What can you do for wrinkles, texture and hyper-pigmentation? I don’t want a facelift, instead something that can be done with relatively little downtime.

I am interested in Botox and fillers: how do you know how many units / syringes I would need?

What services do you have for acne?

Do you ever discount your treatments?

Why purchase a series over just paying for a single treatment each time?

Why are your prices not published online?

What should I do for a skin care regimen? What is the difference between the products you carry and the products available at department stores and drugstores?

Do you have anything that helps bruising – to reduce or cover bruising? How long will bruising last?

Can I do a laser treatment for the face and Botox/Dysport at the same time?

Can I finance my treatments?

How does the Multiwave light work?

How are your acne services different from a dermatologist’s services?

What is your cancellation policy?


What can you do for wrinkles, texture and hyper-pigmentation? I don’t want a facelift, instead something that can be done with relatively little downtime.

Evolutions offers a variety of treatments that address wrinkles, texture and hyperpigmentation.

Wrinkles: Wrinkles can be made smoother (or “relaxed”) with Botox or Dysport. Other facial wrinkles can be plumped with a variety of dermal fillers. Botox, Dysport, and dermal fillers are temporary and the duration for which they last depends on the person and the product being used. Botox / Dysport and dermal fillers can be used together or alone.

Evolutions also offers a Layered Liquid Lift which is a protocol developed by Dr. Perkins that is a unique layering technique of various dermal fillers and Botox or Dysport. This procedure is non-invasive and, for the right patient, provides a similar result to a facelift. It may last up to 18 months.

Uneven Skin Texture: If you are seeking a more even texture and tone in your skin, we often recommend Sublative Rejuvation or Laser Genesis Facials.

Sublative Rejuvenation is the newest fractional resurfacing device that improves textural irregularities and treats mild to moderate wrinkles, brown spots, and acne scars.

The Laser Facial, using Laser Genesis Skin Therapy, addresses redness, uneven texture, large pores, scars, and fine-line wrinkles.

Hyperpigmentation: The FotoFacial RF™ is highly effective for reducing age spots, sun damage, uneven pigmentation, redness or rosacea, spider veins, and fine lines.

Some of these treatments can be combined with others (such as Vibraderm, chemical peels, bleaching creams or the Q-switched laser) to yield the best results. Since every person’s needs are different, we highly encourage you to come in for a complimentary consultation to discuss what would be your best options.

Back to FAQ Top



I am interested in Botox and fillers: how do you know how many units / syringes I would need?

Botox and Dysport are both sold in “units”. It is important to note that since Dypsort is a smaller molecule than Botox and therefore the units are different (20 units of Botox equals 60 units of Dysport). At Evolutions, it is common to use 20-24 units of Botox for the glabellar region (frown lines), 8-12 units of Botox for the forehead, and 10-14 units of Botox for the peri-orbital area (“crow’s feet”).

Dermal fillers are used to improve facial contours and wrinkles. Dermal fillers are sold by the syringe. The number of syringes needed for correction depends upon the area(s) being treated and the depth/number of wrinkles.

To determine which products to use and how much it would cost you, we recommend coming in for a consultation – always complimentary – prior to treatment.

Back to FAQ Top



What services do you have for acne?

At Evolutions we know that acne plagues adults as well as teenagers. We have a number of excellent acne treatments including:

  • Injections for cystic acne
  • Acne vitamins
  • Clarisonic Pro skincare brush system
  • Acne skin care products
  • Acne Facials: from “Express” to “Advanced”, these acne facials are designed to kill acne-causing bacteria, provide exfoliation and safe extractions.
  • Acne Peel: this peel can be done alone or in a series and is great for clients with oily, acne-prone skin. It is a 30% salicyclic acid peel that cleans out clogged pores, exfoliates, and helps normalize cell function.
  • Multiwave LED Acne Treatments: this is a short, painless light therapy that kills acne-causing bacteria and can be done alone or in combination with other treatments. Great for mild acne.
  • Isolaz™ Deep Pore Acne Therapy: this therapy purifies pores from the inside out. The pneumatic suction loosens and extracts dirt, blackheads and excess oil from deep within your pores and the broadband light destroys the acne-causing bacteria underneath the skin. Combine with Levulan for more aggressive acne fighting.
  • Levulan Photodynamic Therapy: this treatment shrinks pores, oil glands, and improves stubborn acne. Clients with significant acne and pre-cancerous conditions see significant improvement. A series of 2-3 treatments is recommended for best results.
  • Mineral make-up that won’t clog pores

Back to FAQ Top



Do you ever discount your treatments?

We periodically provide discounted treatments. We have an opt-in email list for those who are interested in “Last Minute Promotions”. These are short emails that go out periodically when our aestheticians and nurses have openings in their schedules. Usually the appointment availability is within the next 24 hours from when the email is sent and the price of services is reduced. To get on this list, fill out the email list form on our website.

At Evolutions we also believe in educating our clients so they have the ability to make informed choices about their treatment(s). About 10 out of 12 months per year, we host an evening event that is free of charge and open to our clients and the general public. Cosmetic surgeon Dr. Terry Perkins speaks about a pre-selected topic and usually the treatments and/or products associated with the topic are offered at a discount that is available only available for the event’s attendees.

Back to FAQ Top



Why purchase a series over just paying for a single treatment each time?

Certain services, such as laser services and chemical peels, are meant to be done in several consecutive treatments to optimize the desired results. We reduce pricing when purchasing a series to encourage clients to make a commitment to the suggested number of treatments as well as keep the proper time schedule for each consecutive treatment in the series.

Back to FAQ Top



Why are your prices not published online?

Evolutions shows pricing on certain services (such as facials and chemical peels) but pricing for other services can vary depending on whether the treatment being purchased will be a single treatment or a series and what area is being treated (for example, there will be different pricing for laser hair removal of the legs versus the back because the treatment time varies depending on the size of the area treated). Also, the total number of treatments may vary from person to person in order to obtain the optimum results.

Back to FAQ Top



What should I do for a skin care regimen? What is the difference between the products you carry and the products available at department stores and drugstores?

The specific skin care regimen for each person should be customized and should address exfoliants, antioxidants, retinoids, and sun protection as basic elements. One of our clinicians can help design a program for you with the products we carry which are hand-picked by Dr. Perkins and are the best in the medical cosmetic industry. Some are patented and only available through a physician’s office. Products at Evolutions are from a variety of lines such as Obagi, Revale, DNA, Neova, NuCelle, Latisse, Benev, TiZo (and more) and have been chosen based on their reputation, effectiveness and level of client satisfaction.

The pharmaceutical grade skin care products are more effective and yield results because they have more pure and higher active ingredients than products available at a department store or drugstore. “Over the counter” products are often “cosmetic grade” (a government designation that allows a higher amount of bacteria to be present than in pharmaceutical grade products) and have a higher level of preservatives to decrease bacterial growth as they sit on store shelves.

Back to FAQ Top


Do you have anything that helps bruising – to reduce or cover bruising? How long will bruising last?

When clients get an injectable treatment such as dermal fillers we provide them with a package of Arnica, a homeopathic pill that dissolves under the tongue to reduce bruising. We recommend they take the Arnica immediately after the treatment and over the course of the next few days. We also recommend the use of a topical Arnica gel that can be purchased over-the-counter at most health food stores or pharmacies. A Multiwave LED treatment can also help to resolve bruising more quickly. The bruising can usually be covered with make-up. Typically bruising lasts about one to five days. Some patients do not have any bruising.

Back to FAQ Top



Can I do a laser treatment for the face and Botox/Dysport at the same time?

It is okay to do both in the same visit as the neuromodulators (Botox/Dysport) are targeting the muscle beneath the skin and the laser treatments deal with the skin itself.

Back to FAQ Top



Can I finance my treatments?

Yes, financing is available through CareCredit – a company that provides financing specifically for healthcare services.

Back to FAQ Top



How does the Multiwave light work?

Multiwave LED (Light Emitting Diode) light therapy delivers energy to the skin that is absorbed by the cells for therapeutic benefits. The various wavelengths (red, blue, infrared, green, and amber) penetrate the skin to different depths and stimulate different metabolic activities that provide the energy your cells need to activate production of new collagen and elastin and increase circulation; leaving your skin healthier and younger-looking. Multiwave LED Therapy is painless, safe, and effective with no downtime. Treatment programs take about 15 minutes and are optimized for the condition being addressed.

Back to FAQ Top



How are your acne services different from a dermatologist’s services?

Although both the dermatology office and Evolutions Medical Spa offer a multidimensional approach to treating acne, we can probably offer a wider range of “weapons” including acne facials, many and varied skin care products (including exfoliants, retinoids, and antioxidants), the Clarisonic Pro Sonic Skin Cleansing System, Vibradermabrasion, the Isolax Deep Pore Therapy, Levulan Photodynamic Therapy, various chemical peels, injections for cystic acne, acne vitamins, oral antibiotics, and mineral make-up that won’t clog pores.

Pustular acne breakouts should be gotten under control as quickly as possible and then maintained with a combination of the above treatments and home care.

Back to FAQ Top



What is your cancellation policy?

We request a 24 hour notice (at minimum) for cancellation. Less than 24 hours notice or “no shows” may result in a charge.

Back to FAQ Top