Renuvion Skin Tightening Conveniently serving Milwaukie, Portland and Beaverton

Dr. Quita Lopez is one of the first cosmetic surgeons in California to offer the non-surgical breathrough treatment call J-Plasma skin resurfacing.

The procedure works fantastic for the following:

At the Aesthetic Med Spa we offer the latest in medspa treatments to help you reach your aesthetic goals. Dr. Lopez can has helped many patients look 10 years younger with her med spa services.

Below is a list of services we offer at our med spa:

  • Obagi Skin Care Line
  • Skin Rejuvenation
  • Laser Hair Removal
  • Intense Puse Light Treatments
  • Dysport and Xeomin
  • Epionce Skin Care
  • Microneedling Treatments for pores, wrinkles and acne scarring
  • PRP Facial Rejuvenation
  • Dermal Fillers
  • Chemical Peels
    • Obagi Blue Peel
    • Sal-e Peel
    • Mal-e Peel
    • Jesner PeelB

The aging face has may causes and there are changes that occur on multiple layers.

The face was originally thought to age by having soft tissue laxity or stretching , droppingB and descent of the skin over time on account of gravity.

Complex studies have shown that there are bony changes that occur with time. The bone is resorbed and remodeled. This has lead to shifting of the bones with such changes as posterior shifting of the maxilla, lateral inferior shifting of the orbital rim and shrinking of the mandible in the vertical and horizontal plane. This creates a shifting of the soft tissue and ligaments of the face. When combined with fat shrinkage and volume loss, these explain the changes that occur at different layers.

The loss of volume in the face in certain compartments gives off the appearance of skin laxity and prominent folds in areas such as the nasolabial and periorbital. The jaw line also develops jowling.

radiesse banner

Radiesse(R) contains calcium hydroxyapatite. These microspheres once injected will stimulate the production of your own collagen over time. The filling effect has been shown to last about a year. Radiesse (R) can be injected subperiosteally or preperiosteally which is under the surface of the bone or on top of the bone to correct bone loss in the chin and midface.

Other areas that Radiesse (R) is ideal for correcting include:

Nasolabial folds

Marionette lines which begin at the corner of the mouth and extend downward

Corners of the mouth can be combined with a neuromodulator to relax the depressor angular oris which is a muscle that turns down the corner of the mouth. .

Upper outer corner of the upper lip can be filled to elevate the upper lip and allow lifting of difficult marionette lines.

Pre-jowl sulcus appears as an indentation in the jaw line that accentuates the appearance of the jowls.B This can be filled to give a sharper jaw line.

Hands loss volume with age and the veins can appear prominent. Radiesse (R) can be used to replace the volume loss and it will stimulate your own collagen production. It can last up to 18 months and is 100% biodegradable.

Another important characteristic of Radiesse which makes it ideal to fill the following areas is it Gb or elastic modulus. It is a measure of its stiffness and ability to maintain it shape over time. A higher Gb also results in longer duration. It also has a higher viscosity or n* which means it has a higher resistance to flow and less ability to spread in the tissues. These are usually injected deeply in the subcutaneous plane on on top or just under bone. Being deep prevents nodule formation.

The Gb of Radiesse (R) is 1407. This makes it an ideal filler when you want to fill deep folds and give significant volume to areas such as the cheeks.

I like to inject most of my fillers with blunt-tipped Microcannulas.B Watch some of my videos to watch me inject this fillers.

I like using Microcannuals because I feel the patients have less pain, swelling and bruising durning the procedure. There is also a theoretically less risk of intravascular injection which has been thought to potentially cause blindness.

The procedure takes me about 30 minutes to inject. I usually mix it with lidocaine to decrease the discomfort and to potentially decrease the Gb so I can inject it more superficially. The results are immediate and there is very little down time.

Belotero (R) Dermal filler

The skin also goes through changes over timed due to internal and external factors. Important factors that accelerate the aging process include smoking and sun exposure. There is an increased production of substances like free radicals that cause changes that result in thinning of the epidermis , loss of the normal orientation of healthy collagen fibers and the accumulation of abnormal cells in the extracellular matrix. GAGbs or glycosaminoglycans are decreased and not in the correct position so the skin appears dry, wrinkled and leathery.

Hyaluronic Acids or HAbs are a group of fillers that are used to replace some of the support structures that are lost with age. Belotero(R) has a low Gb ( 30) and Viscosity ( 9,217) making it ideal to fill very superficially and not have it be seen under the skin. It spreads smoothly so bumps and discoloration is usually not seen. I like this filler for fine superficial lines around the mouth or smokerbs lines which are called vertical lip rhytids. It can be filled with a fine needle around the mouth.

Another area that is somewhat difficult to treat is the infraorbital area. Volume loss, genetics, and shifting of the bones as we age contribute to the appearance of bags under the eyes with an area of demarcation. This is an area where I find Belotero (R to be an ideal filler because it is thin, spreads nicely to fill in the defects and abnormal discoloration and lumps are not seen.B I have several videos where I am filling this area with microcannulas. Unfortunately, this area does swell in some patients so I encourage them to ice the area and take antihistamines like benadyl. Arnica which is an herb also helps with the inflammation.

Most clinical studies show Belotero(R) to last at least 6 months and longer.

Other HAbs that I like to use are Restylane and Perlane.B Their Gb are 549 and 514 respectfully. They are a little thicker than Belotero(R) and are ideal for lip enhancement. They are thicker and give a better fill to the lips. They are stable in areas where there is a lot of movement and theyB usually donbt form nodules in the lips. I also use them to fill the tear trough and cheeks. If placed too superficial lumps and discoloration can occur. Perlane being thicker can be placed a little more deeper in the dermis.

Hyaluronidase can be used to dissolve HAbs that have been placed too superficial and appear lumpy. One can usually see the effect within a few minutes. Within 24 hours there will be 100% effect.

Our services are designed to make your skin look and feel its absolute best.

As a result driven skin care service, our facials are designed to create a healthy skin barrier while providing a youthful, supple and softness to your skin. Each facial is custom designed to meet the unique needs of each client, including hyper-pigmentation, acne, anti-aging, eczema, rosacea, sensitive and reactive skin.

A healthy skin barrier is essential for beautiful skin. We will work with you to ensure that your home skin care regiment and products are providing you with the best results possible.


All facials include complimentary skin analysis

Express Facial – $45.00- 30 min

This facial is customized to each client. It includes skin analysis, steam, exfoliation, mild extraction and mask. Your skin will be cleaned of dirt and toxins which will allow your skin to look healthy, revitalize and glowing.

Signature Facial – $85.00 -60 min

This facial helps resurface the skin with liquid exfoliation and gentle scrub leaving your skin looking and feeling smooth, hydrated, toned and radiant. We incorporate adipose derived stem cell growth factors, anti-aging products and nutrient rich mask to hydrate and rejuvenate dull skin; included a gentle lip scrub, mild extraction and eye treatment. End with a 10 min lymphatic drainage facial, neck and décolleté massage providing anti-inflammatory benefits. The results are healthy, youthful and glowing skin. Recommended for all skin types. Strongly recommended as your first facial with us.

Acne Facial – $90.00 – 60 min

This is a detoxifying pore cleansing treatment for de-congested and acne prone skin. This facial includes decongestion mask, chemical peel, deep extraction and high frequency treatment to reduce bacteria. This facial is anti-inflammatory, antimicrobial and wound healing designed to repair and provide a healthier skin barrier, leaving your skin feeling smooth, look clearer and healthier.

Anti-Aging Facial – $125.00 – 60 min – 80 min

This facial address the 5 signs of aging; wrinkles, sun spots, tightness, thickness and texture. This is a customized facial that incorporates a deep chemical peel, anti-aging firming and nourishing masks and serums infused with concentrated human stem cell growth factors and copper peptides for greater collagen stimulation and refined pores. End with a lymphatic massage to the face, neck and décolleté and ultrasound to leave the skin feeling silky smooth.

Teen Facial – $70.00 – 50 min

The Teen Facial is designed to address skin concerns faced by teenagers, including, acne, black and white heads. This treatment is designed to clear acne and prevent future breakouts while providing healthy and glowing skin.

  • Great for lip lines
  • Tightens loose facial skin
  • Very precise
  • In-office procedure under local anesthesia

The J plasma combines radio frequency heat energy with helium gas to produce a plasma that has very controlled depth of penetration and lateral spread.  We have been using to resurfacing of the face causing remarkable collagen remodeling and skin tightening.  See our before and after pictures for the resurfacing effects.

Video demonstration of technology:

With the J-Plasma technology, Dr. Lopez can eliminate wrinkles, fine lines, discoloration, as well as other common signs of aging skin and sun damage to the face — without the lengthy recovery periods or multiple treatments requirements.

Am I a Candidate for J-Plasma Skin Tightening?

Most patient conditions only require a single J-Plasma treatment to restore skin to it’s natural, smooth, evenly-colored and tighter appearance. The results are immediate and dramatic, effecting the entire surface of the skin.

How Long is the Recovery?

Afterward, your skin will peel as it starts the restoration process for about 7-10 days. The redness will fade within about 6 weeks, but it may be covered with makeup after about 10 days. Expect your skin to peel for 10 to 14 days. Most patients feel ready to return to work within about 10 days, unlike the typical 14- to 20-day recovery period for CO2 laser treatments. Pain following the procedure is typically minimal and only over-the-counter medication such as Advil is necessary.