Before & After PhotosFacial Rejuvenation

Skin, like all organs of the body, undergoes changes due to the passage of time. Because exposed skin on the face, neck, chest and hands is subjected to damage from the environment, our skin often looks older than we feel.

The desire for a “healthy tan” in the second half of the 20th century has led to dramatic increases in skin cancer and premature aging of the skin.

Damage from ultraviolet (UV) light exposure is responsible for almost 80% of the skin changes commonly attributed to the aging process. The biggest sources of UV light are the sun and indoor tanning beds. 

Factors that contribute to skin aging are:

  • UV light exposure (photoaging) from the sun and tanning beds
  • Environmental factors, such as pollution and smoking
  • Genetics
  • Nutrition


Because sun damage is the single most important factor in skin aging, often our apparent age differs greatly from our chronological age.  As advances in skin biology have broadened our understanding of the aging process, many new minimally-invasive treatments have been developed to slow down aging and rejuvenate the skin.

If you're considering a rejuvenation treatment and are interested in learning how Facial Rejuvenation can help youachieve younger-looking, more radiant skin, please schedule a consultation by calling us at Summit Medical Group Dermatology at (908) 277-8668.

Thinning of all three layers of the skin – epidermis, dermis and subcutaneous fat, as well as changes in the facial bone structure and size lead to many of the visible signs of aging:

  • Greater visibility of bony structures of the face, like cheekbones, chin and jawline (bony show).
  • Drooping eyebrows and eyelids
  • Hollowing of the temples, cheek and mouth areas
  • Formation and deepening of the nasolabial folds, smile lines and marionette lines
  • Formation of jowls
  • Thinning of the lips and flattening of the Cupid’s bow (philtrum)
  • Drooping corners of the mouth
  • Drooping of the nasal tip
  • Increased skin laxity and sagging, combined with soft tissue, fat and bone changes lead to the development of wrinkles, folds and creases in the face


Comparison of young and aging facial structures



Young Face

Aging Face

Rejuvenation Treatments


Wide, smooth forehead

Lines and furrows in the glabella and forehead caused by repeated pull on the skin by muscles of facial expression


  • BOTOX Cosmetic
  • Dermal Fillers
    • Juvederm
    • Restylane
  • Fractional Laser Resurfacing
  • Photo Facial/IPL


Firm, wrinkle-free brow with a gentle curve from forehead to eyelid and a “Faberge Egg” of soft tissue and bone providing lift and support
Well-defined upper eyelid crease

Downward drift and ptosis of the brow, lateral brow hooding, redundant, loose eyelid skin with disappearance of the eyelid crease, crow’s feet, fine and deep wrinkles



  • BOTOX Cosmetic
  • Dermal Fillers
    • Restylane
    • Radiesse
    • Sculptra


Open, almond-shaped eye with a gradual transition from eyelid to the full, smooth apple of the cheek

Hollow, sunken tear trough due to shrinking of the orbicularis muscle, thinning orbital bony structures and fat


  • BOTOX Cosmetic
  • Restylane
  • Fractional Laser Resurfacing
  • Skin Tightening


Smooth, uninterrupted arc from temple to upper lip, reflecting light

Hills and valleys due to loss of soft tissue, fat and bone create shadows on the cheeks.
Loss of bony, fat and soft tissue support causes skin to sag and form deepening nasolabial folds, marionette lines and jowls


  • Dermal Fillers
    • Restylane
    • Perlane
    • Radiesse
    • Sculptra
  • Fractional Laser Resurfacing
  • Skin Tightening
  • Photo Facial/IPL


Firm, well-shaped, visible earlobe

Elongation, wrinkling and thinning of the earlobe



  • Dermal Fillers
    • Restylane
    • Perlane


Smooth nose with well-positioned nasal tip

Wrinkling of the back of the nose due to bone and cartilage loss and repositioning
Drooping nasal tip



  • BOTOX Cosmetic
  • Dermal Fillers
    • Restylane
    • Perlane
    • Radiesse


Full upper lip with well-defined Cupid’s bow
Plump, soft, full lips

Thinning lips due to upper lip lengthening and droopiness
Flattening of Cupid’s bow


  • Dermal Fillers
    • Juvederm
    • Restylane
  • BOTOX Cosmetic for lifting lip corners
  • MicroLaserPeel
  • Fractional Laser Resurfacing


Smooth arc of chin with generous draping of soft tissue

Drooping, receding chin due to bone and soft tissue loss


  • Dermal Fillers
    • Perlane
    • Radiesse
    • Sculptra
  • BOTOX Cosmetic for chin creases


Smooth curve of the jawline

Jowl formation
Bony show


  • Dermal Fillers
    • Perlane
    • Radiesse
    • Sculptra
  • Fractional Laser Resurfacing
  • Skin Tightening


Well-defined angle between chin and neck (cervicomental angle)

Loss of cervicomental angle
Fat deposition in the neck
Platysmal bands due to overactive superficial muscle of the neck


  • BOTOX Cosmetic
  • Fractional Laser Resurfacing
  • Photo Facial/IPL
  • Skin Tightening


What treatments can improve and restore aging facial skin?

BOTOX® Cosmetic to relax and smooth the dynamic lines and wrinkles of the face, lift the brows and lip corners.

BOTOX® CosmeticBOTOX® Cosmetic is ideal for:

  • Frown lines (between your brows)
  • Worry lines (on the forehead)
  • Drooping eyebrows
  • Crows feet
  • Smile lines
  • Drooping lip corners, lines around the mouth


Dermal fillers: Juvederm®, Restylane®, Perlane®, Radiesse® and Sculptra®, each with its unique features and benefits to replace lost volume and treat lines, creases and wrinkles to help restore a more youthful, glowing appearance.Dermal fillers

Dermal filler treatments are ideal for:

  • Folds and wrinkles of the face
  • Dark circles under eyes
  • Accenting and plumping lip size (lip enhancement/lip augmentation)
  • Smoothing vertical lip lines (smoker’s lines/wrinkles around the mouth)
  • Facial scars from acne or injury
  • Nonsurgical nose reshaping
  • Facial sculpting and volume restoration
  • Naso-labial folds (upper and lower laugh lines) and frown lines
  • Depressed corners of the mouth
  • Marionette lines
  • Augmentation of cheek bones, chin or bridge of the nose


Photo Facials, also known as Photo Rejuvenation, delivers Intense Pulsed Broadband Light (IPL or BBL) energy through the skin’s surface to treat age spots, sun-induced freckles, symptoms of rosacea, unsightly veins, acne scarring and other blemishes

Photo FacialsPhotofacials are ideal for:

  • Reducing redness & facial capillaries
  • Reducing age spots, freckles and sun damage
  • Reducing fine lines
  • Improving skin tone
  • Treating rosacea


MicroLaserPeel, also known as the “Weekend Peel” is a laser skin rejuvenation treatment that precisely removes the outermost layers of the skin, improving fine wrinkles, sun damage and skin texture.

MicroLaserPeelMicroLaserPeels are ideal for:

  • Sun damage
  • Fine wrinkles
  • Mild scars
  • Age spots
  • Poor skin tone/texture
  • Pigment irregularities


Fractional Laser Skin Resurfacing is an excellent choice for removing sun damaged skin, including discoloration, wrinkles, fine lines, and moderate to severe acne scarring. Other benefits include improvement in tone, texture, pore size and skin tightening, without the usual downtime.

Fractional Laser Skin ResurfacingFractional Laser Resurfacing is ideal for:

  • Moderate to severe sun samage
  • Moderate to severe acne scars
  • Fine lines and wrinkles
  • Vertical lip lines
  • Surgical and accident scars
  • Stretch marks
  • Melasma reduction
  • Uneven texture
  • Skin quality improvement


Skin Tightening with SkinTyteTM delivers gentle pulses of heat deep into the skin, which causes some immediate tissue tightening and triggers new collagen production.

Skin Tightening with SkinTyteTMFacial SkinTyteTM treatments are ideal for:

  • Firming forehead and cheeks
  • Lifting the eyebrows
  • Tightening jowls and neck
  • Reducing wrinkles around the eyes


How do I get started?

To schedule an appointment with Dr. Altman, please call Summit Medical Group Dermatology at (908) 277-8668.

Summit Medical Group provides medical, surgical, and cosmetic dermatology for women, men, and adolescents in the tri-state area, including New York and New Jersey as well as Essex County, Morris County, Bergen County, Union County, Passaic County, Somerset County, Sussex County, and Livingston, NJ; Millburn, NJ; Short Hills, NJ; West Orange, NJ; Berkeley Heights, NJ; Caldwell, NJ; Cedar Grove, NJ; Cedar Knolls, NJ; Chatham, NJ; East Hanover, NJ; Englewood Cliffs, NJ; Essex Fells, NJ; Fair Lawn, NJ; Florham Park, NJ; Fort Lee, NJ; Glen Ridge, NJ; Jersey City, NJ; Kennelon, NJ; Madison, NJ; Maplewood, NJ; Mendham, NJ; Montclair, NJ; Montvale, NJ; Morristown, NJ; New Providence, NJ; North Caldwell, NJ; Parsippany, NJ; Randolph, NJ; Roseland, NJ; South Orange, NJ; Springfield, NJ; Summit, NJ; Union, NJ; Verona, NJ; West Caldwell, NJ; Whippany, NJ; and Westfield, NJ.


A Member of the ASLMS
© Copyright 2012 - Summit Medical Group - All rights reserved :   Privacy Policies & Disclaimers   :  Site Map
Disclaimer: The information on this Web site is solely for to educate patients. It is not intended to be medical advice and, therefore, should not be considered a substitute for consultation with a qualified medical professional. Communications to or from the Summit Medical Group Web site and any person will not be used to establish a relationship between a patient and doctor.