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

2. 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

3. 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

4. “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

5. 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

6. 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

7. 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

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

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

10. 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

11. 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

12. 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

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