Rex Moulton-Barrett, MD Lisa Derita, RN Alameda & Brentwood, CA Sciton Profile Combination therapy 2007

X Y BoTox Z Deep Resurfacing or Deep Peels Treatment Approach upper Upper X-Y Dimension: tone, pigment, texture MicroLaserPeel: Erbium Yag Skin Care Mid X-Y Dimension BBL:ST: remodel/contracture Upper, Mid, Lower X-Y Dimension BoTox Mid X,Y,Z Dimension- ThermScan: 1319 Nd:Yag remodel Fillers Upper, Mid, Lower X,Y, Z Dimension- ProFractional Deep Resurfacing or Deep Peels Fillers and grafts upper mid Z lower Dimensions

Multi-modality Treatment = planned staging Periorbital area: blepharoplasty &/or Botox, skin care, MLP Ageing neck: Botox, skin care, BBL:ST or 1319nm TC, MLP Perioral: Botox, skin care, fillers, and MLP/resurfacing Full Face Procedures: facelift &/or Botox, skin care, laser

“Dark Circles”- Lower Eyelids Hyperpigmentation Atopic Patients -Dennie’s Lines Vessel Network Pattern Periorbital Blue Veins Telangiectatic Aborizing & Linear Vessels Baggy Lower Eyelids [Shadow Effect] Wrinkled Lower Eyelids [Static & Animated] Festoons [Preseptal-Orbital-Jugal] --Shadow effect Photos courtesy of Kent Remington, MD

upper eyelid blepharoplasty - wrinkles - Botox Sciton full face MLP   6 wks. after • Return of Awake Bright Alert Look • 80% Improvement of Wrinkles • Botox Brow Lift - Relaxed Glabellar Complex • Volumetric Tightening of Whole Face before treatment Photos courtesy of Kent Remington, MD

Upper Eyelid Laser Blepharoplasty Sciton Lower Eyelid Deep Resurfacing Botox Crows Sciton Lower Eyelid Deep Resurfacing 4 Mths. Post Treatment - Relaxed  * Note Improvement of Crows with Botox even in the relaxed mode Before Treatment - Relaxed Photos courtesy of Kent Remington, MD

Upper and Lower Eyelid Blepharoplasty Sciton Lower Eyelid Resurfacing Botox Sciton Lower Eyelid Resurfacing  3 mths.After Note: Return of Awake Bright Alert Look Before Treatment Photos courtesy of Kent Remington, MD

Upper Eyelid Blepharoplasty Sciton Resurfacing “6” Days After  Before Treatment Photos courtesy of Kent Remington, MD

Upper - Lower Eyelid Blepharoplasty Sciton Resurfacing Lower Lids Botox Sciton Resurfacing Lower Lids     Before Treatment 6 Days After Photos courtesy of Kent Remington, MD

Sciton Laser Resurfacing Botox - Asian Pt. Sciton Laser Resurfacing 3 Mths. After - Relaxed  Note: No Transition Color Changes Before Treatment - Relaxed Photos courtesy of Kent Remington, MD

Syringomas Lower Eyelids - Sciton Laser Asian Patient Skin Type IV before treatment 14 months after Result • 80-90% Improvement In Lower Eyelid Syringoms • Note - No Color or Texture Transition Zones Step #1 • CPG Single Spot Mode --25 Microns Abl./25 Coag. Step #2 • CPG 50% overlap 1st Pass 40 Microns Abl. No Coag • CPG 50% overlap 2nd Pass 30 Microns Abl. 25 Coag Step # 3 • CPG Single Spot Mode 15 Microns Abl. No coag. Feather The Very outside edges Photos courtesy of Kent Remington, MD

Transconjunctival Lower Eyelid Laser Lower Blepharoplasty Sciton Erbium-YAG Laser Resurfacing Lower Lids and Xanthelasma  8 Wks. After Note: Pt. Has Vitiligo Tendency  Before Treatment Photos courtesy of Kent Remington, MD

Sciton PROFILE Hair Removal MicroLaserPeel Skin Tightening Vascular Photorejuvenation Pigmentation Acne Scars Photodynamic therapy