By Tiffany M. Darnold, MMS, PA-C, Couture Med Spa Oviedo 

Don’t have a New Year’s Resolution yet? It’s not too late! Let’s set a goal to take better care of you, starting with your anti-aging journey. After all, you deserve it! 

The Situation: Your Collagen Production is Declining

Before your first wrinkle is even visible, your body has already started its journey towards aging in your early 20s. Your collagen is decreasing at a rate of 1-2% per year, diminishing the support for your skin. Over the years, your once bright complexion will start to wrinkle and sag. Stress will also start to take its toll and your face will not only show your stressed mood or frustration but creases as the muscles contract and fold, just like folding a piece of paper. 

That line (a.k.a. a wrinkle) can be hard to get out or fade. Also, major folds start to develop later in life as essential facial fat pads start to disappear allowing the skin to sag in the areas of the lower half of the face. 

BUT THERE’S GOOD NEWS! There are ways to start preventing your wrinkles before they happen and even ways to help soften the appearance of wrinkles that are already visible.

First Step: Preventing Wrinkles

The first step in the fight against wrinkles is prevention.  Start using retinol, retinoids, or Retin-A early in life to help skin turnover as well as to prevent and even start correcting wrinkles from collagen loss.  Also, prevent wrinkles or even treat them in the forehead, between the brows (those pesky “elevens”), and next to the eyes ( crow’s feet) by using Botox or Dysport to reduce muscle movement and soften the creases which start to occur from our muscles contracting. We can even use Botox or Dysport to help with ‘bunny lines’ which occur across our nose. These wrinkles have developed over the years due to facial movement usually caused by stress, crying, smiling, and even squinting our eyes while we study or when the sun is too bright. Also, throwing sunglasses into our wardrobe can help stop squinting and help prevent some wrinkles as well. 

Second Step: Treat Wrinkles Early 

The second step in the anti-aging process is early treatment. Treat wrinkles as soon as they start to appear with Botox or Dysport for the forehead, elevens between the brows, crows, and bunny lines. For the rest of the face start Non-ablative Fractional Laser treatments as soon as possible and continue using retinol. Fractional treatments help stimulate collagen production and resurface the skin to soften fine lines/wrinkles and improve the texture of your skin, including scars!

If you’re using retinol and doing fractional laser treatments, remember to stop the use of retinol for 5-7 days prior to your fractional treatment and after your treatment as well. Retinol is safe between treatments if you use it at a safe interval. If your wrinkles are moderate-to-severe and need further improvement, consider filler in the lower two-thirds of the face for instant results. 

Here at Couture Med Spa, we can help! We currently have three convenient locations in Oviedo, Winter Park, and Ocoee, and soon we’ll have a fourth location in Lake Mary. Join us at or give us a call for a free consultation and VISIA analysis. Let us help you start your anti-aging journey today!!!



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By: Nicole Angione APRN, Couture Med Spa Ocoee

Even though this year has been challenging due to the stress of COVID-19 and gyms being closed, there’s no reason that you have to settle for a turkey neck this upcoming holiday season. Let’s face it, the only “gobble” I want to talk about is warm turkey on my plate for Thanksgiving dinner not an embarrassing dangling chin from my face. 

Don’t try to hide your unwanted turkey neck this holiday season in family photos. Here at Couture Med Spa, we have FDA-approved treatments that can eliminate and decrease the appearance of unwanted turkey necks such as with Kybella, a fractional laser, and our medical grade product: The Age Rewind Neck Cream. 


As a nurse practitioner here at Couture Med Spa, I get tons of clients that inquire about Kybella for submental fullness, or their turkey neck. Kybella is an injection that is used in adults to improve the appearance and profile of moderate to severe fat below the chin also called submental fat or what’s commonly called a “double chin.”

 Kybella permanently destroys fat cells in the treated area and overall, improves the chin profile while those cells are cleared away through the natural processes of the body. Diet and exercise alone may not help with submental fullness because it can also be caused by genetics and aging due to increased volume loss. Here at Couture Med Spa, Kybella requires a series of treatments spread 6 weeks apart to get the best results. A complimentary consultation with one of our experienced providers can determine if Kybella is the right treatment for you!

See the amazing results Kybella can produce here!

Fractional Laser

Couture Med Spa also offers an FDA-approved laser treatment using a fractional laser that can further tighten and firm a client’s stubborn and unwanted turkey neck. The fractional laser is a non-ablative laser that uses light pulses delivered down into the epidermis and dermis layers of the skin to cause inflammation and stimulate collagen production. 

Every year, a person loses about one percent of collagen. So engaging in collagen production treatments such as the fractional laser will keep a more youthful appearance and tighten the skin where there is volume loss such as in the chin area. A fractional laser treatment is for both men and women who want to reduce the appearance of aging and improve skin texture without wanting a dramatic change or the extended downtime that comes with surgery. 

Age Rewind Neck Cream

Couture Med Spa also offers clients medical grade products such as the Age Rewind Neck Cream that can also help tighten and firm an unwanted skin on the neck. The Age Rewind Neck Cream has peptides within the cream that help lift and tighten the skin where there is volume loss. In addition to peptides, the Age Rewind Neck cream also has stem cells within the cream that naturally help replicate our cells to create and boost more collagen to the loose area. Collagen will assist in tightening where there is drooping of the skin to create a firmer appearance. Niacinamide within the neck cream improves skin texture for a more smooth finish.   

If you want to ditch the turkey neck this holiday season, schedule a free consultation with us to determine what treatment would work best for you!