Today, patients have a constantly expanding range of treatment options in facial enhancement and facial contouring. These may include injectable fillers, botox cosmetic, and combinations of intense pulsed light and laser skin resurfacing. Injection of dermal fillers allows for increased voluminization while botox cosmetic rids patients of wrinkles around the eyes, the forehead, and/or the brow. Intense pulsed light will rid the patient of unwanted brown and red spots as well as stimulate the formation of collagen while laser skin resurfacing further tightens the skin, ridding the skin of fine wrinkles and bringing about a tighter, fuller and more youthful appearance. .  

Leonardo da Vinci described three facial zones -

The first zone includes the upper third of the face: the forehead, eyebrows, glabella (Brow), and eyelids. The second zone consists of the mid-cheek and nasolabial fold ("parenthesis"), lower-lateral cheek, and nose. The lower third of the face, includes the around the mouth, the lips and chin area, the area comprises the third zone. Genetics, environmental factors, gender, race, and skin type affect how these areas change with age and how these areas are approached by Dr. Tomasello. Each of these three areas closely evaluated to determine what areas have been most affected and which treatments will be used to bring about the most youthful result.