Being a grown-up does not have to be as difficult as it used to be. All adults long for the flawless skin they took for granted as a youth. As we age, the elements of our environment including the sun and air pollution affect the skin. The collagen fibers in the skin break down and lose their elasticity. Over time, the skin essentially becomes thin, dry, uneven in color or tone, wrinkled, and more sensitive. Based on years of research in scar formation and the effects of aging on skin, doctors have developed a unique multidisciplinary approach to treat aging skin. Each patient has different skin and a doctor evaluates its thickness, pigmentation, complexion, pore size, degree of sun damage, and hair density, among other variables. Doctors design individualized treatments based on general skin type and the anatomical area of concern. Treatments are best suited for individuals who seek a refreshed complexion without the recovery time associated with more extensive skin-resurfacing procedures.

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Some concierge practices do not accept insurance of any kind. These are as cash-only or direct primary care practices. By refusing to deal with insurance companies, these practices can keep overhead and administrative costs low, thereby providing affordable healthcare to patients. They become concierge only if the practice assesses an annual or monthly fee instead of or in addition to a fee for each medical service. Other concierge practices do take insurance, even Medicare, but ask for an annual fee for additional services exclusive of insurance plans. This annual fee is not a substitute for medical insurance, and generally does not cover consultations outside the practice, laboratory procedures, medicines, hospitalizations, or emergency care from other providers. 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