The document discusses various non-surgical medical treatments for reducing visible signs of aging, focusing primarily on Botox® Cosmetic and dermal fillers like Restylane® and Perlane®. Botox® works by relaxing facial muscles to minimize wrinkles, while Restylane® and Perlane® restore volume and smooth out folds using hyaluronic acid. Results from these treatments can vary individually, with effects lasting several months and some minor side effects expected after the procedures.

1. Santiago Hernandez, M.D. Medi-Spa Physician

2. Influencing Factors: Genetics Sun-exposure Skin care Aging process Line Wrinkle Fold

3. As we age… Facial muscle movement causes the skin to crease Over time, skin loses elasticity resulting in the appearance of lines and wrinkles Our face loses vital soft tissue and fat creating the appearance of lines or folds when muscles are at rest

5. Horizontal Forehead Lines “ Frown” Lines: Furrows or lines between the brows “ Crow’s Feet”: Lines that radiate from the corners of the eyes “ Smile” Lines: Area from nose to the corner of the mouth “ Marionette” Lines: Area from corner of the mouth to the chin Lip Lines: Fill in the small lines of the lip border Lips: Enhance uneven/small lips

6. BOTOX ® Cosmetic minimizes the appearance of facial lines or wrinkles by relaxing the muscles that cause wrinkles. Restylane ® and Perlane ® are dermal fillers that restore lost volume and fill in facial folds. The Medi-Spa offers the following safe, non-surgical medical treatments to reduce the visible signs of aging.

7. BOTOX ® Cosmetic is a purified protein that relaxes muscles by blocking nerve impulses With a few tiny injections, BOTOX ® Cosmetic blocks the release of acetylcholine, the chemical that causes muscles to contract With less movement, the skin surface gradually smoothes out and the lines begin to fade Results can be seen within a few days and can last 3 to 4 months How long the aesthetic correction lasts is very individual

8. Unretouched clinical photos taken at maximum frown before treatment with BOTOX ® Cosmetic and taken at maximum frown after treatment with BOTOX ® Cosmetic at day 14. Before (maximum frown) After (maximum frown)

10. Restylane ® and Perlane ® are cosmetic dermal fillers that replace volume and to smooth away wrinkles and folds In the human body, natural hyaluronic acid provides volume and fullness to the skin by binding to water Restylane ® and Perlane ® are made of hyaluronic acid which naturally provides volume and fullness and lasts longer than the body’s hyaluronic acid The effects of Restylane ® and Perlane ® are immediate Studies have shown that Restylane ® lasts about 6 months ; Perlane ® lasts at least 6 months in a majority of patients How long the aesthetic correction lasts is very individual

13. A simple, 15 minute procedure consisting of a few tiny injections No anesthesia is required Minimal and brief discomfort A topical anesthetic and/or ice is used before and after the treatment to reduce swelling What are some of the side effects? After treatment with Restylane ® or Perlane ® , individuals might have some swelling, redness, pain, and bruising at the injection site. This will resolve in less than 7 days.

14. BEFORE AFTER NASOLABIAL FOLDS Individual results may vary. BEFORE AFTER

18. BEFORE AFTER

19. PERIORAL AREA - BEFORE PERIORAL AREA - AFTER

24. BEFORE AFTER