Explore Our Services

Explore our range of services designed to help you move forward with confidence, wherever you're headed next.

Hi Kyli! This is a draft treatment plan created for you. I used AI to design it and I’m working to see if I can replicate this for other Spa 35 clients. It seems a bit too complicated, but I’d love your feedback so I can make it better. - Warren

Amber — Anti-Aging Treatment Plan · Spa 35
Amber — front view
AMBER
Personalized
Anti-Aging
Treatment Plan

About Amber

Amber — 45° view

You are a woman in your early-to-mid 40s with Spanish heritage and a warm, olive complexion we categorize as Fitzpatrick Type 3–4. You have previously received Sculptra treatments, responded well to them, and expressed a clear preference for that gradual, bio-stimulatory approach to volume restoration.

Your goal is proactive, long-term anti-aging — not a single fix, but a sustainable plan that keeps you looking like the best version of yourself for years to come. You have no interest in lip augmentation; your focus is facial structure, skin quality, and the areas where aging shows earliest and most significantly.

Age RangeEarly–mid 40s
Skin TypeFitzpatrick 3–4 · Warm olive, Spanish heritage
Tx HistorySculptra · responded well, prefers this approach
DowntimeMaximum 2 business days per event
BudgetBudget-conscious · open to Spa 35 financing
GoalLong-term proactive anti-aging · authentic results
Not InterestedLip augmentation

What Is Actually Changing

Aging is not one process — it happens in four simultaneous layers. Understanding each layer is the difference between treating symptoms and treating causes.

01
Dynamic Lines
Muscle Activity
Repeated expressions contract the same muscles thousands of times daily. Over years, these movements etch lines into skin even at rest. Crow's feet and forehead lines are the clearest examples. Starting treatment now — in your early 40s — is preventive: lines not yet permanently set can be stopped from progressing.
Addressed by Dysport
02
Structural Deflation & Descent
Volume Loss
Between your 30s and 50s, facial fat pads shrink and shift downward. The "inverted triangle of beauty" — wide lifted cheeks tapering to a defined chin — slowly inverts as volume migrates from the upper face toward the jawline. No skincare can correct this; structural intervention is required.
Addressed by Sculptra Refyne
03
Collagen Depletion & Pigmentation
Skin Quality
After 30, collagen production declines roughly 1% per year, causing the skin to thin, lose elasticity, and develop uneven texture and tone. For Fitzpatrick 3–4 skin, UV exposure can trigger excess melanin production. A medical-grade daily regimen is the most evidence-based intervention at this layer.
Addressed by Obagi System
04
Texture, Laxity & Tone
Skin Surface
There is a middle dermal layer that responds best to controlled energy — neither topicals nor injectables fully reach it. RF and laser energy at the right parameters trigger a healing response that produces new, organized collagen and elastin, improving laxity and texture in ways no other modality replicates. Device selection is critical for Fitzpatrick 3–4 skin.
Addressed by Sublative RF Resolve

Your Aging Journey

A projection of facial change over 10–15 years — comparing the natural course with the trajectory of your Spa 35 plan. These are medical concept illustrations; individual outcomes vary.

Starting Point
Today  ·  Early 40s
Amber — today
Forehead lines forming
Fine lines · eyes
Under-eye shadowing
Mid-face volume
Jawline definition

An excellent foundation. The inverted triangle of beauty remains — the goal is to keep it here.

Natural Progression · ~10 Years
Without Treatment  ·  ~Age 55
  • Cheek volume descends toward jaw — upper face deflates
    The "inverted triangle" inverts to a square
  • Under-eye hollowing deepens — tear trough shadow becomes permanent
  • Crow's feet and forehead lines permanently etched into skin at rest
  • Nasolabial folds deepen — nasolabial shadow becomes a structural feature
  • Jowls form as lower face widens — jawline loses definition
  • Skin laxity increases — collagen loss makes skin thinner and less elastic
  • Pigmentation irregularities deepen with UV exposure and melanin accumulation
With Your Spa 35 Plan · ~10 Years
Maintained  ·  ~Age 55
  • Cheek volume maintained at correct positionSculptra
  • Tear trough addressed — under-eye shadowing minimizedRefyne
  • Dynamic lines softened — prevented from deepening permanentlyDysport
  • Skin quality maintained — collagen production sustained dailyObagi
  • Skin laxity preserved — dermis remodeled at the structural levelSublative RF
  • Skin tone and texture actively improved over timeResolve
  • Inverted triangle of beauty preserved — face reads naturally youthful

Your Plan at a Glance

Three phases, building from highest-impact / lowest-commitment toward a comprehensive long-term program. Each phase compounds the benefits of the last.

Phase 1 · Start Immediately
Dysport
~$300 No downtime Every 3–4 months
Obagi Skincare
$95–$499 No downtime Daily · ongoing
Phase 2 · Core Investment
Sculptra
~$2,400 1–2 days / session 3 sessions
Restylane Refyne
$1,500 1–3 days Every 6–12 months
Sublative RF
$300–$500 / session 2–3 days Series of 3
Picoway Resolve
$600 / session 1–2 days Series of 3
Phase 3 · Maintenance
Light Chemical Peel
$120–$350 0–1 day Series of 3, then every 6 months
Annual Maintenance
Sculptra top-up · Sublative · Resolve

Dysport

~$300
Every 3–4 months
Downtime: Essentially zero. Mild redness at injection sites resolves within hours.
Fitzpatrick Note: No pigmentation risk. Safe for all skin types.
Anti-Aging Insight: Beginning in your early 40s is preventive — lines not yet permanently set can be stopped from progressing.

Dysport is a neuromodulator that temporarily relaxes the muscles responsible for dynamic wrinkles. It is one of the most studied cosmetic treatments in the world.

For a proactive plan, starting now in your early 40s is one of the smartest investments you can make: regular use means you will need less of it over time as the muscles learn to relax.

TreatmentDetailsDuration
Crow's Feet & ForeheadPrecise injections into the muscles around the eyes and forehead. Results in 2–5 days. Takes ~15 minutes. A subtle brow lift is possible with strategic placement.3–4 months

Sculptra

~$2,400
3 sessions · results last 18–24 months
Downtime: 1–2 days of possible swelling per session. Schedule on Fridays — weekend + your 2 business days.
Fitzpatrick Note: No pigmentation risk. Safe for all skin types.
Financing: Spa 35 financing can spread the 3-session cost into monthly payments.

Sculptra (poly-L-lactic acid) is a bio-stimulator — not a traditional filler. Rather than adding volume directly, it stimulates your own fibroblasts to produce new collagen, gradually rebuilding the structural scaffolding of the face.

You have had Sculptra before and liked the results. This is one of the most valuable pieces of information we can have. It means your skin responds well and you appreciate authentic, gradual outcomes. For a long-term anti-aging plan, Sculptra is ideal: results last longer than most traditional fillers and improve the biological foundation itself.

OptionDetailsDuration
Sculptra — Cheeks & Mid-Face
Preferred
3 sessions spaced 4–6 weeks apart. Injections into cheeks and mid-face. Results build gradually over 2–3 months as collagen is produced. Subtle, natural, long-lasting.18–24 months
Restylane Lyft
Alternative
Traditional hyaluronic acid filler — immediate results but shorter duration (9–18 mo.) and does not stimulate collagen. Listed as alternative given your Sculptra preference.9–18 months

Restylane Refyne

$1,500
Every 6–12 months
Downtime: 1–3 days. Avoid aspirin, ibuprofen, alcohol, and fish oil for one week prior to minimize bruising.
Timing Tip: Schedule alongside Sculptra Session 3 to consolidate all downtime into one window.

The tear trough — the groove between the lower eyelid and cheek — is one of the first places the face shows age. As fat pads under the eye shrink, a hollow shadow forms that makes the face look tired regardless of how rested you are.

A small, precise placement of Restylane Refyne in this area can have a dramatic rejuvenating effect. Often described by clients as the most impactful single treatment they have had.

OptionDetailsDuration
Refyne — Tear TroughHyaluronic acid placed under the eye to replace lost volume and reduce shadowing. Includes one syringe and two appointments (treatment + follow-up).6–12 months
Tretinoin (complement)Nightly retinoid that builds collagen in the delicate skin around the eye. Best as a complement to filler.Daily ongoing

Sublative RF & Picoway Resolve

Energy devices address the dermal layer that injectables and skincare alone cannot reach. For Fitzpatrick 3–4 skin, device selection is critical — these two were chosen specifically for their favorable safety profiles for your skin tone.

Sublative RF (eMatrix)
Skin Laxity & Collagen Remodeling
$300–$500
Per session · Series of 3 · Annual maintenance
Downtime: 2–3 days of redness and pinpoint dots. Schedule Thursday or Friday.
Fitzpatrick Note: RF energy is melanin-blind — bypasses the pigment-rich epidermis. One of the safest energy options for Type 3–4 skin.
Synergy: Sculptra rebuilds the scaffold. Sublative RF tightens the skin over it. Neither achieves alone what both achieve together.

Sublative RF uses bipolar radiofrequency energy delivered in a fractional matrix. Unlike lasers, RF energy is not absorbed by melanin — it bypasses the pigment-rich epidermis and heats the deeper dermal layer directly. This makes it one of the most Fitzpatrick 3–4 friendly energy-based treatments available.

The controlled dermal injury triggers a robust healing response: new collagen and elastin fibers are produced over 3–6 months, improving skin firmness, texture, and fine lines.

Picoway Resolve
Pigmentation, Tone & Texture
$600
Per session · Series of 3 recommended
Downtime: 1–2 days of mild redness — the most downtime-friendly energy option in your plan.
Fitzpatrick Note: Picosecond pulses deliver dramatically less heat than traditional fractional lasers, significantly reducing PIH risk. Pre-treatment Obagi for 6–8 weeks strongly recommended.
Why not Frax 1550: Traditional fractional lasers carry elevated hyper- and hypopigmentation risk for your skin profile. Resolve's picosecond technology is the appropriate laser choice here.

The Picoway Resolve uses picosecond (one trillionth of a second) laser pulses delivered in a fractional pattern. The defining advantage for Type 3–4 skin: because each pulse is delivered so rapidly, significantly less heat is deposited in surrounding tissue compared to traditional lasers. Less heat means less inflammation — and dramatically reduced risk of post-inflammatory hyperpigmentation.

Obagi Skincare & Chemical Peels

$95–$499
Daily · Ongoing · No downtime
Obagi Fitzpatrick Note: Particularly well-suited to Type 3–4 skin. The Fader component controls melanin production — essential for your skin's long-term health.
Light Peel Note: Only superficial peels (glycolic or lactic acid) recommended for your skin type. Deeper peels carry meaningful PIH risk and are not advised.

No in-office treatment works in isolation. The single most important thing you can do between appointments is use a prescription-grade skincare system every day. Obagi's Nu-Derm system resets the skin cycle, accelerates cell turnover, increases collagen production, and controls excess melanin. Think of it as the foundation on which every other treatment is built.

ProductDetailsCost
Obagi Nu-Derm
(Tretinoin + Fader)
Prescription-strength AM/PM regimen. Clinically proven to increase collagen, accelerate cell renewal, and control melanin.$95–$499
SPF (Zinc / Titanium)Non-negotiable for Fitzpatrick 3–4 skin. Protects every other treatment you invest in. Every morning, year-round.Varies
Light Chemical PeelSuperficial peel introduced after 2–3 months on Obagi. Improves brightness and texture. 0–1 day downtime.$120–$350

Your Anti-Aging Timeline

Energy treatments are introduced after 6–8 weeks of Obagi, which prepares the skin and lowers residual pigmentation risk. All timing can be adjusted to your schedule and budget.

Month 1
Dysport + Begin Obagi
Relax crow's feet and forehead; begin daily collagen support and pigmentation management
~$300 + $95–$499
Month 2–3
Sculptra — Session 1
Begin collagen stimulation in mid-face and cheeks
~$800
Month 3–4
Sculptra Session 2 + Resolve Session 1
Build volume; begin Picoway Resolve series once Obagi established 6–8 weeks
~$800 + $600
Month 4–5
Sculptra Session 3 + Refyne + Resolve Session 2
Complete volume series; add tear trough; continue Resolve series. Consolidate downtime into one window.
~$800 + $1,500 + $600
Month 5–6
Resolve Session 3 + Sublative RF Session 1
Complete Resolve series; begin Sublative RF collagen remodeling
$600 + $300–$500
Month 6–7
Sublative RF Sessions 2 & 3
Complete Sublative series; optional light peel for brightness once Obagi is established
$300–$500 each
Every 3–4 Months
Dysport (repeat)
Maintain muscle relaxation; prevent line progression
~$300
Every 6–12 Months
Refyne Maintenance
Maintain tear trough correction
$1,500
Every 18–24 Months
Sculptra Maintenance
Top up volume as collagen naturally turns over
~$800+
Annually
Sublative RF and/or Resolve
Maintain dermal collagen remodeling and skin quality
$300–$600 / session
Daily
Obagi + SPF
Sustain collagen production and pigmentation control — the foundation that makes everything else work
Ongoing
AMBER

You came in with a clear and admirable goal: to age on your own terms, gracefully and proactively. The plan outlined here is designed to do exactly that — starting with the highest-impact, lowest-commitment steps and building toward a comprehensive program that addresses every meaningful driver of facial aging for your age, skin type, and life.

Your prior experience with Sculptra is a genuine asset. We already know how your skin responds and what kind of results you value. We are excited to build on that foundation — and to be your partner in this for the long term.

Warren Danforth
Owner & Founder  ·  Spa 35 Med Spa  ·  208-367-0700  ·  betterskin@spa35.com

Our Process

Plan with Purpose

Together, we outline a path forward that’s realistic, strategic, and tailored to your specific needs.

Collaborate Openly

You’re part of the process. We keep communication open and decisions shared—no black boxes or surprises.

Plan with Purpose

Every project is different. We stay flexible and responsive to make sure the process fits your flow—not the other way around.

Plan with Purpose

When we deliver, it’s not just a finished product—it’s a solution you can trust, backed by real care and effort.

  • "Creative, reliable, and genuinely passionate about what they do."

    Former Customer

  • "A professional team that delivers on their promises."

    Former Customer

  • "Their attention to detail and commitment to quality truly stood out. We’ve already recommended them to others."

    Former Customer

A woman in a striped shirt shaking hands with a man in a beige shirt against a plain beige wall.
Let’s Work Together

If you're interested in working with us, complete the form with a few details about your project. We'll review your message and get back to you within 48 hours.