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Minimally Invasive Procedures

Andrea Delzer, PA offers a variety of minimally invasive procedures in our clinic to address common skin concerns, including:


Botox is a popular injectable that temporarily reduces or eliminates facial fine lines and wrinkles. The most commonly treated areas are frown lines, forehead creases, and crow's feet near the eyes. Several other areas that can be treated include thick bands in the neck, strong jaw muscles, upper lip lines and to help relax "gummy smiles".

Injections of botulinum toxin block the nerve signals to the muscle in which it was injected. Without a signal, the muscle is not able to contract. The end result is diminished movement of these muscles, thereby diminishing the appearance of wrinkles, or even preventing them in the first place.

Commonly known types of botulinum toxin type A injections include Botox®, Dysport®, Xeomin® and Jeuveau®.

Botox can be used to

  • Smooth crow's feet, forehead furrows, frown lines, lip lines and bunny lines
  • Diminish neck bands
  • Improve the appearance of skin dimpling of the chin
  • Lift the corners of the mouth
  • Soften a square jawline
  • Correct a gummy smile

The FDA has approved the use of Botox® for the frown lines and crow's feet, while Dysport® and Xeomin® are approved for frown lines only. All other uses are considered "off label."

Smiling, frowning, squinting and even chewing—basically any facial movement—can eventually lead to one of the most common signs of aging – wrinkles. They can make you appear tired or even angry when you are not. One of the quickest and safest remedies to improve wrinkles is an injection of botulinum toxin type A.

Botox can be combined with other cosmetic skin procedures—such as chemical peels, laser treatments, dermal fillers or microdermabrasion—to further improve your results. This combination of therapies can even help to prevent the formation of new lines and wrinkles.

Soft Tissue Fillers

The type of filler will be determined based on patient goals. This package includes a Visia facial analysis. This assesses the strengths and weaknesses of your skin and identities areas that can benefit from cosmetic treatments. Dermal fillers help to diminish facial lines and restore volume and fullness in the face.

What fillers can do

  • Plump thin lips
  • Enhance shallow contours
  • Improve the appearance of recessed scars
  • Decrease or remove the shadow of the lower lids

Dermal fillers can be very helpful in those with early signs of aging, or as a value-added part of facial rejuvenation surgery.

What fillers can't do

For some patients, surgery such as a facelift, brow lift or eye lift may be the best approach. Minimally invasive rejuvenation treatments, such as soft tissue fillers, cannot achieve the same results, but may help delay the time when consideration of a facelift becomes appropriate. It is important to remember that dermal fillers are temporary treatments for facial aging and that ongoing treatments will be needed for long-term results.

Laser Skin Services

We offer Sciton laser modalities such as HALO®, BBL™, ClearV and more. These lasers rejuvenate the skin and work to improve common skin concerns like texture, pigmentation, acne scarring, age spots, fine lines, unwanted vessels and unwanted hair. These before and after photos from Sciton can help you visualize what you could expect from these types of treatments.

Learn More About our Laser Services

SkinPen Microneedling

The SkinPen Microneedling device is the only FDA approved device for acne scar treatment as well as neck wrinkles and safe for all skin types. The microneedling device creates controlled damage to the skin which encourages collagen production, improvement in fine line and wrinkles, as well as improvement in stubborn hyperpigmentation such as melasma (which is not as easily treated by BBL or laser therapy due to heat being a trigger for melasma). Visit the SkinPen website here to see why the Proof is in the Pen.

Microneedling with PRP is a very popular treatment. This approach offers optimal delivery for pan-facial rejuvenation with PRP. It allows for delivery of PRP as a gliding serum, penetrating into the skin. Additionally, the healing process after microneedling is sped up due to the growth factors in PRP.