Cosmetic Procedures by Idaho Dermatologic Surgery & Laser Center in Southern Idaho




What is BOTOX® Cosmetic?

It is a purified protein administered in a simple non-surgical procedure that temporarily improves the appearance of moderate to severe frown lines of the upper face in people aged 18-65. During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles that cause those stubborn lines.
BOTOX® Cosmetic works by blocking nerve impulses. This reduces the movement of the muscles that are largely responsible for the frown lines. With less movement, the skin surface gradually smoothes out, and the moderate to severe frown lines between your brows begin to fade.
BOTOX® Cosmetic is a quick and minimally invasive treatment. No anesthesia is required for the injection but a cold pack or anesthetic cream may be used prior to administration. The entire procedure takes approximately ten minutes. Discomfort is minimal and brief- most patients compare the sensation to a bug bite. You may resume normal activity immediately.
BOTOX® has been used therapeutically for over 15 years to treat a variety of medical conditions. It is approved in more than 75 countries. BOTOX® for therapeutic use remains one of the most widely researched medicines in the world.

How soon will I see a difference? What kind of results can I expect?

You can expect to see results within days after your treatment. The appearance of the areas may continue to improve for up to 2 weeks. By day 30 in a patient clinical study, 89% of patients judged the severity of their frown lines between their brows as moderate or better. Visible results can last up to four months. After that, you may be ready to return for a follow-up treatment.

How soon will I need a second treatment? What happens if I decide not to continue?

The effect of each treatment can last up to four months. If you decide not to continue with BOTOX® Cosmetic, the areas will eventually go back to their pretreatment appearance.

What are the side effects?

The most common side effects include swelling and bruising which resolves within the first few days. Other side effects include nausea, headache, flu-like symptoms and temporary eyelid/eyebrow droop. Patients with neurological disorder such as ALS, Myasthenia Gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects.

How does BOTOX® Cosmetic compare to other options?

Compared to other aesthetic treatment options, BOTOX® Cosmetic is relatively inexpensive. According to a survey by The American Society of Aesthetic Plastic Surgery, it's one of the least costly facial aesthetic procedures. BOTOX® Cosmetic is the only product of its kind that affects the muscles that cause the wrinkles in the upper face.
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What does it do?

The Pellevé System safely and effectively treats facial wrinkles with virtually no pain and no downtime. In fact, patients who have had a Pellevé treatment say it feels like a warm facial massage. The Pellevé System offers a different type of experience; a more pleasant and more natural one, with results you can feel good about.


First, a conductive gel will be applied to the areas to be treated. You then feel a deep warming sensation when the Pellevé hand piece is applied to your skin. You will act as a guide to describe the depth of the sensation as your clinician moves the hand piece gently across the treated areas. Each treatment will be from 30 – 60 minutes, depending on the number of areas being treated at one time.
There is generally no preparation required before having a Pellevé treatment but please arrive well hydrated. Ask your doctor if you should discontinue certain topical products or medications.

Is the treatment painful?

No. Unlike other skin tightening systems, a Pellevé treatment does not require anesthesia. A Pellevé treatment is virtually painless and in fact, patients comment that it feels like a warm massage. There is no recovery time needed after a Pellevé treatment. You may be slightly pink with mild swelling for a few hours, you can wear makeup right away and resume normal activities, so it fits easily into busy schedules.

Number of Treatments

In most cases you will see a visible tightening and lifting effect immediately after one session. Your skin will feel firmer and smoother as the texture and tone improves. Many people see results immediately after just one treatment. For many patients, a series of three treatments spaced about one month apart may be recommended for optimal improvement. Additional treatments may be undertaken at any time for long term maintenance.



What a wrinkle is...

With time, exposure to the sun and other elements, skin components break down. The skin loses structure and volume. Unwelcome lines and wrinkles appear. Healthcare professionals now can correct wrinkles and facial folds, reversing the signs of aging.

How wrinkles are corrected...

The appearance of wrinkles and facial folds can be smoothed by adding structure and volume underneath and bringing sunken skin back up to the surface. Generally, this is done by injecting materials into the skin, to achieve a temporary effect. When administered by a trained healthcare professional, you can be sure that the materials have been proven safe to use. One example is hyaluronic acid.

What hyaluronic acid is...

Hyaluronic acid (HA) is a natural complex sugar found in all living cells, and one of the major components of the dermal connective tissue matrix, along with collagen and elastin.
HA retains water like a sponge, absorbing more than 1000 times its weight. This helps to attract and maintain water, hydrating your skin and increasing its volume and density.

What JUVÉDERM® is...

JUVÉDERM® injectable gel is a smooth gel filler your doctor eases under your skin to instantly smooth out those wrinkles or folds that look like parentheses along the side of your nose and mouth. Other areas can be treated as well.
JUVÉDERM® has two formulations. JUVÉDERM® Ultra injectable gel, optimally formulated for versatility in contouring and volumizing wrinkles and folds, or JUVÉDERM® Ultra Plus, a robust formulation for volumizing and correcting deeper wrinkles and folds. Your doctor will provide guidance as to which formulation is right for you.
JUVÉDERM® injectable gel is produced through HYLACROSS™ technology creating a high degree of cross-linking and promoting duration for up to 6 months or longer.

What happens during and after JUVÉDERM® treatment...

Your healthcare professional will assess your facial wrinkles and folds to determine if JUVÉDERM® treatment is right for you.
Wrinkle correction with JUVÉDERM® is a quick, in-office procedure with immediate results.
Common side effects with JUVÉDERM® injectable get usually are mild. The most commonly reported side effects are temporary injection site redness, swelling, pain/tenderness, firmness, swelling, lumps/bumps, and bruising.
For before/after photos, visit the photo gallery at
JUVÉDERM® is a registered trademark of Allergan, Inc.
For more information on JUVÉDERM® or to schedule your consultation appointment please call us at (208) 327-9521.

Sclerotherapy (Treatment of Leg Veins)


Background information:

Sclerotherapy is a treatment to remove the small blood vessels on the thighs and lower legs. The treatment involves the injection of the small reddish/bluish superficial veins of the legs with a solution that is capable of causing the vein to undergo spasm and permanent shutdown. Although the vein may not completely disappear, it certainly becomes less visible or "invisible" due to the decrease or elimination of blood flowing through it. The larger, deep veins, as well as superficial varicose veins respond less well and are usually not treated by this method. The ones that respond the best are the small, purplish, bluish, or red veins that are on the surface of the legs, ankles, or feet. Only those veins large enough to allow injection of the sclerosing solution through a small needle are capable of being improved. Extremely tiny veins are simply not large enough to accept the needle required for this procedure.


The physician will clean the area to be treated with an alcoholic wipe. The solution will then be injected through a very small needle into the appropriate veins. There will be a small amount of discomfort as the solution is injected into the veins. Occasionally, there is a "flushed" feeling or even, rarely, a cramping or "Charlie horse" in the leg.


The solution we routinely use is hypertonic saline- a concentrated form of injectable salt water. The saline solution in non-allergenic (does not cause allergic reactions) but can be irritating and can be associated with local ulceration if the solution leaks around the vessels. If the solution does leak, it is controlled by injecting a diluent to decrease the chance of ulceration. There is some discomfort associated with the injection of the salt solution.


Individuals with a history of active thrombophlebitis or blood clots in the legs, history of pulmonary emboli (blood clots of the lungs), poor circulation in the legs, or a history of swelling of the feet or legs should not be treated. Individuals who are or could be pregnant should not be treated. Individuals who are hypercoaguable or have a history of excessive blood clotting should not be treated.

Risks of therapy:

One of the more common adverse reactions is bruising at the site of the injection along the vessel. The bruising usually lasts one to two weeks, and may resolve completely at that time or may resolve leaving a tan discoloration along the course of the vein. This tan coloration is an unpredictable complication. No treatment is required: quite often, fading will take place over the course of weeks, months, or even up to 2 years.
Some people may develop a fine network of small blood vessels in the vicinity of the treated veins (called telangiectatic matting). Individuals at increased risk of developing these vessels are those on estrogen, either in the form of hormone replacement or oral contraceptive medications. Most of these vessels will ultimately fade, but occasionally the smaller vessels will need to be treated with additional sclerotherapy.
Rarely, following injection of a vein, a clot may occur along the course of a vessel. These clots may also become inflamed or infected. This is a treatable complication: you should inform your doctor if this should occur. Even more uncommonly, a blood clot may form in one of the deeper veins of the leg. This is potentially a serious side effect of treatment and would require medical intervention. Symptoms of this condition are swelling, redness, and pain in the affected leg. If you experience any of these symptoms after treatment you should call your doctor as soon as possible, as well as if you develop cough or shortness of breath.
There is also the possibility that the injection of the solution may cause a small sore, scab, or ulceration at the site of one of the blood vessels. Usually these heal well, but they can heal with a small white scar. This is an extremely uncommon event but when it does occur, is permanent.
Other side effects include stinging and pain at the injection site, swelling of feet or ankles, or muscle cramps. These symptoms are usually temporary and experience during treatment. Tenderness, bruising, or firmness, especially along the larger vessels in the treated areas may last for varying periods of time.

Number of treatments required:

Most patients are pleased with the final results of sclerotherapy which may range from a subtle fading to a complete disappearance of part or all of the tiny blood vessels. The goal is to produce at least 75-80% improvement and it may take several months to see the maximum improvement. It may be impossible to predict how many treatments are required, but usually each network of veins ay require anywhere from one to three treatments in order to achieve improvement. You should not be discouraged that a single treatment does not result in a dramatic change in appearance. You may not experience permanent disappearance of the treated vessels. Some vessels may reopen over time, and new vessels may reform and replace the treated veins. It is impossible to predict which vessels will remain closed, which vessels will reopen, and which vessels will develop new veins adjacent to them. You may discontinue treatment and restart at any time you desire.

Before and after treatment:

Do not shave your legs 24 hours before treatment or apply any moisturizer. Bring a pair of very good support hose (20-30 mm Hg compression) to wear continuously for the next 48 hours after treatment. They should be worn during the day for the next three weeks after these first 48 hours. Please prepare to limit your activity to normal daily activities without strenuous exercise for 48 hours after the procedure. After the first 48 hours, you may exercise, but please plan to wear your compression stocking while you exercise for the next three weeks. Come in with a pair of shorts or a skirt so you can be comfortable during the treatment.
NOTE: Please remember to bring your compression stockings with you for your procedure.


Sclerotherapy is a treatment to improve or eliminate the superficial veins which form on the lower extremities. The risks must always be balanced against the benefits. All aspects of the treatment should be fully discussed with your physician before undergoing the procedure.
Please call our office for scheduling and pricing information: (208) 327-9521.
Brownfield's Prosthetic & Orthotic Technologies
122 N 5th St
Boise ID 83702
(208) 342-4659
Norco Medical
400 W Main St
Boise ID 83702
(208) 344-7933
6010 Franklin Rd
Boise ID 83709
(208) 424-0966
2150 E Fairview Ave
Meridian, ID 93642
(208) 898-0202
Idaho Orthotic and Prosthetic Services, Inc.
2054 S Eagle Rd
Meridian ID 83642
(208) 884-1294
1211 12th Ave Rd
Nampa ID 83651
(208) 463-5500
884 SW 4th Ave
Ontario, OR 97914
(541) 881-7420



What Does it Do?

LIGHTWAVE Therapy can reduce and even reverse the appearance of aging and damaged skin, resulting in a significant and noticeable cosmetic enhancement. LIGHTWAVE Therapy can help improve the appearance of tired, flaccid skin, stretch marks, "orange peel" skin and cellulite. It can also be used to reduce the appearance of melasma or increased pigmentation of the skin. LIGHTWAVE Therapy is not limited to certain body areas; treatment can be applied to one or more areas simultaneously that are simply in need of cosmetic enhancement. LIGHTWAVE Therapy significantly enhances all other anti-aging treatments including microdermabrasion, chemical peeling, laser/IPLs, hydrating creams and anti-cellulite regimens.
LIGHTWAVE Therapy with DermaKinetics is a patented transdermal delivery process. The DermaKinetics system uses precise wavelengths and pulses of light to deliver active skin care ingredients deep into the skin to stimulate positive cellular changes. This is accomplished without harming the skin or without chemically altering the molecules in the skin care compound.

Procedures & Advantages

LIGHTWAVE Therapy can stimulate your body's own natural regenerative system by accelerating the replenishment and repair of collagen and elastin to restore a youthful appearance. The process requires pure beneficial (UV Free) light which is converted into cellular energy. This energy is used to optimize and revitalize the health of the damaged tissue.
LIGHTWAVE Therapy with DermaKinetics is an active delivery system where functional skin care ingredients are "pushed" into the skin using light as an energy source. This system can achieve high levels of active ingredients in the skin in a short period of time.

Number of Treatments

LIGHTWAVE Therapy shows noticeable changes that are typically achieved in 8-10 treatments over a multiple week period. Consistent treatments are required to achieve and maintain a youthful appearance.
LIGHTWAVE Therapy with DermaKinetics is generally performed in under 45 minutes. The skin usually appears softer and more hydrated after just one treatment. However, the average cell cycle is 28 days and because DermaKinetics targets the cells, the most dramatic results are generally seen between 30 and 45 days. This treatment can be performed twice a week for up to twelve weeks. Generally, a maintenance treatment every 4-6 weeks helps maintain the improvement. The results will also be maintained provided a proper skin care regimen is practiced.
Please call our office for scheduling and pricing information: (208) 327-9521
Please review our Office Policies regarding fees, cancellations, rescheduling, insurance and billing.

Blepharoplasty Eyelid Surgery

A surgical procedure to improve the appearance of eyelids. Surgery can be performed on the upper lids, the lower lids or both.

At Idaho Dermatologic Surgery & Laser Center, we perform upper eyelid blepharoplasty to remove loose or saggy skin of the upper eyelids that creates folds or disturbs the natural contour of the lid, sometimes impairing vision.

Call our office to schedule a consultation appointment.