Anti-Aging Treatments

This starts with our complimentary VISIA Complexion Analysis Camera System. Following this, our aesthetics staff and patient care coordinator will discuss a variety of options and a customized treatment regimen that fits your skin type, budget, and therapy goals. Options range from a combination of lasers, injections, peels, prescription pharmaceuticals, recommended over-the-counter topical and bio-identical hormone replacement therapy to help customize each individual patient’s approach to skin aging.

Botulinum Toxin Injections (Botox)

Botox injections represent the most common cosmetic procedure in the United States. Patients should not feel that the price is out of reach. Beauty and confidence can be achieved while working within you budget. Dr. Darling has the experience to give you the best cosmetic outcome for both men and women.
When using botulinum toxin for cosmetic benefit, it is injected in small amounts to prevent contraction of the targeted muscle, effectively resulting in resolution of wrinkles. Botulinum toxin injections are safe and convenient, and provide natural and reproducible results. Dr. Darling offers patients a professional assessment based on their goals, and takes great pride in the ability to satisfy patients treatment goals without looking unnatural or “frozen”.  Learn More…

Cosmetic Vein Treatments

Do you find yourself wearing pants or long dresses and skirts in order to cover up your legs? Are varicose veins and/or spider veins  stopping you from living with confidence?
Our trained vein specialists will consult on how you can accomplish your goals with one of our  Cosmetic Leg Treatment Packages. We even offer cosmetic treatment for Peri-orbital Veins, Forehead Veins, Hand Veins and Breast Veins.

Chemical Peels

Chemical peels can be used to address a variety of skin concerns, from acne to photoaging (sun damage resulting in textural changes, fine lines, wrinkles). Mild, or superficial peels are separated into two categories: beta-hydroxy acids (i.e. salicylic acid) and alpha-hydroxy peels (i.e. glycolic acid). Superficial peels result in controlled damage to the outer layers of the skin, thereby stimulating the skin’s ability and deeper layers to regenerate younger and healthier. Patients choosing superficial peels describe minimal pain and minimal downtime; however, it is important to note that superficial peels work best when “stacked” over time. A one time superficial peel does not go “deep enough” to produce the extreme results as seen with more penetrating techniques such as ablative laser revision. Medium depth chemical peels are available in specific circumstances, when and if clinically appropriate.

Filler Injections

Fillers are the second most popular cosmetic procedure, as they allow patients a safe and effective method of rejuvenating and accentuating facial units. Fillers can provide outstanding cosmetic results such as improving lower eye lid wrinkles, removing tear troughs and removing/smoothing marionette lines, yet without the expense, risk or pain of plastic surgery.
These products are increasingly popular with younger patients who prefer to intervene proactively during the early stages of wrinkle development, as well as popular alternatives to more invasive surgical procedures in older patients. Fillers improve or resolve the appearance of fine lines, deeper wrinkles and folds, hollows, volume loss, and acne scarring. Additionally, fillers can be used to enhance the fullness of the lips and for facial contouring. Our philosophy is to work in a step wise manner to achieve facial contouring to ensure patient safety and satisfaction.
As proven by decades of use, fillers are safe, effective, and convenient and many are available to be performed at the day/time of consultation. We always ask patients to discontinue any unnecessary (not prescribed by a medical provider) blood thinners several days in advance of treatment; these include medications like Aspirin, NSAIDs, Vitamin E and Fish Oil to minimize bruising. We request all aesthetics patients requesting same day procedures to arrive at the office at least 30 minutes before your scheduled appointment time so that our Staff can apply a topical anesthetic cream to minimize any discomfort associated with the injections. 


Kybella is a newly FDA-approved, non-surgical injection used to reduce moderate to severe fat on the upper neck, otherwise known as a “double chin.” The injection contains a naturally occurring molecule which dissolves fat, leaving all other cells healthy and intact. Kybella therapy is non-invasive, resulting in minimal downtime or recovery required by the patient. Depending on each patient specific characteristics and goals, and the severity of submental fullness (“double chin”), multiple treatments may be necessary.

Patients experiencing Kybella therapy report feeling happier and younger based on their appearance, as well as less embarrassed, and less self-conscious. Learn More…

Laser Hair Removal

Does dealing with the hair growth on your legs make you feel like you are tending to your yard, constantly trimming, weeding and plucking during warm months? 73% of women remove hair at least three times a week from their legs, and 61% deal with the bikini line at least once a week.

Laser hair removal works by causing permanent damage to the hair follicle as the pigmented hair beneath the skin’s surface absorbs laser energy. Candidates who experience the best results have darker pigmented hairs on a background of lighter skin. The greater the contrast between the hair color and skin tone, the better your results will be. Regardless, laser hair removal can be safely achieved with the proper device and proper settings on individuals with all skin types.

Many patients ask why it takes multiple treatments to achieve permanent hair loss using laser therapy. The answer is that at any given time, only a portion (about 30%) of the hairs within a treatment area are actively growing and thus susceptible to permanent damage. We recommend an ideal interval between each treatment as 4-12 weeks (depending on the treatment area).  

Platelet-Rich Plasma (PRP) Therapy

What is Platelet Rich Plasma?

Platelet Rich Plasma (PRP) therapy has been given the term “Vampire Facelift” simply because the patient’s own blood is removed during the procedure. It is spun in a centrifuge to isolate and increase the concentration of PRP, which is then injected back into the treatment area. Platelets are important because they contain proteins known as growth factors which promote healing and collage production. Spinning in the centrifuge markedly increases the concentration of growth factors.

What can PRP be Used For?

The possibilities for PRP are virtually limitless. We are probably only seeing the beginning of all the ways this therapy will be used in years to come. Because we use the patient’s own plasma, there are no negative side effects or allergic reactions. This all-natural treatment without foreign substances or chemicals, has long lasting effects  up to 2 years.
Besides healing athletic injuries such as muscle, tendon and ligament injuries, PRP provides and extra “Beauty Boost” in the field of cosmetic surgery, especially when used in conjunction with other treatments and surgical procedure. It can provide accelerated healing benefits due to growth factors in the PRP, including prompting the production of collagen.
We offer PRP treatments at the Total Skin Center including:
-Adding PRP to micro-needling treatments to deliver the PRP benefits beneath the surface of the skin, promoting collagen production and faster healing.
-Scar treatments with PRP to provide more dramatic results and speedier healing.
-Stretch Marks to markedly improve on their appearance. Stretch marks are like dermal scars, best treatment results are achieved with early intervention. For most individuals with stretch marks, we recommend a series of 3-5 micro-pen/ micro-needling treatments with PRP injection and PRP topical application with one of the two micro-needling sessions.
-Hair restoration uses PRP to stabilize the hairline and even re-grow hair. The growth factors act as “fertilizer” if you will, to increase vascularity which is vital for hair follicle survival. It can prevent further loss and actually increase density in many patients.


1 person in 1,000 people get one at some point. They’re usually found in the upper body, arms, or thighs.


It’s not exactly clear what the causes them. Middle-aged men and women tend to be more susceptible, and they also run in families.
They often can appear after certain injuries, although doctors are not sure if that’s what makes them form. Risk factors include family history, being overweight and lack of exercise. Diagnosis is usually based on a physical exam.