The “Holy Grail” of aesthetic facial remodeling is to improve skin looseness, wrinkles, and texture in the same treatment.  Despite the breadth of current facial skin treatment technology, most of it is target specific to treat a single facial skin condition (i.e., wrinkles, age spots, sagging, rough texture, volume loss).   Thus, the best aesthetic results come from using multiple treatments “in combination” to achieve the desired youthful result.  The challenge of Combination Therapy is that it requires thorough understanding of skin science to select the ideal treatments, the protocols to use in combination, and the optimal delivery sequencing.

Victoria A. Cirillo-Hyland, M.D. of Cirillo Cosmetic Dermatology Spa says that credentials and cosmetic dermatology experience are the keys to the art of delivering youthful skin.  Most clients ask her to address multiple facial aesthetic issues, and hence optimal results are dependent upon her ability to:
understand what her client wants improved
determine the specific treatment options and procedures
deliver the ideal combination of treatment protocols with optimal sequencing

cosmetic dermatology before and after treatment images
Combination cosmetic treatments: Botox, Fillers, Etc

Combination Therapy Examples
Botox® and fillers are the most popular aesthetic combination therapy.  Typically Botox® is used to eliminate or prevent wrinkle formation of the top one third of the face and around the mouth.  The bottom two thirds of the face is the primary domain of fillers.  Dr. Cirillo-Hyland explains, “In simplest terms, you use Botox® to relax, fillers to fill in, and lasers, radiofrequency and surgery to tighten.”  As we age, we lose volume and definition and that is where fillers, such as Collagen, Restylane®, Perlane®, Juvéderm®, Radiesse® and Sculptra® are utilized.  These filler substances target specific levels in the skin and when combined produce excellent results.  They vary in their length of duration from four months to two years.

There are many treatment therapy combinations available and Dr. Cirillo-Hyland recommends that you have a consult to discuss all options.  Some typical combinations to consider include:
Intense Pulsed Light (IPL) plus Botox®
Fillers plus Tissue Tightening via radiofrequency (RF)
Pixel® skin resurfacing plus Tissue Tightening via RF
Tissue Tightening and Cellulite Remodeling via RF
IPL plus Peels
Plasma skin resurfacing plus Fillers

Dr. Cirillo-Hyland summarizes, “People want safe, cutting-edge technology that can restore their youthful look.  They want younger skin.  They want it fast, painless and with minimal downtime.  And they want no complications.”

Which Combination is Ideal for You?
Is your goal to: Achieve an even skin tone?  Prevent wrinkle formation? Restore volume? Tighten skin? Remove sun damage and age spots? Soften scars?  Regenerate collagen?  All of the above?  Your ideal Combination Therapy depends on your specific skin conditions.   Youthful, glowing skin via Combination Therapy is available locally at Cirillo Cosmetic Dermatology Spa.  For further information, please contact Cirillo Cosmetic at 610.672.0504 or visit

Victoria A. Cirillo-Hyland