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 tattoos and hair, as well as reducing the appearance of some scars. We also use injectable fillers to restore your skins volume.

Post Operative/Treatment Instructions - SKIN

Call us at 603-773-9904 to schedule your cosmetic consultation today.

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

Voluma® is the first and ONLY FDA-approved injectable gel for the cheek area. It adds volume lost to aging for adults over 21 years of age.  It helps to restore a more youthful profile for 18-24 months with optimal treatment.  It contains a modified hyaluronic acid (HA) made from naturally occurring complex sugar.

Juvéderm Ultra and Juvederm Ultra Plus ™  Juvéderm® XC injectable gel is a “next-generation” hyaluronic acid  (HA) 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). 

Belotero® is the lightest of the Hyaluronic acid (HA) dermal fillers. It is FDA-approved to treat volume loss and lines on the face.  Results typically will last from 6-8 months.

Laser Hair Removal 

The old-fashioned ways of removing hair – shaving, tweezing, creams, waxing – are time consuming and short lasting. You don’t have to settle for out-of-date solutions. Now you can obtain long lasting results with laser hair removal.

Laser hair removal is a safe and effective method for eliminating unwanted hair on the face and body. Laser light is used to selectively destroy hair follicles, while leaving surrounding skin intact. Try our new GentleMax laser hair removal service. It's fast and affordable, and leave leaves your skin smooth. The GentleMax is effective on all skin tones and offers long lasting results.

How does the laser treatment work?
The laser creates a beam of high-intensity light that penetrates deep into skin tissue where it delivers a controlled amount of targeted therapeutic heat.  Candela’s patented Dynamic Cooling Device™ (DCD™) technology protects the upper layers of your skin with a cooling burst of cryogen. Together, the long-pulse laser and DCD cooling offer optimal treatment with minimal side effects.

What can I expect during treatment?
Treatment will take place in our office. You will wear safety eyewear to protect your eyes from the laser light. Your practitioner will guide the laser to the treatment areas with a small handpiece.   A treatment could take as little as a few minutes to as long as an hour, depending on the area and condition being treated.

Does it hurt?
Some patients may feel a slight discomfort with each laser pulse, sometimes described as the snapping of a rubber band on the skin. This discomfort resolves in several seconds and is minimized by Candela’s DCD cooling.

How many treatment sessions will I need?
The number of sessions depends on the treatment you require and the condition of your skin. For hair removal, multiple treatments are required, as the process is most effective when the hair follicle is in its active growth phase. Many factors impact the efficacy of individual laser treatments, including the severity of the condition being treated.

How do I prepare for treatment?
Patients scheduled for hair removal should avoid plucking, electrolysis or hair waxing for six weeks prior to treatment. If you have had a history of herpes simplex virus and are scheduled for facial hair treatment, prophylactic antiviral therapy should be initiated. Also, hair should be 1/4inch in length so the laser is able to target it. Your skin should be thoroughly clean and dry. Do not wear any makeup, creams, oils, topical anesthetics or skin tanning products prior to laser treatment. The intended treatment area should not be exposed to sunlight or tanning booth light for 14 days before and after treatment

What can I expcet after treatment?
A cool compress or gel pack may be applied for comfort following your treatment. Any redness or swelling should resolve within a few hours.

What precautions should I take after treatment?
After laser treatment, prevent sun exposure by applying sunblock (SPF 30 or above). In the first few days after treatment, don’t scrub or rinse the treated areas with abrasive skin cleansers. Your practitioner may advise additional precautions.

Are there side effects?
Your risks are minimal. Side effects may include redness, swelling, hyperpigmentation, hypopigmentation, blistering, and purpura (a laser bruise), in the treated area—these usually do not last more than a few days. Permanent side effects are rare. Be sure to discuss potential side effects with your provider.

Are these treatments covered by insurance?
Most insurance companies do not offer reimbursement for cosmetic procedures. Consult your insurance carrier for more information.

How much does it cost?
Our pricing is very competitive.   

 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 treats scars with beams of laser light used to reduce their appearance.  The treatments also encourage regrowth of healthy skin. Lasers can be used to 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. 

Laser Tattoo Removal

Laser is an effective method for getting rid of unwanted tattoos. There are a number of factors which will influence the treatment, for example the colors of the ink, the type of lasers available to your treating physician, and the size of the tattoo. Each tattoo is unique and each patient is also unique.

Amateur tattoos, which often fade on their own, are usually much easier to remove.

Multicolored professional tattoos with red, blue, yellow and other colors may require numerous treatment sessions before being totally erased. Black inks tend to come out quite easily, while green and white can be troublesome and require multiple wavelengths to be removed.

The removal of tattoos involves laser light being absorbed by the skin cells surrounding the ink of the tattoo so the body may remove the ink. If you are interested in removing a tattoo, the best thing to do is to consult with a physician with a great deal of experience in the process.

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.

Peels - Illuminize, Vitalize or Rejuvenize!

Illuminize Peel™
This non-invasive very superficial chemical peel utilizes a novel approach to chemical peeling with a newer generation of alpha-hydroxy acids (mandelic acid and malic acid) in combination with phytic acid and commonly used peeling agents (salicylic acid and resorcinol) to maximize skin rejuvenating effects with low irritation.

  • Patients achieve enhancement of skin appearance with minimal downtime and discomfort
  • Improves clarity, color and skin texture
  • Improves clarity, color and skin texture
  • Appropriate for first-time chemical peel patients or patients looking for a gentle, very superficial peel
  • May be performed on Skin types I- VI
  • Little or no visible peeling

Vitalize Peel®
Vitalize Peel helps fight the effects of time, sun damage, and environmental assaults. This powerful yet non-damaging peel can take years off aging skin.

  • Addresses various skin conditions, such as pigmentation abnormalities, post-inflammatory hyperpigmentation, melasma, and photodamage
  • Effective (achieve visible improvement after one treatment, significant results after a series of treatments)
  • Can be customized for the treatment of each specific condition
  • May be performed on Skin types I- VI
  • Little or no or down time
  • Peeling solution combined with Retinoic acid creates more exfoliation than other chemical peels same depth
  • Well tolerated (minimum or no burning, peeling solution has pH 2-3, higher than most chemical peels)
  • Easy to use (does not require timing or neutralization)

Rejuvenize Peel™
Rejuvenize Peel is an advanced formulation of peeling agents, with a built-in anti-irritant and penetration enhancer that provides controlled exfoliation of the uppermost damaged layers of the skin to reveal fresher and healthier skin. Provides predictable results with minimal down time.

  • Effective for use on skin with sun damage, melasma, pigmentary changes and acne scarring
  • Noticeable improvement with just one peel
  • Recommended for Skin types I-VI
  • Can be used on skin types V-VI after the patient has established tolerability to Vitalize Peel, or with physician consent
  • Well tolerated with minimal "down time"
  • Easy to use (does not require timing or neutralization)
  • A novel synthetic surfactant, Isoceteth-20, creates more uniform peeling while controlling penetration of salicylic acid, and therefore reduces skin irritation associated with the stronger chemical peels without diminishing peeling effect