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Dr. Romano’s “Exquisite Care”
Medical Spa

Injectables and Fillers
Botox
Artefill

Thermage -
Radiofrequency energy
non-invasive skin tightening.

Medical Grade Skin Care
Prescription Strength Skincare Products
Acne
Pigmentation
Wrinkles & Loose Skin
Skin Textural Irregularities
Scars
Stretch Marks
Sensitive Skin
Ultrasound

Anti - Aging-
Reversing  external and internal
consequences of age.

Diet
Supplements
Skin Maintenance
Postoperative Skin Care

Scar Therapy

Program Basics and Overview

This is the basic outline for treating scars. It relies on removing upper level thick and unhealthy scar tissue cells, softening and flattening any remaining scar, and lightening color of scars. It will be modified according to your expectations, history, anatomy and lifestyle.

  1. Start:
    1. Microdermabrasion treatment. This is to mostly to exfoliate and prepare the skin and scar for better penetration of products.
    2. Ultrasound treatment. This is done at the same time to further enhance softening of the scar and better penetration of products.
    3. Product recommendations. This depends on your scar but we mostly use TNS Recovery Complex formulated with human growth factors, and Coats aloe based gel with Vitamins A and E or E.G.F. This is combined with specific massage instructions.
    4. Silicone pressure therapy. We will decide if you are a candidate to begin this.
  2. 4 weeks:
    1. Second Microdermabrasion in combination with Ultrasound Treatment to further increase the effects described above.
    2. Intensify the products home program. This is done according to your degree of improvement and usually involves stronger product.
  3. 8 weeks:
    1. Third Microdermabrasion in combination with Ultrasound Treatment
    2. Adjust and continue products.
  4. 12 weeks
    1. Determine at this time if a series of Chemical Peels is indicated for taking scar to the next level of flatness. Otherwise we may do one more Microdermabrasion with Ultrasound at this time.
  5. Maintenance:
    1. Product evaluation. At this time you may have received the maximum benefit and will no longer need products for scar therapy.
    2. Treatments as indicated according to degree of improvement.


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Before and After Photos

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Dr. Romano in the Media
Visit Dr. Romano on MerchantCircle

Botox , Cellulite / Fat Reduction, Injectable Fillers,
Skin Peels / Facials, Microdermabrasion, Laser Hair Removal, Laser Skin Resurfacing Laser Vein Treatment

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Dr. James Romano, M.D.
San Francisco Plastic & Reconstructive Surgery
1650 Jackson St., Suite 101, San Francisco CA 94109

415.981.3911