Consistent with his emphasis in preventive medicine, Dr. Ting believes that strict daily sun protection in addition to a right mix of physician-strength cosmeceuticals form the foundation of aesthetic dermatology. He recommends a combination of minimally invasive cosmetic procedures to help you look your best.

There are 4 fundamental issues that should be addressed to achieve complete rejuvenation: 

#2 Loss of facial volume is due to prior sun damage, smoking, acne scarring and genetic predispositions. The resultant static wrinkles are seen as valleys and divots, prominently displayed along lower half of the face such as our smile lines along nasolabial folds, tear trough areas beneath the lower eyelids (causing dark circles due to optical shadowing), and marionette lines around the corners of the mouth.  These static wrinkles can be softened by replenishing the lost volume with fillers.

• Non-animal stabilized hyaluronic acid (NASHA) such as Restylane or Juvederm is a versatile filler for nasolabial folds, marionette lines around corners of the mouth, lip augmentation, vertical ridges along lips and tear troughs under the eyelids. These NASHAs typically last 4-9 months. Restylane has been shown to stimulate collagen production over time. 
• Perlane and Juvederm Ultra Plus are also NASHAs of slightly thicker caliber and are useful for facial contouring and reverse aging and discolored appearance of photodamaged hands. Cheek augmentation and lifting may be achieved if injected along malar eminence extending to the temple areas if performed in the hands of an experienced dermatologist. These NASHAs may last 6-12 months.
• Radiesse is a good option for individuals in need of cheek augmentation and/or more volume along nasolabial folds. Radiesse is made of calcium-based microspheres that are suspended in a natural gel and serves as a scaffold for further collagen production. Radiesse provides more volume than NASHAs and may last 9-18 months but has slightly greater potential for transient swelling and/or bruising.
• Evolence is the latest FDA-approved dermal filler made of highly purified type I porcine collagen. Evolence is a true collagen-based filler cross-linked with sugar, mimicking the 3-dimensional structure of your skin's own collagen. This allows it to integrate beautifully and support your skin's own existing collagen network by adding structure, strength, and volume for a natural look and feel that last. Thus, Evolence is more amenable to molding with significantly less risks of swelling and bruising. This is arguably the most optimal filler for the nasolabial fold area before a special event with virtually little to no downtime. Although new to the US, Evolence has been used extensively in Canada, Europe, and Israel for several years with no report of allergic reaction, and thus no skin pre-test is needed. Evolence typically lasts 9-12 months.
• Sculptra is known as a stimulatory filler as poly-L-lactic acid stimulates your own collagen and replenish volume of your entire face in a way that no other fillers can achieve. When performed by an experienced clinician, Sculptra can achieve significant 'liquid' face lift.
• Dr. Ting is constantly evaluating all of the new fillers available in Europe, Canada and abroad for Safety, Effectiveness, Duration and Side effects.  Our pledge is to provide only FDA approved fillers that meet our high personal standards.
• Satisfaction with the final results in Filler procedures are absolutely dependant on the skill of the physician both from a technical as well as Artistic point of view. Filler injections should be performed by a board-certified dermatologist or plastic surgeon. We pride ourselves on working with you to provide the magic of subtle softness from our procedures without looking "overdone". Typical feedback from friends, coworkers and family should be "What did you do this week, you look so relaxed."

Softening of Nasolabial Folds and Marionette Lines with Restylane injection

#3 Textural and pigmentary disparities can be minimized by enhancing sun protection efforts and right combination of cosmeceuticals. However, more often than not, minimally-invasive procedures are needed to gently slough off the aging and discolored skin cells. Fractional CO2 laser is the latest and most efficacious modality to achieve thorough resurfacing of the skin and to stimulate collagen formation. According to WebMD, Fractional CO2 laser is the Number 1 antiaging breakthrough. Fraxel Restore and Pearl lasers have the right idea but the wrong wavelengths and the clinical results are typically suboptimal even after several treatments compared to one treatment of the Fractional CO2 resurfacing laser. Other procedures to consider include TCA chemical peel and/or microdermabrasion. Intense pulse light (IPL) fotofacial laser remains very useful to treat facial redness and excessive pigment.