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How to Make Your Skincare More Effective

How to Make Your Skincare More Effective

“Skin care” is a term that we use in two ways. We use it to describe the products that we apply to cleanse and treat the skin, and also to describe the act of caring for the skin. Because the term is interchangeable, there is a risk of blurring the lines between the two. People who wash their face and apply moisturizer or a serum or two often believe that this is sufficient effort to get the results they want. It’s not. Here, we discuss the common mistakes that people make with skin care and what needs to be done instead.

Mistake Number One

The most common mistake that people make in caring for their skin is not knowing exactly what their skin even needs. This is no fault of their own. Manufacturers of mass-produced cleansers, moisturizers, and specialty products are savvy about promoting the benefits of their items without acknowledging the lack of clinical efficacy or even making them seem efficacious when they are not. The only way to get clinical results from products is to use medical-grade products that have been picked out for your unique cosmetic and dermatologic needs by a medical professional.

Mistake Number Two

In addition to choosing products based on the marketing seen on television and in magazines or what your mother or grandmother told you, what many people mistakenly do is use those products routinely for months or years on end. The problem with this approach is that most of what is sold either does not do what the skin needs or actually does more harm than good.If professional treatments are utilized, they are usually chosen without any thought of how they fit one’s total skin care needs.

We Can Help You Correct These Mistakes

We divide ski care into Basic, Basic Plus, and Rejuvenative. Basic is what everyone needs, no matter their age, essentially from birth. It consists of a cleanser, a pH balancer (cleansing disturbs the normal pH, which causes the skin not to function well for a while), and a good practical sun block (we prefer clear zinc oxide). The pH balancer can be a simple acidic toner or an acidic serum, like Vitamin-C or something similar, depending on your other needs. Once a teenager, an alpha hydroxy product to remove thickened outer dead cells is added to Basic Skin Care. Professional treatments like chemical peels and microdermabrasion are inexpensive, convenient, and comfortable and can help remove built-up dirt, oil, bacteria, and dead skin cells.

The body stops continually making new collagen to thicken the dermis, the support layer of the skin, and elastin that provides the skin its elasticity around 30 years of age. Therefore, Basic Plus adds retinol or Retin-A to continue the skin making collagen and Obagi’s ELASTIderm to stimulate elastin somewhere around 30 years of age. Although there are thousands of products available, this is all most people need, unless they have significant damage from the sun or other insults.

With problems, modifying skin care to address the specific problem is all most people will need. However, it takes an expert in skin care and rejuvenation to determine what will work best with the least effort and expense.

At the Center for Plastic Surgery in Highlands, NC, we help patients manage their skin in ways that get results. We use only medical-grade products products that have been proven to achieve results. We also have professional treatments like peels, microdermabrasion, IPL light treatments, and laser resurfacing to provide a full spectrum of care.

Get the help you need to keep your skin resilient through the aging process. Call  (828) 526-3783.

One and Done Beauty: Is it Possible?

Non Surgical Procedures Highlands, NCWe hear this question quite often. “Will one treatment be enough to achieve results?” Unless your cosmetic objectives can be met with a surgical procedure alone, this is an unlikely accomplishment. Even in the case of injectables and soft tissue fillers, which do achieve immediate results, improvements require maintenance every year or so.

To understand the role of professional treatments in ongoing beauty at every age, it can help to think of the skin the same way you do the body. Your skin needs to be “fed” quality products every day to rebuild itself just like your body relies on healthy foods to maintain vitality. Similarly, as much as we would like it to be true, we cannot work out one time and develop six-pack abs. Just like we won’t slim down after one healthy meal or strenuous workout, our skin will not look many years younger after one nonsurgical treatment.

One Way to Feed the Skin

In reality, there are several ways to feed the skin, but there is one objective that may trump all others: collagen and elastin production. By age 30, fibroblasts, the cells that produce collagen and elastin, begin to slow down. Not just a little, but a lot. Some studies suggest that fibroblasts go dormant, into a state of sweet slumber that allows the signs of aging to creep in. With the body wearing out its existing supply of collagen and elastin at a rate of about 1 to 2% a year, we typically see noticeable changes in the skin by age 40 and continually for the rest of our life. The key to managing aging skin, then, is to encourage the fibroblast cells to continually produce more collagen and elastin.

Professional treatments like fillers correct the signs of aging, which is certainly advantageous. However, injectables alone are not enough to effectively manage the signs of aging. By that, we mean to keep them from worsening. To do this, we recommend adding retinol or Retin-A and ELASTIderm to basic skin care starting around age 30.  The retinol or Retin-A (tretinoin) stimulates new collagen. The ELASTIderm by Obagi is the only product on the market that stimulates conversion of some of that collagen to elastic tissue. Other periodic collagen-inducing treatments like micro needling, actual dermal or just sub-dermal injection of the proper hyaluronic acid filler, peels or laser skin resurfacing can also help. Depending on where you are on the spectrum of collagen degradation, you may need one treatment a year, several treatments a year, or one treatment every few years.

If you are interested in reversing and managing the signs of aging, come talk with us. We may not be able to promise a one and done treatment for every concern, but we can promise that we are committed to long-term results and personal care for each of our patients.

Call (828) 526-3783 to schedule your visit to our Highlands, NC medical spa and plastic surgery office.

Diagnosis and Treatment of Skin Cancer

Is lesion a skin cancerThree groups of physicians see and evaluate patients with skin cancers, family physicians, dermatologists and plastic surgeons. We as plastic surgeons do so because we treat other skin problems related to sun damage and aging, we are good at excising lesions, and many skin cancers occur on the face and hands, areas where we have significant experience and are asked to treat by the other specialities.

Types of Skin Cancers

There are three main types of skin “cancers.” The least common (fortunately) is melanoma, a true, aggressive cancer of the pigment cells. Next is squamous cell carcinoma, also a true cancer that destroys the local tissue and can spread to other parts of the body. The most common is basal cell, a tumor that destroys local tissue but does not spread except by direct extension. There are also multiple other cancers that can occur on the skin, mostly related to skin appendages like glands or metastatic from other areas. These, however, comprise only about 0.5% of skin cancers.  Each requires different evaluation and treatment.

Evaluation of Skin Cancers

The problem with skin cancers is that they can look like each other or other entities. The first thing that must be done is recognizing what may be a skin cancer. That is where dermatologists and plastic surgeons excel. Once the possibility is recognized the exact nature of the lesion needs to be determined. This is usually accomplished with a biopsy, removing a piece for pathological evaluation. Shaving a piece of the lesion is the most common method of biopsy  This takes a week or 2 to heal with several times a day antibiotic care. We prefer a punch biopsy that takes a small full thickness piece of the lesion. This heals quickly and takes no care, important if the lesion is not a cancer. It is also the best way to sample a melanoma, as lesion thickness is important in determining treatment. Once diagnosed, further tests may be required to decide on treatment, especially if the lesion is melanoma.

Treatment of Skin Cancer

The lesion determines the treatment. We treat basal cells multiple different ways including chemotherapy, freezing, and excision depending on its characteristics. Squamous cell is treated similarly, but more aggressively. Melanoma always requires excision and may also need lymph node biopsy or excision.

If you have a lesion that you are concerned about or know needs treatment, call us at our Highlands, NC office at 828-526-3783.

Chemical Peels are Valuable Post-Summer Treatments

Micro Peels in Highlands, NCWe’re not looking forward to the end of summer just yet, understanding there are many cool months ahead. Knowing that the time is coming when the temperature cools and the sun moves farther away from the Earth, we can plan ahead, though. Around here, planning ahead means discussing ways in which all the summertime sun exposure can be addressed. It may come as a surprise to know that chemical peels still offer a great value.

In recent years, several high-tech treatments have been developed. As they have, it has become easier and easier to forget what came before. For years before lasers and light treatments, chemical peels served doctors and their patients very well. We are still huge fans of the chemical peel, even more so with the variety of options that are available today. This method of treatment provides us with the opportunity to help people correct a wide range of sun damage, to improve the texture of their skin, or just to maintain the general health of the skin.

The way that chemical peels work is by removing a precise layer of tissue. Not all peels are intense. In fact, some peels don’t even cause noticeable peeling. DIY methods are posted across the internet, but do not offer what a professional peel does nor the insight to determine which peel will achieve your desired result.

A professional chemical peel is:

  • Tailored to your skin. There are numerous chemical peel solutions used in our office. Each allows us to meet the needs of every individual patient. Before conducting treatment, we perform a thorough skin analysis and consultation in which we discuss your objectives and preferences. The personal attention of a skilled esthetician makes all the difference in making the most of a chemical peel.
  • Professional chemical peels are the result of thorough research and development. Months, if not years, have gone into formulating the right ingredients in the right concentration to achieve optimal results across a wide variety of skin types. There is nothing more powerful than a professional chemical peel when it comes to achieving the ideal extent of exfoliation with the shortest amount of downtime.
  • The safety of professional chemical peel treatment is maximized by the combination of our clinical consultation and careful selection of the right, powerful peel solution. Patients are also monitored throughout treatment to ensure the desired tissue reaction is achieved.

We are passionate about offering patients minimally-invasive, low-downtime treatments that bring beauty to the forefront. To learn more about our chemical peel treatments, call our Highlands, NC office at (828) 526-3783.

Decoding the Vitalize Peel

In our Highlands, NC practice, adults of all ages can take advantage of numerous modalities that promote younger looking skin. As advantageous as plastic surgery can be for more significant signs of aging, there is a lot to be said about nonsurgical treatments like micro peels. One of the popular peels sought today is the SkinMedica Vitalize Peel. Here, we explain how this peel works, what makes it unique, and what it can achieve.

The SkinMedica Vitalize Peel , is a form of chemical exfoliation that effectively maintains the skin on the face, neck chest, and other areas. Superficial chemical peels accelerate skin exfoliation and help to make your complexion appear more uniform and renewed, diminishing the appearance of fine lines, wrinkles and roughness.

Chemical Peels: The Nitty-Gritty

Chemical peels generally fall into three classes. There are superficial peels that incur zero downtime at one end of the spectrum and deep peels on the other. Deep peels can require weeks of pre-treatment preparation and weeks of recovery.  The Vitalize Peel  is between the two. This peel enhances skin texture and addresses skin unevenness due to acne scarring or other pigmentary changes. Noticeable results will be seen after just one peel, typically more compelling results after 3 to 6 peels.

Chemical peels are not entirely without risk. A Vitalize Peel should only be obtained from a licensed professional like our experienced aesthetician. Risks such as hyperpigmentation can also be avoided by avoiding sun exposure during and shortly after the peeling process.

Get your skin on point before summer. Call (828) 526-3783 to schedule a chemical peel in our friendly office.

Treating Facial Skin Wrinkles

Wrinkled or crepey facial skin is caused by an interplay of the skin and how it ages, gravity, loss of supporting volume, and action of the underlying muscles. As we age, the skin stops producing both collagen (the substance that gives the skin its thickness and strength) and elastin (the substance that makes the skin elastic). This happens around 30 years of age with collagen only being made after that as part of healing. With both collagen and elastin present, the skin contracts and then, because of its thickness, resists further muscle pull. With the loss of them, the skin does not contract and the muscle pulls the skin further than normal and causes it to pleat. With time, the muscles also hypertrophy and pull even harder and the places where the skin tends to bend become permanent lines. How much the skin crinkles or wrinkles varies due to your genetic predisposition and how you have treated your skin. Smoking, diet and other environmental factors speed the process. There are, however, several things that can be done to improve or reverse this.

Use of Botox®

If the muscle can be weakened with Botox® or a similar neurotoxin, the process can be slowed. This works best around the eyes and in the forehead where the muscle function is not essential. If started early, it can even slow the creation of wrinkles.

Improving the Quality of the Skin:

You can also slow the process and even reverse it by adding collagen and elastic tissue to the skin. Collagen can be added by use of tretinoin (Retin-A) or good retinol or by microneedling or similar laser procedures. We prefer tretinoin or retinol regularly as it continually stimulates collagen production, is less invasive and, we think, more reliable. Elastin can be added by use of Obagi’s ELASTIderm®, the only product proven to do this. We generally add these to Basic Skin Care at about 30 years of age when the skin stops producing collagen and elastin without some encouragement.

Reversing Wrinkles:

If the wrinkles are minimal or small, the above options will reverse them, but it takes about a year or so to do so. There are 2 things you can do to improve the wrinkles faster. One is laser resurfacing or a leveling peel that brings the surface of the skin down to the level of the bottom of the wrinkles and stimulates significant collagen production. Both these, however, have a prolonged recovery. The other is to fill the lines or depressions with a filler like Juvederm® Volbella and then crisscross it under the skin to stiffen it. This also helps the tretinoin work since it can increase the body’s use of the hyaluronic acid from the filler to convert it to collagen (something that is now proven to happen). Fillers are also the answer if the wrinkles are due to volume loss as they fill deep, replacing the lost volume, and stretch the skin back, flattening many of the wrinkles. This is especially true with lip wrinkles. The recovery from this is minimal with only a little swelling and, occasionally, some bruising that is easily camouflaged.

To find out more or to determine what is right for you, call 828-526-3783 to make an appointment at our Highlands office.

3 Ways to Help You Quit Smoking Before the Start of the New Year

ZERONA™ Non-invasive Body Slimming Highlands, NCWhether you have been a tobacco user for your entire life or if it’s just a habit that you just picked up, there’s no denying that tobacco isn’t good for you. With Surgeon General warnings on every cigarette box and with commercials that are enough to severely scare you, the information is out there.  With the holidays in full swing and the new year just around the corner, you may have a few resolutions that you want to make. If you are a tobacco user or smoker, why not quit before the new year even starts? Here at The Center For Plastic Surgery, we encourage all of our patients to quit smoking,  and, in some cases, will not do a surgery if the patient is smoking, because nicotine use slows down your body’s natural ability to heal and, may severely jeopardize the success of some procedures. To help you quit, we have created a brief guide of a few things that you can do.

Change the Habit of Putting Something In Your Mouth

Whether It’s after work, on your lunch break, or after a drink on a Friday night, one of the things that keep people coming back for more cigarettes is their habit of having something to put in their mouth. This is a hard habit to break, so we recommend you just modify it to something other than a cigarette or tobacco, or nicotine containing product. Electronic cigarettes are in the latter category. Instead, consider using something like a toothpick or straw as a substitute for the cigarette.  

Break the Nicotine Habit

The hardest thing of all is breaking your nicotine habit. When trying to quit smoking, try doing something like making a chart of how many cigarettes that you smoke each day and when. Then, make a goal of smoking two fewer cigarettes each day for 10 days, deleting one from the morning and one from the evening. If you can, continue this until you are no longer smoking. If you find it problematic, then just delete one ever day or, even, if you have to, every other day until you are no longer smoking. Make sure that you physically log your cigarette use so that you can see just how well you are doing.

Picture Your Life Without Nicotine

Sometimes, one of the best ways for you to quit smoking is to think of just how much better your life will be without nicotine. For instance, you can:

  • Daydream of all the wonderful aromas that you can smell once you quit smoking.
  • Think of how GOOD food will smell and tastes when you quit.
  • Think of your lungs thanking you for setting them free.
  • Think of your body being able to get more oxygen again.
  • Think of those facial wrinkles no longer forming at such a rapid rate.
  • If all else fails, talk to Dr. Buchanan about other options

Here at The Center for Plastic Surgery, Dr. Buchanan wants all patients to live healthy, cigarette-free life. If you want to learn more about ways that you can quit, contact our Highlands office or call us at (828) 526-3783.

Myths About the Sun and Protection From It:

We all think we know about the sun, what it does to us and how to protect ourselves from it. Unfortunately, most of us really do not know what we need to know. A great deal of this is because most of the people who write about this keep repeating information that has been outdated for years. Though you may think that this is implausible, several studies have shown that it takes an average of 13 years before a new discovery is adopted into general usage. Unfortunately, it has already been well over 20 years we learned new information about the sun and how to protect from it, and it has still not been generally accepted.


You only need to use Sunscreen when you “go out in the sun.”


This is based on what we previously knew about UVB. Since UVB is immediately absorbed rather than being reflected, it is much less strong in the shade or inside. It is also what causes sunburn. Because of that, it was considered really bad. Also, many modern windows block UVB so you would not sunburn inside. None really block UVA, which is present almost equally all day, all year, at all latitudes and even inside and in the shade. UVA is also the “bad guy.” It is what really causes sun damage. We remember the effects by “UVB, Burn, UVA, Aging.” We, therefore, need to protect from UVA all the time every day. This requires the proper sunblock and sun protective clothing.


 “You don’t need sun protection in the winter.”


This is similar to the above. While UVB is twice as strong in the summer as it is in winter, the strength of UVA is almost the same. This means that you need to protect from UVA aging all year. This is also true indoors and on cloudy days as UVA is unchanged in strength then also.

“SPF is what you need to look for in selecting a Sunscreen.”


SPF is a designation designed to tell you how well the sunscreen protects from sunburn. It has no bearing on whether it protects you from sun damage, however. As I said, sunburn is caused by UVB that is absorbed by everything, including your skin. This is the reason it causes a burn (all the energy is concentrated in the outer skin layer) and present twice as much in the summer as the winter, at noon as morning and evening and in Florida as in North Dakota (because of atmospheric absorption). Since it is UVA that is absorbed into all layers of the skin and causes cellular damage resulting in skin cancers and aging, you need a way to tell if what you are using does that. SPF does not do this.


All sunscreens protect from damaging rays equally,


Since December of 2013, any product labeled as a sunscreen or sunblock have to protect from both UVA and UVB. Any product that simply puts an SPF on the label but does not claim to be a sunscreen or sunblock does not necessarily have any UVA protection and any that it does have is usually short lived. Even those that are approved as sunscreens are not all equal in the protection provided. There is a long list of chemical sunscreens and the manufacturer can use a mixture of them. Some are better than others. The one thing they all share is that they only last about an hour if you are outside or 2 hours if you are inside. The physical sunblocks are zinc and titanium oxide. Both protect from both UVA and UVB and last until washed or rubbed off. However, zinc is by far the best, protecting maximally over a larger spectrum.


Something other than an applied sunscreen or sun protective clothing will protect you,


There have been many claims over the years. Most recently, several companies have marketed either a pill or something to drink that is supposed to protect you from sun damage. None of these products work, and the FDA has recently warned these companies to stop making such claims.


For proper sun protection, we suggest:


Since zinc oxide provides the widest spectrum of maximum protection and lasts as long as it remains in place, this is, not only the best, but the most practical. Probably the main reason it has not been adopted better is another myth, “it is that white stuff the lifeguards used to wear on their noses.” A recent health writer even bemoaned that we did not have a reasonable sunblock or “something other than that white stuff.” The fact is that it has not been “white” for well over 20 years and rubs in clear but provides superb protection. Instead of looking for SPF, we recommend that you simply look at the ingredients and buy one with at least 8% zinc oxide. This will give you all the UVA and UVB protection you need. We also suggest that your clothing is sun protective, either bought that way or washed with Rit SunGuard that washes in sun protection for 20 washes. We sell both in the office. Call, come in or visit our web site to find out more.

What Clean Skin Can Do For Your Confidence

Beautiful Skin Highlands, NCAfter a long day of work or activities, all you want to do is crawl into bed. But, before you lay down and really get comfy, make sure that you wash your face. With dirt, makeup, oil, and environmental chemicals on your skin, your skin is a lot dirtier than you may be aware. Plus, dirty skin can leave you with a wealth of problems. Let’s take a closer look at what clean skin can do for your confidence and why you shouldn’t avoid washing your face before bed every night.

Acne or its Adult Equivalent

Acne is an interesting problem. It is very common in teenagers and young adults. However, it is also quite common in older adults also. At an older age, it is frequently confused with other problems and labeled “Rosacea.” The initial inflammation causes redness and then stimulates the pigment cells causing dark spots. It can, therefore, be one of the hardest things on a person’s self-esteem, especially if you have a lot of it. Acne at both times is caused by clogged pores. The number one reason why we at The Center For Plastic Surgery encourage our patients to wash their face with a cleansing device like the Clarisonic is to get rid of the things clogging the pores. Oil can build up and clog the pores whether from overproduction at a younger age or small pores caused by years of sun damage. When you wash your face with a Clarisonic and an exfoliating cleanser you unclog the pores and prevent the inflammation. The Clarisonic has been shown to unclog the pores many times better than washing otherwise.

Rough, Dry Skin

The dryness of the air inside during this time of year can make your skin feel exceptionally dry. This is made much worse if you have not been keeping the outer dead cell layer thinned. Washing your face with a gentle exfoliating facial scrub will help you get rid of the dry dead cell layer, exposing the hydrated layer below. This is our preferred care instead of using moisturizers.

Fine Lines

Washing your face with an exfoliating cleanser also helps to prevent fine lines and wrinkles. If the dead cells build up, they tend to weight down the skin making it more likely to crinkle as the underlying support layer thins. This is also the reason we strongly recommend against the use of moisturizers as they also add weight to the skin.

Washing your face every night before bed is one of the best (and easiest) things that you can do for your skin and your self-esteem. If you want to learn more about how to take better care of your skin, contact our Highland’s office today. Call us at (828) 526-3783.

Let’s Focus On Skin Care

summer sin careKeeping your skin healthy and young looking should be an everyday process. Now is the perfect time to take stock of your skin-care routine and update it to one based on scientifically proven methods. Not only will it actually keep your skin young, it may save you a lot of money. If you are looking for things you can do at home to keep your skin hydrated, healthy and youthful, continue reading.

Skin Care Myths

  • Moisturizer helps your skin stay hydrated and is an essential part of skin care.  In fact, moisturizers do the opposite and should never be used. They tell your cells that they do not need to produce moisture, so the cells simply stop producing natural moisture. Additionally, they add weight to the skin and, with reduction of the underlying support layer from sun damage, they further cause wrinkles and crinkles.
  • You don’t need sunblock if you are not “out in the sun.” This is based on an old belief that it was the UVB rays that cause the damage to the skin. In fact, they contribute little (they cause a burn and the majority of injured cells simply slough [peel] off) and that it is the UVA rays that cause the damage. UVA is present at all latitudes, all day and all year. Protecting only from 10:00 to 2:00 o’clock is, therefore, also false since that time is when UVB is strongest and has nothing to do with UVA. UVA is also present indoors, so you need to protect from it even there.
  • Cleansing is the mainstay of skin care. Instead, it is only one small part. See below.

 Basic Skin Care

There are four steps to good basic skin care. This is what you need for skin with minimal sun damage to reduce as much as possible any future sun damage. With any specific damage, the rejuvenative treatments are simply added to the basic care. The steps in basic skin care are:

  • Clean your face morning and night. Use of a Clarisonic device improves the cleansing several times.
  • Use an alpha or beta hydroxy to remove the outer dead cell layer. This removes a weighty, dry layer that contributes to wrinkles and adds to dryness. This can be combined with the cleansing if you use a cleanser containing either an alpha or beta hydroxy or both.
  • After cleansing, apply a pH balancer that is acidic. This returns the skin to its normal function. Many toners will do this, but we like Vitamin-C Serum because it is also an antioxidant, an anti-inflammatory and it stabilizes the lipid cell wall. Some other products do likewise.
  • Use a sunblock containing at least 8% zinc oxide daily on all exposed skin.  This is now clear and does not have to be reapplied every hour like other sunscreens. Wear hats and sun protective clothing to cover your skin elsewhere. If you do not have clothing that is specifically sun protective, wash your regular clothing with SunGuard from Rit every 6 months to make it sun protective.

Other Important Steps

  • Use a gentle touch when applying makeup and avoid pulling too much on your skin, especially around your eyes.
  • Wash your pillowcase often.
  • Don’t pop pimples or squeeze blackheads. Instead, allow your skin care physician or an aesthetician to care for them.
  • Concentrate on your diet. See below.

The Importance of What You Eat

  • Vitamin E protects your skin from further damage, so, snack on almonds, sunflower seeds, hazelnuts and  cretaceous vegetables to boost your intake of Vitamin E.
  • Unsaturated, healthy fats, such as avocados, act as natural moisturizers for your skin.
  • Fruits and vegetables, the darker or brighter the better, contain antioxidants that help protect your skin from pollution and damaging free radicals produced by UVA exposure.
  • The Vitamin C in oranges or other citrus, broccoli and other similar vegetables and strawberries boosts your immune system, which helps your skin heal any problems.
  • Your body needs water to stay healthy and so does your skin. Keeping your skin hydrated starts from the inside, so drink plenty of water every day. If you spend time in the sun, or exercise regularly, you may need to drink more.

As a compliment to your daily skin-care regime, we offer a variety of professional treatments that target specific problems. For example, a chemical peel or an IPL laser treatment can correct scars, blemishes and uneven skin tone, reduce the size of pores, and make your skin look smoother.

Let us help you maintain the youthful look of your skin scientifically. The difference between this and what is generally touted in all the magazines and cosmetic counters is that this actually works to maintain youthful skin and doesn’t waste your money on things that do your skin no good. Call to schedule an appointment, today.

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