When you are looking for a little pampering, Aesthetic Medicine by 4 Elements™ is your place to go.

They say beauty is in the eye of the beholder... and as you behold yourself in those video work calls or with your family, you may notice a wrinkle here or there, or perhaps something else?

We now offer aesthetic medicine services in our practice, and will continue to add more services so that you can have a relaxed, pampered experience. And yes, this isn't just for women.

Men deserve some attention to detail as well. We offer our services both for our 4E DPC members and non-members.

Aesthetic Medicine by 4 Elements™ services are provided by Dr. Vasanth Kainkaryam.

We proudly use Galderma products in our office, including Dysport botulinum toxin and Restylane dermal fillers.


Dysport typically has a quick onset of action and results can start being seen in 48 hours and can last up to 3-4 months. The costs between the various neurotoxin products are comparable. If you have a cow's milk protein allergy, Dysport may not be the product for you. Please reach out to us so we can look for alternative products.


Here are the areas we can help you with and estimated number of units of Dysport

  • Horizontal forehead lines (wrinkles): 40-60 units ($220-$360)
  • Brow lines (glabellar wrinkles): 50-100 units ($275-$600)
  • Crow's feet (wrinkles on outside edges of the eyes): 30-70 units ($165-$420)


We use 3 Restylane products for our dermal fillers.


We can help you with the following areas with estimated amounts of product needed, though this will vary based on the individual needs and the purchasing quantity of the syringes.

  • Marionette Lines (downturning of the sides of your smile): 0.5-1 syringe each side
  • Nasolabial folks (creases between lips and cheeks): 0.5-1 syringe each side
  • Lips: 1-2 syringes

Laser Facial

Our Laser Facials are also known as "Red Carpet Facials" and are not your average facial. This quick and easy procedure can improve facial redness, fine lines and wrinkles, enlarged pores, acne scars, skin texture and so much more. It heats the layer below the skin surface (known as the dermis) to stimulate collagen regrowth to create a tighter, firmer face with an even skin texture.

Treatment Duration: 15-30 minutes. Result Duration: Last up to 6 months

Vein-ity Treatments

Be vain about your veins! With our XEO nd:YAG laser, you can reduce or remove signs of aging like your spider or superficial veins. The laser sends strong, targeted lights to each vein which absorbs the energy and then "collapses" the walls and seals it shut. While there is minimal discomfort, people may describe the feeling of an elastic band snapping against your skin.

Treatment Duration: 15-45 minutes.

Photo Damage Treatment (Photofacial)

Sun damage happens, and we are happy to help you reverse its mark. With our XEO Cutera IPL, we offer a state-of-the-art photofacial that reduces brown spots and sun damage. Sunscreen can help prevent future damage but cannot reduce the appearance of existing brown spots and damage. This is one of the most advanced treatment options to remove sun spots on your face, hands, arms, and chest. It uses high-intensity computer-controlled pulses of light that penetrate the skin and is virtually a painless process. Results are noticeable after 1-3 treatments.

Treatment Duration: 15-30 minutes.

truSculpt iD Fat Destruction

truSculpt iD is a non-surgical fat-reduction treatment that helps you feel more confident in your own body - with an average of 24% fat reduction in the targeted area from a single 15 minute treatment! It helps reduce the appearance of stubborn fat, and can help boost your confidence as you work on additional weight optimization strategies including dietary and lifestyle modification methods. Using radiofrequency technology to target fat and cellulite, this helps permanently remove fat cells. When the cells are heated, the cells die off and then naturally eliminated through the body, and the device targets the entire layer of fat between skin and muscles. No preparation is needed. There is no downtime. Surrounding tissue isn't damaged during the procedure. Areas that can be targeted include:

  • Abdomen
  • Thighs
  • Flanks
  • Under arms
  • Under chin
  • Back

Treatment Duration: 15-30 minutes. Results vary by patient.

Other conditions we can help with:

  • Mild-to-Moderate Active Inflammatory Acne
  • Rosacea
  • Scars
  • Stretch Marks
  • Venous lakes
  • Cherry hemagiomas
  • Toenail fungus (onychomycosis)
  • Skin tags
  • Warts

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