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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

Skin maintenance: Preserving Youthful Features

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.


Regardless of your age, you may not see any signs of aging. This is great. To preserve these youthful features it is important at a time like this to consider starting to address treatments and products that will contribute greatly to preventing aging and preserve your healthy and youthful features.


Your examination will most likely be normal with no significant signs of aging. Look at your skin and imagine that this is what you want to see and preserve for the rest of your life. This is our goal.

Program Basics and Overview

This is the basic outline for preserving youthful features.

  • To start:
    • Gently Rejuvenating Facial. This is to exfoliate and prepare the skin for product penetration. Here we start with the mildest of products to begin to test your skin and use products to fortify your collagen and elastic tissues and prevent aging.
    • Obagi Nu Derm system is used and highly customized to begin at the mildest level.
  • Maintenance:
    • Evaluate and adjust products. Here we will use a simple program to preserve your features and prevent aging.
    • Treatments are recommended as indicated according to your skin to preserve results and prevent aging.









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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