What Makes Us Different
Doctor-Led from the Start
Every treatment plan is established by our aesthetic trained doctors, who bring both clinical expertise and a deep understanding of how skin health connects to your broader aesthetic goals.
Effective Acne Management
Acne is one of the most undertreated skin conditions in aesthetic medicine. We offer medical-grade acne management that goes beyond topical products, addressing the underlying causes and creating a clear path toward healthier skin.
A Foundation for What Comes Next
Managing your skin condition is often the first step toward the aesthetic results you are ultimately looking for. We treat with that longer journey in mind from the very beginning.
Benign Skin Lesion Removal
We offer removal of skin tags and other benign skin lesions including seborrheic hyperplasia using electrocautery, a precise and effective in office procedure with minimal downtime.
Overview
Most patients who come to us for medical skin care have already tried the basics. The over the counter products, the skincare routines, maybe a prescription or two from a primary care visit that helped for a while and then stopped. What they are looking for is someone who will take their skin seriously, understand what is actually driving their concern, and build a plan that addresses it properly rather than managing symptoms indefinitely.
At PI Aesthetics medical skin care is doctor led and built around your specific skin, your history, and where you want to go. We manage acne, rosacea, and hyperpigmentation with a personalized approach that goes beyond surface level treatment. For many patients managing a skin condition is also the foundation of a longer aesthetic journey. Controlling acne, for example, is often the essential first step before microneedling, chemical peels, or other treatments can deliver the results a patient is ultimately looking for. We treat with that bigger picture in mind from the very beginning.
We also offer removal of skin tags and other benign skin lesions including seborrheic hyperplasia using electrocautery, a straightforward in office procedure with minimal downtime that addresses concerns many patients have quietly lived with for years without realizing how simple the solution actually is.
BEFORE & AFTER
Every Result Has a Story
Treatment type: Medical Management of Rosacea
Patient Concerns: For years, she had noticed her facial redness getting progressively worse. What had started as occasional flushing had become a persistent, diffuse redness that was always there, accompanied by small pimple-like bumps that came and went without a clear pattern. She had learned to work around it with makeup but had never found anything that actually addressed what was happening beneath the surface.
Treatment Plan: We developed a personalized treatment plan using prescription topical medications to bring her rosacea under control, targeting both the chronic redness and the inflammatory component driving her breakouts. Once we achieved meaningful improvement, we added IPL treatments to address the residual vascular changes, giving her skin the best possible outcome from both directions simultaneously.
Results: She has never had skin this clear. The persistent redness that had defined her complexion for years is gone, the breakouts have resolved, and she finally feels comfortable in her own skin without relying on heavy coverage to get through her day. She told us she feels more confident and more engaged in her life in a way she had not expected a skin treatment to produce. That is exactly the kind of outcome we work toward.
"Helping patients finally see improvement in their acne after years of trying treatments that did not work is one of the most satisfying things I do. What I always tell my patients is that acne is a complex problem, and the solution is rarely one-size-fits-all. It takes patience, the right combination of medications, and often several months to find the approach that truly works for your specific skin. What makes the most difference is treating the disease from multiple directions simultaneously rather than relying on a single treatment and hoping for the best.”
- Federico Fenton, MD
Provider & Co-Founder
"It is easy to underestimate how much of a difference a good daily skincare routine makes for skin health. I think of it like going to the dentist. Your teeth can look sparkling after a deep cleaning, but if you are not taking care of them every day they will end up right back where they started in a few months. Skin is exactly the same. The small things you do consistently every day often go the longest way. I love building personalized skincare routines with my patients because that daily foundation is what makes everything else we do last. Everyone should be on a topical retinoid, a mineral sunscreen, and a high-potency antioxidant cream. And please wear your sunscreen every day. Yes, even when it is not bright and sunny outside!"
- Thoa Fenton, DNP
Medical Director, Provider & Co-Founder
What our doctors have to say about wrinkle relaxers
Patient Testimonials
Our Patients, In Their Own Words
Yourstruly_mary Estorque
via Google
After two visits for my acne treatment, I can confidently say this clinic truly stands out. Their website says that consultations are thoughtful and unrushed, and I can truly say they live up to that promise. The doctors genuinely take the time to listen, ask meaningful questions, and understand your goals without making you feel rushed at all.
I have been dealing with recurring acne, and doctor Federico carefully explained what was happening, discussed the underlying causes, and walked me through different treatment options. I really appreciated that they were never pushy about products or services. Everything felt informative and supportive rather than focused on selling.
I have been here twice now and will be going back again to continue working on my acne, and I’m happy to say I am already seeing improvement, which feels very encouraging. Once my skin is completely clear with no active breakouts, I would love to try microneedling as the next step in my journey.
The entire staff is welcoming and kind, which makes each visit comfortable and reassuring. While the services are on the pricier side, I feel they are absolutely worth it because you are being treated by knowledgeable physicians who truly care about your results and overall skin health.
James Bender
via Google
Dr. Federico is amazing. I came in with redness on the side of my face from rosacea, and he provided exactly the treatment I needed. Great doctor and great personality 10/10 would recommend him!
Your Consultation Is Where It All Starts
Before any treatment is discussed, your doctor sits down with you. Not a coordinator, not a patient intake manager. Your doctor.
Your doctor will begin by taking the time to understand what brought you in and what you are hoping to achieve. From there they will perform a comprehensive facial assessment, evaluating your unique anatomy, facial profile, skin condition, and movement patterns. They will share their findings, walk you through what they are seeing, and make sure you leave with a clear understanding of your options. This is not a formality. It is the foundation of everything that follows, because a plan that is right for someone else may not be right for you. We do not rush this part.
From there we walk you through your options honestly, discuss what we believe is appropriate, and build a personalized plan around your goals. We only recommend what we genuinely believe in, and we hold ourselves to the same standard we would expect for our own family.
You will leave with clarity, a plan you feel confident in, and every question answered. Whether you proceed with a treatment that day or not, you will leave informed.
FAQs
Frequently asked questions
What skin conditions do you treat?
We manage acne, rosacea, and hyperpigmentation, as well as benign skin lesions including skin tags, seborrheic hyperplasia and more. For many patients treating a skin condition is also the foundation of a broader aesthetic journey, and we approach each case with that bigger picture in mind.
Do you treat acne?
Yes. Acne is one of the most common concerns we see and one of the most undertreated in aesthetic medicine. We treat the full spectrum of acne presentations including comedones, inflammatory acne, and post inflammatory changes. We offer comprehensive medical grade acne management including topical treatments, oral medications, and antibiotics tailored to your specific skin and the underlying causes of your breakouts. Our goal is not just to control active acne but to create the clearest possible path toward the skin you are ultimately working toward.
Do you treat rosacea?
Yes. We manage rosacea with a personalized approach that addresses both the medical and aesthetic dimensions of the condition. In addition to medical management we also offer laser and IPL treatments that target the vascular changes associated with rosacea, giving us the ability to treat the condition comprehensively rather than just managing symptoms.
What is electrocautery and what can it treat?
Electrocautery is a precise in office procedure that uses controlled electrical current to remove benign skin lesions including skin tags and seborrheic hyperplasia. It is a straightforward treatment with minimal downtime that effectively addresses concerns many patients have lived with for years without realizing how simple the solution actually is. Your doctor will assess the lesion during your consultation to confirm it is an appropriate candidate for treatment.
How is this different from seeing a dermatologist?
Dermatologists are the appropriate choice for concerns that require biopsy, surgical excision, or complex dermatologic management. Our focus is on the intersection of medical skin care and aesthetic medicine, managing conditions like acne, rosacea, and hyperpigmentation in the context of your broader skin health and aesthetic goals. For concerns that fall outside our scope we will refer you to the right specialist. We are always honest about what we do and do not do.
Do you treat patients of all ages?
We treat adult patients only. We do not provide medical skin care treatment for patients under the age of 18.
How many visits will I need?
This depends on your specific skin condition, its severity, and how your skin responds to treatment. Some patients see meaningful improvement relatively quickly while others require a longer treatment course. Your doctor will give you a realistic estimate during your consultation and adjust your plan over time based on how your skin is responding.
Do you prescribe medications for skin conditions?
Yes. Depending on your specific concern and treatment plan, we prescribe a range of topical and oral medications including antibiotics and other prescription treatments. Every prescription is based on a thorough medical evaluation and tailored to your specific skin and history.
Overview
Most people who come to us for wrinkle relaxers are not looking for a dramatic transformation. They want to look like themselves, just without the fatigue and tension that has quietly accumulated over time. What they want most is to feel confident and look their best, in a way that leaves people noticing something is different but unable to quite put their finger on why.
That is exactly the outcome we design for. At PI Aesthetics, every treatment is planned around your specific anatomy, your facial movement, and what makes you look like you. Our aesthetic-trained doctors bring both clinical precision and artistic judgment to every consultation, because knowing where to treat is only half of the work. Knowing how much, and when to stop, is what separates a result you love from one you don’t.
Wrinkle relaxers can also address TMJ-related jaw tension, teeth grinding, and chronic jaw discomfort by calming the muscles responsible for those patterns. If that is part of your picture, it is worth bringing up during your consultation.
Our Patients, In Their Own Words
After two visits for my acne treatment, I can confidently say this clinic truly stands out. Their website says that consultations are thoughtful and unrushed, and I can truly say they live up to that promise. The doctors genuinely take the time to listen, ask meaningful questions, and understand your goals without making you feel rushed at all.
I have been dealing with recurring acne, and doctor Federico carefully explained what was happening, discussed the underlying causes, and walked me through different treatment options. I really appreciated that they were never pushy about products or services. Everything felt informative and supportive rather than focused on selling.
I have been here twice now and will be going back again to continue working on my acne, and I’m happy to say I am already seeing improvement, which feels very encouraging. Once my skin is completely clear with no active breakouts, I would love to try microneedling as the next step in my journey.
The entire staff is welcoming and kind, which makes each visit comfortable and reassuring. While the services are on the pricier side, I feel they are absolutely worth it because you are being treated by knowledgeable physicians who truly care about your results and overall skin health.
Jessica Klos
Yourstruly_mary Estorque
Dr. Federico is amazing. I came in with redness on the side of my face from rosacea, and he provided exactly the treatment I needed. Great doctor and great personality 10/10 would recommend him!
Jessica Klos
James Bender
Every Result Has a Story
Treatment type: Wrinkle relaxers for Forehead, between the brows (11's) and Crows Feet
Patient Concerns: She was getting enough sleep but her face was not showing it. The tension in her upper face made her look more tired and serious than she actually felt, and her expressions were not reflecting how she wanted to come across.
Treatment Plan: We designed a personalized plan to relax the upper face and around the eyes just enough to soften that tension while keeping her expressions natural.
Results: She loves her results. She looks and feels more rested. People close to her noticed something was different and told her she looked great, but could not quite put their finger on why. That is exactly the outcome we design for.
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Treatment: Wrinkle relaxers for crow's feet.
Patient Concern: The lines around her eyes had deepened over time to the
point where they were the first thing she noticed in the mirror, making her look more tired and older than she actually felt on the inside. What bothered her most was that the tension around her eyes had gradually changed their shape, softening an almond shape she had always loved and that felt like a defining part of her face.
Treatment Plan: We focused treatment precisely around the outer eye area,
softening the muscles responsible for those deeper lines and that inward tension. Bringing her outside into alignment with how she feels inside, and to restore something she had quietly missed.
Results: The lines softened, the tension released, and the shape of her eyes came back in a way that felt completely natural. She looked rested. She finally felt like her face and eyes was matching the person she knew herself to be.
Treatment: Wrinkle relaxers for the forehead and between the eyebrows (11's)
Patient Concern: She had noticed gradual changes in her face over time, but it was hearing from people close to her that she looked tired or seemed to be aging quickly that finally brought her in. Her face was not reflecting how she actually felt.
Treatment Plan: We focused on the forehead and the area between the brows, where years of expression and tension had created lines that were reading as tiredness. We designed a plan to soften that tension precisely while preserving her natural expressiveness.
Results: The lines softened, the heaviness between her brows lifted, and her face came back into alignment with how she actually felt. The comments from people close to her shifted too. Instead of asking if she was tired, they told her she looked great. She left feeling like the outside had finally caught up with the inside.
What our doctors have to say about wrinkle relaxers
"Neuromodulators, also known as wrinkle relaxers, are one of my favorite treatments. The results require a higher degree of artistry than most people realize. There are plenty of standard approaches out there, but the best results come when your doctor has the experience and knowledge to adjust the treatment to your individual muscles and anatomy, creating something that is truly tailored to you. The difference it makes in appearance is remarkable, especially over time."
– Federico Fenton MD
"Wrinkle relaxers truly make a difference, and not just in how people look. When those lines soften and that tension releases, something shifts. Patients carry themselves differently, feel more at ease, and show up to their day with a quiet confidence they had been missing. My favorite moments are when patients come back and tell me that people close to them have been asking if they went on vacation or are getting more rest, or commenting that they look great but cannot quite put their finger on why. That is exactly what we are going for. It is our little secret."
– Thoa Fenton DNP
Your Consultation Is Where It All Starts
Before any treatment is discussed, your doctor sits down with you. Not a coordinator, not a patient intake manager. Your doctor.
Your doctor will begin by taking the time to understand what brought you in and what you are hoping to achieve. From there they will perform a comprehensive facial assessment, evaluating your unique anatomy, facial profile, skin condition, and movement patterns. They will share their findings, walk you through what they are seeing, and make sure you leave with a clear understanding of your options. This is not a formality. It is the foundation of everything that follows, because a plan that is right for someone else may not be right for you. We do not rush this part.
From there we walk you through your options honestly, discuss what we believe is appropriate, and build a personalized plan around your goals. We only recommend what we genuinely believe in, and we hold ourselves to the same standard we would expect for our own family.
You will leave with clarity, a plan you feel confident in, and every question answered. Whether you proceed with a treatment that day or not, you will leave informed.
FAQs
Wrinkle relaxers, also known as neuromodulators, are injectable treatments that work by gently relaxing targeted facial muscles to soften fine lines and wrinkles while preserving your natural expression. At PI Aesthetics, we carry multiple brands to ensure we select the right product for your specific goals and anatomy.
For many first-time patients, the biggest hesitation is seeing frozen or expressionless results in others and worrying that the same could happen to them. At PI Aesthetics, natural-looking results are not just a goal, they are our standard.
Results typically last between 3 and 4 months, though this varies depending on the areas treated, the product used, and individual factors such as muscle activity and metabolism. Around week 6 you will gradually begin to notice movement returning, with full baseline muscle activity resuming by the end of the cycle.
The most commonly treated areas are the forehead, the lines between the brows, and crow's feet. Wrinkle relaxers can also be used to treat jaw tension and teeth grinding by calming overactive chewing muscles, as well as other areas, depending on your goals. Your doctor will assess which areas are appropriate for you during your consultation
Cost depends on the areas treated and the amount of product required. Wrinkle relaxer treatments at PI Aesthetics typically start at $400 per session. During your consultation, we will assess the amount needed and provide you with an accurate price.
Like all medical treatments, neuromodulators carry known risks. We address these thoroughly during your consultation so you can make a fully informed decision. Our team is specifically trained to manage possible complications, and we approach every treatment with a high degree of clinical care and thoughtfulness.
In the days before your treatment, we recommend avoiding alcohol and, if medically able, NSAIDs such as ibuprofen and other medications that can increase bleeding.
There is no expected downtime. Some mild redness or tenderness at the injection sites is normal and typically resolves quickly.
Results typically begin to appear within 3 to 5 days and continue to develop over the following two weeks, by which time the full effect can be appreciated. We schedule your follow-up appointment after that point to assess your results once they have fully settled.