Posts Tagged ‘skin’
Pay attention! I am about to share the ultimate beauty secret, the secret to anti-aging.
The desire to stay young and beautiful is a natural part of the human psyche and we are apparently willing to pay big bucks to achieve it. Americans spend billions of dollars each year on anti-aging products and services in a desperate search of the fountain of youth. Each new product we try offers a new opportunity to look younger, but they often prove to be nothing more than disappointment in a bottle. So… how can we avoid disappointment and achieve real results? The answer lies with a comprehensive approach. To understand the benefits of a comprehensive approach you should first try to grasp some of the basics of the aging face. After all, if we do not understand the aging process how can we know how to prevent or correct it?
What is a comprehensive approach to aesthetics in relation to the aging face?
Comprehensive Aesthetics uses a variety of treatments and products to cover a large scope of issues associated with the aging face. Aging occurs on many levels of the face, including the bone structure, muscular level, fat or volume distribution and finally the dermal and epidermal levels of the skin. To achieve the most ideal results it is necessary to address the affects of aging at each level, in order to do this a variety of treatments are needed. We also can not ignore the effects of lifestyle and general health, as both play a major factor in aging.
Aesthetic Professionals and Interdisciplinary Collaboration
Aesthetics is a branch of philosophy or science pertaining to the nature of art and beauty and aesthetic professionals are those whom are specially trained in the art of beauty. Utilizing a full team of medical aesthetic professionals, including a Plastic Surgeon, Dermatologist, Nurse Injector, Estheticians and Certified Laser Technicians, we are able to take advantage of interdisciplinary collaboration. Each professional possess a special set of skills that contributes to a truly comprehensive approach toward an attractive, youthful face.
Bone adds to the volume of the face and provides structural support to the other layers of facial tissue and skin. As we age there is a significant loss of facial bone which contributes to biometric volume loss. The bones that define your nose, and upper jaw and brow bone recede and the bones of the eye socket gradually widen. The jawbone also recedes and becomes less defined, reducing the angle of the lower jaw. Even the skull shrinks with age, further adding to excess facial skin. The loss of structural support creates noticeable changes in the other layers of tissue, simply put – when the bones that define your face recede your skin begins to droop and sag.
Bad news ladies, we begin to see bone loss as early as our 40′s, where men may not notice bone loss until their mid 60′s. This leads me to speculate that our complicated hormones may play a factor in bone density. As we age bone density can decrease, leading to diseases such as osteoporosis. Your doctor can help you monitor and address issues of bone density loss. Maintaining a healthy diet with enough calcium vitamin D and magnesium can also help prevent bone density loss.
Once bone loss has occurred you can take action with aesthetic treatments. Injectable fillers such as Sculptra can add volume and support for a more youthful and defined face. Sculptra is injected below the surface of the skin to correct the effects of fat loss and natural age-related bone loss. A plastic surgeon can strategically place fat into the face or use facial implants to make up for bone loss.
Below the facial skin and fat, is muscle. The muscle and connective tissue add support to the overlying fat and skin of the face. As our face ages the ligaments stretch and the supporting system begins to elongate causing the face to droop or sag. When the face is sagging due to muscle, this is usually the time for surgical intervention. During a facelift the underlining muscles and tissues are lifted. If you are not ready for surgery, you may consider Ultherapy which does work at the top of the muscle (SMAS) and gives a non surgical lift. Keeping in mind that a non-surgical treatment will always provide a non-surgical result. Ultherapy will not remove excess skin or reposition fat pads, but it will provide a modest lift. Ultherapy is perfect for early intervention and probably as good as it gets without surgery.
Muscle contraction can also cause lines and wrinkles. The muscles we use to make expressions become etched in our face over time, this is most noticeable with the vertical lines between our brows commonly referred to as frown lines, as well as crows feet around the eyes and the lines across our forehead. At first these lines are only noticeable with facial movement, but with out preventative action they are constantly visible even without movement (wrinkles at rest). Botox or Dysport injections are used to treat the lines and wrinkles caused by muscle contraction. It is a good idea to consider these types of treatments early on to prevent the lines from becoming “permanent”. Once the lines and wrinkles have become permanently etched into the skin, fillers may be used to lift the area along with laser resurfacing to smooth the skin or in some more severe cases surgery may be recommended.
Fat and Volume Distribution
A youthful face has the right amount of fat in the right places. As we age some areas of the face loose fat while others gain fat. The areas of fat also become farther apart and the fat pads appear as separate structures rather than a smooth continuous layer.
Fat provides support and volume in the face, as we age this valuable fat begins to decrees. Fat loss creates overall volume loss which contributes to folds, lines and wrinkles. The signs of volume loss can be noticed as early as our 30′s and becomes more significant in our 50′s. As we lose fat in our mid face, we begin to notice things like sunken or flat cheeks, heavy lines and folds around the mouth. Volume loss can also be seen around the temples, near the brow bone and under the eyes. When volume is lost under the eyes, it creates a hollow look and dark circles. Injectables such as Sculptra, Juvederm and Restylane can be used to replace volume to the face. Fat injections can also be used to replace or add volume. Fat transfer or fat injections is a process in which a plastic surgeon removes fat from one area of the body and places it in another. ( How wonderful is that? )
Fat accumulation is often seen under the chin and along the jawline creating an undefined jawline and the dreaded jowls. Bags under the eyes are also the result of fat accumulating in the wrong area. A plastic surgeon can perform a blepharoplasty to remove the fat bags under the eyes. The jowls and fat along the jawline can be corrected with a facelift as fat pads are repositioned, but if you are not ready for surgery fillers can be strategically injected to help contour the jawline. If you opt for fillers over surgery you may consider adding Ultherapy for a modest lift.
During a facelift the underlining muscles and tissues are lifted, fat pads are repositioned, fat bags may be removed from under the eyes and volume may be added with fat injections as needed and excess skin is removed.
The surface layer of the skin is generally the first place we begin to notice the effects of aging, most of us begin to notice the effects of aging on our skin in our 30′s. As we age our skin has a reduction in collagen production, elastin, hyaluronic acid and skin cell turnover begins to slow. Uneven melanin production and distribution causes dark spots and skin discolorations. We begin to notice more broken capillaries, changes in skin texture, thickness, elasticity and moisture. When we are treating these issues in the skin we must first consider what skin functions are involve and what layer of the skin the problem begins.
The skin can be divided up into three basic layers Epidermis, Dermis and the Subcutaneous Layer (fat). When we talk about skin we are generally referring to the Epidermis and Dermis. The Epidermis is the top layer of the skin and the Dermis is the deeper layer.
Skin cell turnover in the Epidermis
The skin is constantly in a cycle of growth. The cycle of a skin cell is about six weeks, this is the time it takes for a new skin cell to rise to the surface of the skin and naturally slough off. As we age this process slows down and the dead skin cells begin to accumulate at the surface. When this happens the skin will have a dull appearance, rough texture, dark spots will become more dense and appear darker, and lines and wrinkles become more prominent. In addition to all of this, accumulation of skin cells can clog pores causing them to appear larger and lead to acne blemishes. The slowing of skin cell turnover begins in our 30′s, which is a good time to consider a medical based skin care regimen. Tretinoin (Retin-A), Laser and Chemical peels can stimulate skin cell turn over.
As the skin cell turn over rate slows so does wound healing. After an injury the skin takes longer to reepithelialize, meaning the top most layer of skin (Stratum Corneum) is not quickly replaced. This is why many Doctors and Estheticians recommend preconditioning your skin before surgery or skin treatments.
Collagen is important to youthful skin, but as we age collagen production slows down. Loss of collagen causes the dermal layer of skin to thin and reduces the skins ability to retain elasticity (from elastin) and moisture (from hyaluronic acid). This leads to the domino effect, as loss of elastin causes laxity in the skin and reduced hyaluronic acid which cause skin to be dryer, less supple and thinner.
Professional chemical peels, laser and IPL treatments can help to stimulate collagen production. Beyond professional treatments, a skin care program that includes continuous use of Tretinoin (Retin-A), topical vitamin -C and full spectrum sunscreen will help with collagen production. Tretinoin (Retin-A) is an effective way to stimulate collagen synthesis. Sun exposure degrades collagen so it is essential to use a good sunblock daily. Vitamin C is nessacerry to produce collagen and it protects skin from both UVA and UVB, by neutralizing the UV rays.
A melanocyte is the cell that produces melanin (pigment), the melanin dispersed to keratinocytes, giving skin it’s color. As we age the cycle of melanin production and distribution becomes irregular.
As we age there is a reduction in the number of melanocytes. After age 30 the number of melanocytes decline about 6-8% every ten years. As the number of melanocytes decrease skin will become lighter, less even and white spots or patches (hypopigmentation) can be seen.
Browns spots and patches such as melasma, sunspots, age spots and freckles are known as hyperpigmentation. When a melanocyte produces more than normal amounts of melanin the result is hyperpigmentation. Furthermore the melanocyte doesn’t disperse the melanin evenly, so it is presented as dark spots or patches. Hormones and sun exposure are factors in even skin color.
There are many professional skin treatments that address hyperpigmentation, including chemical peels and Photofacial (IPL) treatments, however daily skin care is most important. Daily sun protection is necessary, this is not optional! Products containing hydroquinone suppresses tyrosinase, the enzyme involved in creating melanin. Botanical (plant based) lighteners can also help to suppresses tyrosinase, however alone are less effective than hydroquinone. Tretinoin (Retin-A) will help with the distribution of melanin.
As we age the structural wall of the capillaries (tiny blood vessels) break down which results in broken capillaries. Flushing, redness and broken capillaries are treated with Photofacial (IPL) and laser treatments. Vitamin C can also help to strengthen capillary walls, I recommend a healthy diet with enough vitamin-C and a topical vitamin -C serum. A sunblock with Zinc oxide can further help by blocking some of the heat that causes blood vessels to dilate.
Lifestyle and Health
Our skin is a direct reflection of our health. All the skin care products and treatments in the world can only do so much, it is up to you to be proactive in maintaining your health.
- Work with your physician to maintain your health.
- Maintain a healthy diet with plenty of fruits and vegetables.
- Exercise contributes to a healthy body and hormone levels.
- Sun protection will go a long way to save your skin.
- If you smoke, quit!
- Limit alcohol consumption
- Drink plenty of water
- Get enough sleep
- Try to reduce stress (get a massage, take up yoga, relax)
- Hormones play a role in the aging process. Ask your doctor to monitor your hormone levels and discuss treatment options.
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The Fiszz facial is the newest on the scene for red carpet celebrity facials. Also known as the Effervescence Facial, the Fiszz facial by iS, was first introduced to Hollywood celebrities during the award season. Four Seasons Hotel Los Angeles at Beverly Hills exclusivly gifted VIP guests attending the Grammy’s and the Academy Awards with iS skincare line by Innovative Skincare. Shapiro Aesthetic Plastic Surgery and Skin Klinic is excited to be the first in Arizona to offer the Fiszz Facial. The FisZZ is a luxuriously effective facial designed to hydrate, sooth, brighten and purify skin instantly while taking you on a journey of fantastic sensations.
The FisZZ Facial begins with a delicious honey & papaya enzyme cleansing masque that gently warms as it is massaged onto the skin, followed by a citrus & rosemary clarifying mud masque that opens the skin’s pores, gently drawing out impurities. This uniquely formulated mud masque optimizes moisture levels in the skin, while it brightens skin tone, protects against oxidative damage, provides anti-inflammatory protection and encourages healthy cellular metabolism. The highlight of the FisZZ facial is the patented effervescent Citric Acid resurfacing masque that exfoliates & smoothes while providing a (fizzy) champagne-like sensation. A refreshing copper firming mist aids in collagen production, this innovative mist includes emollients to protect skin moisture, saponins which stimulate healthy immunity and herbal components which lessen age-related puffiness. The facial is completed the the application of topical serums, moisturizer and sun protection selected specifically for your skin type.
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Ultherapy is a new type of non-surgical, non-invasive procedure for the face that uses ultrasound and the body’s own natural healing process to lift, tone, and tighten loose skin. Ultherapy is the latest buzz in beauty, it has been featured on shows like 20/20 with Barbara Walters, Dr OZ, The Doctors, Today Show, Rachel Ray, Good Morning America and The View.
Whats The Big Deal?
Ultherapy is a very exciting advancement to those of us in the world of aesthetics for several reasons. First, we are talking about LIFTING and TIGHTENING, not just tightening. An Ultherapy treatment tightens the skin and gives the face a vertical lift. Just incase you missed that, I said “LIFT”! Ultherapy uses ultrasound imaging and ultrasound energy. The ultrasound imaging allows us to see exactly where we are treating. We are able to be very specific in where the ultrasound “energy” or Thermal Coagulation Points are delivered in the skin. The most exciting thing is the depth we are able to treat. Ultherapy is the only non-invasive treatment that can specifically target the deep foundation below the skin that is addressed in cosmetic surgery without cutting or disrupting the surface of the skin. I can’t forget to mention that there is NO down time, which is very convient for those who can’t spare the time to recover from surgery.
Where does it go?
To achieve skin tightening you need to target the skin at a fairly deep level, the dermis and superficial muscle. Procedures that treat the epidermis will not tighten or lift the skin. The Ulthera works at three separate levels, the upper dermis, lower dermis and the SMAS/ Platisma. The area where the facial muscles are connected to the dermis is refered to as the (SMAS). This superficial muscle is something that would be addressed by a facial plastic surgeon during a facelift to reduce the appearance of sagging jowls, cheeks and neck skin. With the Ulthera we are able to address this area without surgery.
Why so specific?
With the Ulthera the “energy” is delivered in a very specific way. This is important because in the past if we wanted to tighten the skin we were mostly limited to devices that use Radiofrequency (RF). Radiofrequency works by delivering heat ( volumetric heating ) deep into the skin to stimulate collagen production and tighten skin. The challenge with RF devices is that they are not very specific. Unlike lasers, RF devices do not precisely reach targeted areas and they are not absorbed by a specific chromophore. Simply put, radiofrequency does not know where to go on it’s own, so it is not as precise as Ulthera or laser treatments. Lasers on the other hand are very precise, they use a single wavelength to target specific chromophores at specific depths of the skin (selective heating). Lasers however do not reach the necessary depth in the skin to achieve skin tightening or lifting. Lasers are not used specifically for tightening, they are more appropriate for treating skin discoloration, vascular lesions, unwanted hair, tattoo removal, acne treatments, peeling and resurfacing treatments to treat scars, lines and wrinkles. Ulthera is in a class all it’s own, it uses (focused ultrasound heating) to precisely target the deep structural support layers of the skin.
Radiofrequenc / Volumetric heating / No Precision
Lasers/ Selective heating / No depth
Ulthera / Focused Ultrasound Heating / Precision & Depth
Tightens and tones the deepest tissues of the skin
Stimulates new collagen production for lasting skin tightening effects
Lifts and brightens the brows and eyes; achieving a non-surgical brow-lift
Defines and contours the neck and jowls
Adds volume to the surface of the skin; reducing the appearance of fine lines and wrinkles
What to expect
Ultherapy will addresses mild to moderate loose or sagging skin, by tightening and gradually lifting the skin. After your treatment there are not any special post treatment instructions or down time. The results will unfold over the course of 2-3 months and some patients have reported continued improvement for up to 6 months. As impressive as the results are, you should always have realistic expectations. You will not achieve surgical results with a non-surgical treatment .
If you are interested in learning more about Ultherapy call Shapiro Aesthetic Plastic Surgery and Skin Klinic to schedule a consultation.
Shapiro Aesthetic Plastic Surgery and Skin Klinic
5410 N. Scottsdale Rd., Ste F-100
Paradise Valley, AZ 85253
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We are recruiting new players
Medical Estheticians Kristy Harris and Stephanie Willis have added a high performance skin treatment to the playbook. Acne blemishes are a skin violation, that can leave even the hottest player on the sidelines and the “Player Facial” is the official clear skin treatment.
The Player Facial
We kick things off with Blue Light RF acne treatment. Intense Pulsed Blue Light teams up with RF energy to defeat acne causing bacteria and shrink oil glands. The next step is a deep pore cleansing treatment followed up with a treatment mask designed to battle acne breakouts. Then a microdermabrasion treatment will remove dead skin cells that threaten to block pores. In this skin treatment we will extract acne pimples and black heads, followed with a pass of high frequency to ensure quick skin healing. Finally, a Cryo-Slushy is made at the time of treatment and gently swiped over treated skin, to work against acne causing bacteria, tighten pores, reduce inflammation and enhance skin exfoliation.
90 minutes $225 * Gratuity not included.
Recommended For: Normal-oily and acne prone skin. Not recommended for anyone that is pregnant, on actuate or severe cystic acne.
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High Frequency is a tool that is used by Estheticians in facials and skin treatments. It is often used to treat or prevent acne skin lesions, as well as aid in healing. It is especially useful after acne extractions. If you have ever had a facial, there is a good chance your facialist used a hand held high frequency device to treat your skin.
High frequency uses a violet ray, however when it is passed through a neon gas the light will appear as red or orange. The mild oscillating electrical current passes through the glass electrode to the skin for a thermal effect. The method most commonly used by skin professional is known as the “direct current application”, where the electrode is applied directly to the skin or over a mask. When treating an acne lesion, your esthetician may also use a technique known as “sparking”, this is when the high frequency is held slightly away from the skin to create a gentle spark. Both methods are gentle and painless. The high frequency increases blood circulation and the dilation of underlying vessels also helps to eliminate toxins. When applied directly high frequency has a germicidal action, fighting acne-causing bacteria. Treatments only take a few minutes and are usually added into a facial or other skin treatments. High Frequency skin treatments are very gentle, many clients even find it relaxing.
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Want Cleaner Pores?
It seems as if everyone that walks into the clinic is concerned with clogged pores. There is only so much a skin profesional can do when we only treat your skin every 4 weeks for a one or two hour treatment, espesially if you don’t want to look completly beat up. I always recomend that clients maintain their skin at home with proper cleansing and exfoliating between profesional treatments. You can exfoliate daily with topical products that contain AHA’s and use your Clarisonic cleansing brush daily.
Clarisonic designed a deep pore cleansing brush head that can be used with any of the Clarisonic brushes. If you are not yet familiar with the Clarisonic Skin Cleansing System, it is a cleansing brush that uses sonic frequency of more than 300 movements per second to gently, yet thoroughly remove 6X more makeup and 2X more dirt and oil than cleansing with your hands alone. Other cleansing brushes that simply rotate do not work the same way the same way as Clarisonic’s brush does with it’s oscillating bristles.
As if the sonic frequency, oscillating movement wasn’t impressive enough the Deep Pore Cleansing Brush Head uses an advanced dual-action motion to clean hard-to-reach areas. There are several brush head options that can be used with your Clarisonic, the Deep Pore brush head is recognised by it’s blue inner bristles. The Deep Pore brush head is ideal for oily and acne prone skin, however anyone who is concerned with cleaning the pores can also use it. If you have large pores, then this is an absolute skin must have! The brush head will run you around $25. each and it is recommended that you replace brush heads every 3-4 months. The Clarisonic Sonic Cleansing Brush is $195. and comes with a starter brush head.
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Master Estheticians Kristy Harris and Stephanie Willis have launched a campaign to immediately improve the image of skin!
The PR Facial Treatment was designed in recognition of the human desire to become more competitive and appealing socially, romantically and professionally. This treatment puts a new spin on skin by networking skin tightening technology with the skin plumping results of an infused oxygen treatment for immediate image enhancing results.
PR Facial Treatment
This skin campaign begins with a skin tightening treatment that uses Radio Frequency to deliver deep intense heat into the dermis. The heat causes an immediate contraction of collagen fibers, and stimulates collagen production. The result is an immediate skin tightening effect.
The skin tightening treatment is followed up with derma-planing, gently scraping the skin to remove facial hair and dead skin cells. Skin is immediately smoother and has a more polished image.
The skin enhancing event is completed with an Oxygen facial treatment that will instantly leave the skin plump, firm, hydrated and radiant. Oxygen, in conjunction with vitamins and minerals are propelled onto the skin to nourish and revitalize the skin cells. After the oxygen treatment you will notice a “tight” sensation of the skin and the skin will look and feel moist to the touch.
120 minutes / $550 *Gratuity not included
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Skin Medica has taken a great skin care product and made it better! This unparalleled anti-aging serum is the first to combine the benefits of the patented growth factor serum, TNS Recovery Complex®, with potent antioxidants, peptides and other innovative anti-aging ingredients to regenerate your skin.
I have always been a huge fan of Skin Medica TNS products, especially the TNS recovery complex. The TNS products are unique because they are made with human growth factors. TNS stands for Tissue Nutrient Solution, which is a balanced mixture of 110 growth factors that mimic the body’s natural process in a way that can not be replicated with a single growth factor. Unlike other skin products that contain plant growth factors, TNS products contain Human Fibroblast Conditioned Media. TNS was produced from human fibroblast. The TNS recovery complex contains a high level of Human Fibroblast Conditioned Media, it is the first ingredient listed on the label at 93.6 % concentration. I don’t know of any other growth factor product that can compete with the TNS Recovery complex. The potent growth factor blend helps improve the appearance of fine lines, wrinkles and overall tone and texture of skin. TNS recovery complex also strengthens the skin’s natural ability to regenerate itself, as well as improve skin firmness and resiliency.
Skin Medica added APS Corrective Complex to their signature product, TNS Recovery Complex. The two products are not actually mixed together, they are in separate chambers of the same bottle. When the product is pumped out, you will have a line of TNS Recovery Complex next to a line of APS Corrective Complex. The APS Corrective Complex is a potent mixture of antioxidants, peptides and other innovative anti-aging ingredients like Hyaluronic filling spheres. The APS Corrective Complex also contains 2% Alpha-Arbutin to brighten skin and reduce skin discolorations and Aminobutyric Acid (GABA) a muscle inhibitor that works to relax facial muscles.
The benefits of these revolutionary products don’t exactly come cheep at $260, but keep in mind what you are getting. You are getting two products. The TNS Essential Serum is about $95 more than the TNS Recovery complex, however you are getting an additional skin product. You are also getting the most potent ( 93.6%) human growth factor available in a topical skin care product. This product is about science and actual results not just pretty packaging and expensive marketing. There are plenty of skin care products available that will cost you much more than a pretty penny and will do little more than look nice sitting on your counter.
- 110 Growth Factors
- 3 Peptides
- 7 Antioxidants, including Coenzyme Q10
- 2% Alpha- Arbutin – skin brightener
- Hyaluronic Filling Spheres – immediately fills in lines
- Aminobutyric Acid (GABA) – works to relax facial muscles
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Summer just got a little better at Paradise Valley Skin Klinic!
Kristy & Stephanie’s Hot Summer Prices!
You have to get a little creative to survive an Arizona summer. Summer is our off-peak season in Arizona, but our loss is your gain. This is a great opportunity to enjoy amazing summer skin and great prices. These summer prices are exclusive to treatments scheduled with Kristy or Stephanie.
Treat broken blood vessels, redness, flushing, Rosacea and skin discolorations such as freckles and sunspots. This is one of the most popular skin treatments and it is regularly $500. a treatment / per area.
Shrink fat cells for cellulite and circumference reduction. In addition to treating obvious cellulite hot spots such as the thighs, Velashape is also great for reducing a belly pooch or muffin top. A series of 5 treatments is recommended. Regular price is $500. a treatment / per area.
Laser Hair Removal
Laser hair removal can be done on almost any area of the face or body. A series of 8 treatments is recommended for body areas and a series of 12 treatments for facial areas. Summer special price excludes maintenance treatments, as they are already significantly discounted. Schedule a consultation for a price quote.
Dead Sea Body Paraffin Wrap
An incredibly pampering full body treatment, that is designed to detoxify, exfoliate and hydrate the skin. First dead sea salts infused in warm aromatic oil is rubbed over your body, exfoliating and removing dead skin. You are then wrapped in warm wet towels and the salt scrub is gently removed. An active cellulite cream is then worked into problem areas followed by a full body massage. A warm dead sea mud paraffin is painted over your entire body, the body is then wrapped in a cocoon to help seal in moisture. Finally, the the wrap and paraffin is peeled away, leaving your skin silky smooth. This is a salt glow, massage, and body wrap all in one. This service is offered by Kristy. 90 min Regular price – $150.
Paradise Valley Body Glow
This Service is offered by Kristy.
Exfoliating Salt Glow. 50 min Regular price – $95.
“Back To School” Botox Day – Wednesday August 10th!
$9.50 a unit for the first 25 units and $9.00 a unit after that with prepayment.
Pat Foley-Naumentz, R.N. Nurse and Soft Tissue Injectable Specialist at Shapiro Plastic Surgery.
Call to reserve your appointment with Master Injector Pat Foley. 480 421-1701
Excludes all other offers / Offer Expires 09/01/11
Shapiro Aesthetic Plastic Surgery, Paradise Valley Skin Klinic
5410 N. Scottsdale Rd., Ste F-100
Paradise Valley, AZ 85253