There are many options available to rejuvenate your skin that do not require surgery. We have very specialized medical skin care products that you can use to revitalize dull, sun damaged skin to a more youthful appearance. If you prefer more advanced techniques, we offer a variety of laser services to remove scars along with injectable fillers to restore your skins volume and smooth away wrinkles and folds.

Post Operative/Treatment Instructions - SKIN

Call us at 603-773-9904 to schedule your appointment today or for a free cosmetic consultation to determine which skin care products work best for you.

Botox® Cosmetic

Botox®is an ideal treatment for patients who wish to see a reduction and improvement in facial wrinkles and lines without undergoing surgery. It smoothes the signs of aging by relaxing underlying facial muscles.

One 10-minute treatment and within days, the stubborn, angry looking frown lines between your brows dramatically relax, usually for 6 months or longer.

Botox is most frequently used to treat:

  • Wrinkles on the forehead
  • Frown lines
  • Crow's feet at the outside corners of the eyes

Our practice is one of a few select physician offices in the Exeter-Portsmouth area who has earned Platinum status with Botox® Cosmetic. We are now able to enroll patients in the Botox® Cosmetic Benefits Program, Brilliant Distinctions,  which entitles you to a $25 savings each time you return to our office for your treatment. Every time you use your Botox® Cosmetic Benefits Card, you not only receive $25 off that treatment, but your card is “replenished” with an additional $25 reward toward your next visit. Become a Brilliant Distinctions Member today.

Injectable Fillers

Juvéderm ™  
FDA-approved Juvéderm® XC injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin's volume and smooth away facial wrinkles and folds, like your "smile lines" or nasolabial folds (creases that run from the bottom of your nose to the corners of your mouth).

Juvéderm® XC Uses and Benefits

  • Smoothes wrinkles and folds found in smile lines  and nasolabial folds by adding volume to skin tissue.
  • Fast and safe and can be repeated as often as you feel necessary
  • Available in two formulations: one for regular treatments and a second for deeper folds and wrinkles
  • Results last up to 1 year

Healthy young skin contains collagen that gives it volume, flexibility and strength. As part of the aging process, your own natural collagen breaks down, diminishing facial volume. This loss of elasticity and volume results in the wrinkles, facial lines and skin laxity that rob your skin of its youthful appearance.

The ideal way to achieve wrinkle reduction is by replenishing lost volume. Radiesse® stimulates the production of new collagen – which results in increased volume for natural looking wrinkle correction that may last a year or more in many patients.

Radiesse® Benefits:

  • Stimulates the body's own natural collagen production
  • Instantly corrects wrinkles
  • Results that may last a year or more in many patients  

 Laser Scar Reduction

Even though scars are part of the body's natural healing process, they can sometimes be painful, unsightly, or simply inconvenient. Laser scar removal is the treatment of scars with beams of laser light used to reduce their appearance.  The treatments also encourage regrowth of healthy skin. Lasers can be used to remove or reduce several types of scars.  Our practice treats the most common type of scarring, called hypertrophic scarring. This type of scarring results from an improperly healed cut or other injury. These scars are often raised slightly above the surrounding skin, and may be slightly discolored. Smaller hypertrophic scars heal to some degree over time, but many will always be visible without scar removal.

Laser Spider Vein Treatments

Spider veins are so named because these tiny veins just beneath the skin often radiate out from a central point, reminiscent of the shape of a spider.  Spider veins can develop on any part of the body, including the face, thighs, calves, and ankles.

Laser Leg Vein removal works by selectively heating vein walls until they collapse and seal shut.  The sealed vein is then absorbed by the body over a period of months.  Most patients experience considerable improvement after 2 to 3 treatments, with 3 to 6 week intervals, depending upon the severity of the skin condition and level of treatment. 

Medical Skin Care Products                                     

Beautiful, healthy skin can be accomplished through daily, established routines. The use of skincare products designed to address particular skincare issues are a necessity for most of us.

While we spend our hard earned dollars on over the counter skincare products that are supposedly designed to assist us with our particular skin issues, they might not deliver all that they should.  There are better products that deliver better results.

Medical grade skin care products are composed of medically proven ingredients that are only available through a doctor. Most of these products have been developed through clinical research and the concepts that are found only through development. Over the counter skin care products are sometimes based on clinical research as well but the ingredients used in each jar or tube is minimal compared to what you find in a medical grade skin care product. Plus, over the counter skincare lotions and crèmes typically are not designed for deep penetration. Instead they stay on the surface of the skin and do not actually correct or heal a problem. They are a surface treatment and not a medical treatment.

The ability of medical grade skin care products to produce such great results has to do with the products and ingredients ability to penetrate the top layer of skin. The medical grade products work at the dermis, or middle layer of the skin, where collagen and elastin are contained at the basal, or bottom layer of the skin, where new skin cells are produced. Over the counter products, however, work only on the epidermis, or top layer of skin, where we shed skin cells and the new skin cells, created in the basal layer, eventually show up.

Call us for a cosmetic consult to determine which SkinMedica® product would work best for you.


We offer DiamondTome™ Microdermabrasion. This is a new and improved service for our Microdermabrasion patients and is recommended for anyone who wants more youthful looking skin. 
What is Diamond Tome?
DiamondTome™ is a procedure that uses diamond chips and a controlled vacuum to exfoliate the skin. After the treatment, the skin has improved texture and softness, as well as fewer imperfections such as wrinkles and acne scars.

What are the benefits?
The benefits of DiamondTome's  innovative approach to skin rejuvenation, provides men and women an alternative to removing dead skin and eliminating superficial blemishes resulting from aging, acne, injury, or prolonged exposure to the sun.  The results include healthier, more youthful-looking skin with a silky smooth feel. Skin improvement does vary depending on your individual skin quality but a difference is noticeable immediately, and results improve with multiple treatments.

Who is a candidate for this procedure?
Safe for all skin types, this treatment is virtually pain-free, using only sterilized or disposable instruments and producing only a slight amount of redness.  Because there are no crystals being propelled onto the skin the DiamondTome™  allows us to treat areas closer to the eyes and those fine lines and wrinkles around the lips.

Our NEW Microdermabrasion Service also includes a facial treatment and skin care recommendations.  Our price for Microdermabrasion Treatments will be $95.  You can also save 10% when you buy a package of four.