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Dr. Romano’s “Exquisite Care”
Medical Spa

Injectables and Fillers

Thermage -
Radiofrequency energy
non-invasive skin tightening.

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

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

Skin Maintenance
Postoperative Skin Care

Treatments for Sensitive Skin

In my office, the spectrum of providing skin care and educating patients are collectively referred to as Skin Fitness. This is a highly customized program, as it needs to be, to address several related factors.

First, a detailed conversation about your impressions of your present skin condition and expectations set the foundation of what we want to achieve together. Next, a careful history is taken that assembles all of your past skin treatments, services, products and results you have obtained from these. Following this, a very thorough skin exam that addresses all aspects of your skin condition and skin health is performed and documented. All this information is then integrated with a discussion of your lifestyle, exercise habits, outdoor activities, work environment and tolerance levels to formulate that special custom program to give you the results you want. In summary, we combine your expectations, history, exam, and lifestyle to formulate your custom Skin Fitness program.

Men have special needs in skin care especially as these may relate to your work and lifestyle. Men generally have larger pores, facial hair that may challenge skin care, and daily shaving that creates its own problems and needs. We understand and address the needs of men.
Your skin care program is designed to give you results in a safe and predictable way. It is designed to delay or prevent the need for plastic surgery and preserve the results of any procedure you may have.


There are many patients with sensitive skin that still desire to have skin care treatments and products to improve their skin and delay aging. These patients are often frustrated because they feel like they must choose their skin care products very cautiously. They notice that their skin is delicate, dry and prone to allergic reactions. Sensitive skin is much more prone to skin irritations caused by harsh soaps and cosmetics that contain alcohol or synthetic fragrances then other skin types. Sensitive skin on the face will appear thin and dry, and the veins will often be visible. Sensitive skin is the most unpredictable during extreme temperature changes. During the harsh cold and the extreme heat, the face will often turn red and blotchy, dry, flaky and itchy. Sensitive skin reacts more readily to skin care treatments and products.


Your examination will range from skin that appears on the surface to be completely normal all the way to the opposite extreme where it is red, irritable, flaky, dry and thin. There are all sorts of degrees in between. You know that most products make this worse and that stress, weather, and activity can also have an effect.

Program Basics and Overview

This is the basic outline for treating patients with sensitive skin. It is highly customized to begin with only the mildest products, non allergenic, and anti-inflammatory. Once your skin becomes accustomed to this your skin becomes more durable and can begin to tolerate gradually increased interventions. Virtually always tolerances of patients with sensitive skin can be slowly increased. The program needs be highly customized and it will be modified according to your expectations, history, anatomy and lifestyle.

  1. To start:
    1. Gently Rejuvenizing Facial. This is to exfoliate and prepare the skin for better product penetration. Here we start with the mildest of products to begin to test your skin and still get results.
    2. Obagi Nu Derm system is used and highly customized to begin at the mildest level.
  2. 4 weeks:
    1. Second Rejuvenizing Facial. This is where we increase your treatment gently and in a step by step fashion.
    2. Intensify program and begin low dose Retin-A.
  3. 4 weeks:
    1. Begin Chemical peels series. This is begun at this point if you have tolerated the facial series, improved your skin condition, and are ready to advance results.
  4. 4 weeks
    1. Second Chemical peel.
  5. Maintenance:
    1. Products
    2. Treatments as indicated according to your results and further expectations.









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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