Really Last? Breaking the Myth:

Hyaluronic Acid (HA) Filler is often described as “temporary.” Patients are told results should last for up to 1-2 years, maybe 6 months for lips. But is this really true?

I’ve had the privilege of working in the aesthetic industry since 2019 after retiring from a 20-year career in Emergency Medicine. Some of my patients have had filler injected over the course of 10-20 years (mostly at other places). Fortunately, at Rejuve Medspa, I use ultrasound to assess anatomy before injecting or dissolving any filler. I have noticed that people tend to believe that their old filler has mostly “worn off” when they get more filler. However, instead of filler completely degrading, I believe it often still exists and builds up over time.

A Case Study of Filler Injection:

This lovely client had Juvederm filler about 32 months prior to her follow up photos. She was kindly willing to share her experience. Assessment with ultrasound revealed that she still had filler to the areas which were previously injected. Her after photos look quite similar 32 months later. Keep in mind that immediately after filler injection, you can expect some swelling from the injection itself which typically reduces over the next couple of weeks.

Which Filler Lasts the longest?

In my experience with various fillers (Juvederm, Restylane, RHA), I’ve noticed that Juvederm is particularly long-lasting and very difficult to dissolve with Hyaluronidase.

Are some fillers permanent?

Some fillers such as Bellafil are considered permanent because it is made with non-resorbable polymethylmethacrylate (PMMA) microspheres. Whereas Hyaluronic Acid fillers can be dissolved with Hyaluronidase, Bellafil cannot be dissolved. Permanent fillers are much riskier to inject, especially if accidentally injected into an artery. Long term complications of permanent fillers can lead to granuloma formation, auto-immune response or infection. Increasing reported complications associated with permanent soft tissue fillers have led the national medical societies and governmental institutes in Europe to send out warnings regarding their use (see reference link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2714892/). As a result, many countries in Europe have banned the use of permanent fillers such as Bellafil (formerly known as Artefill).

What Happens to Filler after a year or More?

Hyaluronic acid filler eventually becomes more stiff and may cause swelling due to the affinity of water. Filler's tendency to attract water may sometimes cause a puffy appearance, often delayed until several years later.

A volumetric MRI study of filler performed on a patient who reported having 12 syringes (12 mL) of filler over the course of 6 years revealed a total volume of 28 cubic cm - more than double the volume originally injected. Read a reference article: Newsweek article

Can Filler Migrate from where it was injected?

Muscle contractions, over-filling and gravity over time can cause filler to migrate from where it was originally injected. Filler migration may lead to distortion of facial features. Avoiding over-filling can minimize the risk of migration. Certain high risk areas such as the under eye (tear trough) areas should be avoided.

Benefits of Dermal Filler:

Dermal filler is an attractive option for those seeking a nonsurgical approach to improving facial volume. Results of dermal filler are immediate with little to no downtime. Judicious use of dermal filler can provide natural-appearing and long-lasting results.

What other types of treatments can replace facial volume besides Hyaluronic acid filler?

Sculptra is a biostimulator that stimulates your own body’s production of types I and III collagen. The volumizing effects of Sculptra happen slowly and increase over the course of several months. Results of Sculptra are FDA cleared for 25 months.

Renuva is an extra-cellular matrix that promotes your own body to grow fat. The life cycle of your own fat cells can be up to 10 years. Since the primary reason for loss of facial volume is due to loss of fat, replacing lost fat with your own fat can produce the most natural-appearing and most natural-feeling outcome.

Filler Dissolving with Ultrasound Guidance and Hyaluronidase

Filler has recently become less popular with more and more people starting to realize the long term risks. Filler lasts much longer than 1-2 years, gets stiffer, and naturally degrades unevenly resulting in a lumpy appearance. Filler builds up over time and can migrate from its original intended location. Because filler attracts water, an over-filled, puffy appearance may occur. Consequently, many people are now interested in having their filler dissolved and opting for other treatment options instead.

What types of filler can be dissolved?

Hyaluronic acid (HA) filler can be dissolved with Hyaluronidase. Whereas other types of filler (Bellafil - silicone) and Sculptra or Radiesse (biostimulators) cannot be dissolved with Hyaluronidase. Some types of filler such as Juvederm is more difficult to dissolve due to it’s extensive chemical crosslinking.

A study published in Jan 2023 in the Journal Molecule describes how different brands of Hyaluronidase such as Hylenex is superior to Hyalase in dissolving filler. Luckily, Hylenex is readily available in the United States. Read the full article: article link

How many sessions of Filler Dissolving will I need?

People are most often surprised by how difficult it is to dissolve filler and by the number of sessions it requires. For 1 syringe of filler, it is not uncommon to require 2-4 sessions of filler dissolving and several vials of Hyaluronidase to achieve the desired outcome. It’s much easier to dissolve filler when there is a large collection in one spot. However, most of the time filler is dispersed in tiny amounts diffusely. For those who have had many syringes of filler over many years, it could require 10 - 15+ sessions of filler dissolving, and yet not all the filler will be entirely dissolved.

How does Ultrasound help to dissolve filler?

Ultrasound increases accuracy and efficiency by allowing direct visualization of filler location and depth as well as proper cannula or needle placement. An ultrasound with doppler capability can help distinguish the difference between vessels and pockets of filler as both will appear dark. Silicone filler such as Bellafil will look different than HA filler. Ultrasound can also help to reduce the risk of bruising or hematoma formation by allowing visualization of the vessels to avoid.

It’s important to remain up to date on the most current clinical data for best outcomes with a commitment to safety. It’s also important to have the best equipment with proper features to allow for visualization of superficial anatomical landmarks. Dr. Kaplan at Rejuve Medspa in Newcastle, WA has over 25 years experience using ultrasound and has expertise in dissolving filler.

What are the common reasons to dissolve Filler?

Changing Trends: Sometimes we change our minds about following trends such as big lips, big cheeks, or pointy chins. Nothing wrong with wanting to revert back to your original or more natural appearance.

Filler Migration: Over time, filler can migrate from its intended location. Lip filler injected into the vermilion border can migrate outside of the lips. While lip filler injected too close to the wet/dry border can cause a lumpy or uneven smile along the inside border of the lips. Gravity and muscle contractions can eventually cause mid cheek filler to migrate downwards, causing an accentuated fullness to the lower cheeks and worsening the appearance of the nasolabial folds. Chin filler can migrate below the jawline causing an unusual contour.

Unnatural appearance: We often lose sight of how we look. Slowly adding more filler over the years can eventually lead to an over-filled look.

Lumps and bumps: Lip filler injected too superficially can cause a bumpy appearance. Under eye filler can frequently cause a lumpy appearance.

Bad outcome: Sometimes, filler can lead to delayed nodules or even infections (recurrent abscesses) in which case, the filler should be removed entirely.

Vascular occlusion: Filler inadvertently injected into an artery can cut off the blood supply to the surrounding normal tissue, leading to necrosis. If this happens, the filler should immediately be dissolved. In rare cases, even blindness or stroke symptoms can occur.

Do I need to remove all of my filler or can I keep some of it?

Not everyone wants all of their filler dissolved. Sometimes removing a small amount of filler can help achieve the desired outcome. If there is a nodule or complication related to old filler, it’s probably best to dissolve everything and start over with a clean slate.

How soon after getting filler dissolving will I know the results?

Filler dissolving usually works fairly quickly. However, on the day of dissolving you can expect to have swelling from the injection and fluid associated with injection of Hyaluronidase. Typically it can take 1-3 days for the swelling from the injection to reduce and for the effects of Hyaluronidase to become apparent.

How much does filler dissolving cost?

Dissolving filler is expensive. There are multiple factors that contribute to the cost. Primarily, Hylenex is an expensive product. Other supplies such as lidocaine solution, sterilizing products and other medical supplies are additional expenses. Dissolving filler with Ultrasound guidance takes more time and adds more cost than blindly dissolving filler because it requires more precision, more clinical expertise, and specialized equipment. On the other hand, dissolving filler without ultrasound guidance will likely result in missed areas and/or uneven results.

What are the potential side effects of Hyaluronidase?

There is a less than 1% chance of allergic reaction which is more likely if you have a bee sting allergy. Other potential complications include risk for local swelling, bruising, discomfort, itching. Injecting lidocaine can help with discomfort. Using ultrasound and/or Accuvein can help identify vessels to avoid, and will reduce the risk for bruising.

Before and After Photos of Filler Dissolving

Skincare Obsession with Hydrodermabrasion Facial - Why IT’s Better Than Hydrafacial

While you may have heard all the hype about Hydrafacials, Hydro-dermabrasion facials actually provide a more effective and deeper exfoliation to yield a radiant, youthful glow. Whereas Hydrafacial uses a plastic tip connected to suction to remove dead skin cells, Bio-brasion Hydro-dermabrasion has five different abrasive diamond tips that are much more effective for a deeper exfoliation. The diamond tips are connected to suction and gently sweeps over the skin to exfoliate while simultaneously infusing correcting serums designed to address pigmentation, dullness, pore size, acne, and aging.

What to expect from our signature Hydrodermabrasion Facial?

Pamper yourself with our signature medical grade facial that will enhance your youthful glow and leave your skin feeling hydrated and radiant. Hydro-dermabrasion is a comfortable and rejuvenating 60 minute experience. We incorporate the BT-Micro device which uses ultrasonic microcurrents. The ultrasonic microcurrent creates high speed oscillations to extract and further exfoliate dead skin cells, making your skin more receptive to serums and topicals that are applied during your facial. This treatment is safe and beneficial for all skin types, including acne-prone skin.

Rejuve Medspa’s Signature Hydro-dermabrasion Facial is combined with medical grade skincare products applied to address your unique skin concerns.

What are the Benefits of the Hydrodermabrasion Facial?

Hydro dermabrasion can help improve the appearance of:

• Dull, lifeless skin

• Uneven texture

• Dehydrated skin

• Congested/blemish prone skin

• Enlarged pores

• Fine lines/wrinkles

• Mild acne scarring

• Superficial sun damage/hyperpigmentation

Why Medical Grade Skincare Products Matter?

Medical grade skincare products work more effectively than over-the-counter products due to the quality, innovation and concentration of active ingredients. We 0ffer prescription medications for anti-aging, pigment reduction, melasma, and acne care. Some of our favorite exclusive professional brands include Alastin, Skinbetter, DefenAge, and EltaMD.

ADD-ON TREATMENTS:

Add-on treatments include custom chemical peels, masks, LightStim Acne Panel, HEALITE, or Dermaplaning.

CHEMICAL PEELS

Chemical Peels can further enhance exfoliation. Depending on your specific skin concerns, our Master Aesthetician may recommend Glycolic acid, Light Jessner’s, Salicylic or Lactic acid chemical peels.

LIGHTSTIM ACNE PANEL

LightStim Acne Panel’s Blue LED light (415nm) activates porphyrins that target and destroy acne-causing bacteria. LightStim also combines red light (630 nm) to help sooth and calm the skin as well as prevent hyperpigmentation.

HEALITE

HEALITE harnesses the power of Infrared light to boost your body's natural regenerative and healing cascade. HEALITE speeds the healing and enhances the results of aesthetic treatments.

DERMAPLANING

Dermaplaning provides an effective and safe exfoliation treatment that promotes deeper product penetration, boosting the effects of skin care products while making the skin look and feel smoother. Dermaplaning is perfect for removal of unwanted facial hair. It is also beneficial for reducing the appearance of:

• Fine Lines/wrinkles

• Uneven texture

• Superficial sun damage

• Mild acne scarring

• Dull or dehydrated skin

BACK FACIAL

Many people experience acne on their back. Back facials can be just as relaxing and enjoyable as regular facials and are an excellent way to cleanse, exfoliate dead skin, and deeply moisturize this hard-to-reach area. Back facials can also help to clear up specific conditions you are concerned about, such as clogged pores, oily skin, dry skin, acne-prone skin, uneven texture, and more. Our back facials offer a custom selected diamond tip microdermabrasion with adjustable suction that exfoliates away dead skin cells, prepping the skin for extractions and medical grade treatment products that are custom blended to help improve and restore tone and texture to your skin.

Some benefits back facials include:

• Hydrates and cleanses skin leaving it feeling soft, smooth, and fresh

• Removes a build up of dirt, oil, keratin, and dead skin cells

• Helps heal and clear breakouts

• Stimulate collagen production