Carolina Eyecare Physicians | Laser Cataract Surgery | Best Eye Doctors in Charleston

Aesthetic Services

Aesthetic Services, Botox & FIllers

Our goal is to help you see and look your best. Let us help you return to a more youthful appearance with the most appropriate skin care restoration services available at Carolina Eyecare Physicians. Learn about the advanced aesthetic treatments available to help you put your best face forward. Dr. Gene Howard and Malissa LaRoche, PA-C have the experience and talent to help you achieve a more awake, youthful appearance!

Laser SKin rejuvenaton (CO2 Laser)

Laser skin resurfacing is a non-invasive surgical procedure that softens lines and wrinkles, removes surface imperfections, and tightens and rejuvenates the skin. It is longer lasting and more effective than dermabrasion or chemical peels. What more could you ask for? The best part is that results are seen immediately, and the treated skin continues to improve during the healing process.

Laser skin resurfacing involves the use of the CO2 laser. The laser works by heating the skin, causing tightening and reduction of wrinkles. During the following weeks, the collagen fibers under the surface of the skin are being regenerated. The collagen in the skin gives skin its integrity and structure. Essentially, the old dry and damaged skin cells and collagen are replaced with new cells and collagen fibers. This results in skin that appears more supple, youthful, and healthy.

Your procedure will be performed in an outpatient setting, with patients heading home directly following their procedure, with the assistance of a driver. Patients are usually given mild sedation from IV medication to make sure that they are totally comfortable. There is usually no need for general anesthesia.

Please plan on being at our office for a few hours for the entire process. You will check in, speak with Malissa LaRoche PA-C prior to your procedure, have the procedure, wake up from anesthesia, and be given aftercare instructions.

You may experience tightening of the skin, as well as redness. This will improve over the next few weeks following your procedure. When leaving your appointment, you will be given a skincare kit that you will apply as directed following the procedure to ensure your skin receives optimal care.

Patients are usually seen 1 week, 6 weeks, and 3 months following their appointment. Please note that this procedure is considered cosmetic and will not be covered by your insurance.

Most of our patients will need to take at least one week off from work to heal from laser skin resurfacing. Every day, the skin will begin to look better and better. After approximately 7 days, you can start using makeup, if wanted, to cover the pinkness of the skin.


The ICON Laser Pulsed Light System is used to reduce fine lines, wrinkles, facial veins, brown spots & more! This allows us to reveal a glowing complexion, silky smooth skin, and more. This is a non-invasive treatment option that transforms you into a younger-looking version of yourself.

How Does it Work?

Pulses of light target unwanted pigment and vessels within your skin. The light delivered causes them to slowly disappear through your body’s natural healing process.

When Will I See Results?

You will see continuing improvement in the skin’s appearance during and after each treatment. Typically, only a few treatments are needed. However, depending on your skin’s condition, several treatments may be required. We will be able to create your treatment plan during your initial, complimentary consultation.

Aesthetic Services

When should I consider getting BOTOX® or fillers?

The decision to use BOTOX® and fillers is completely up to you. Our patients visit us to achieve a youthful, rested appearance that suits their facial structure. We strive to offer you a natural looking alternative to comprehensive facial cosmetic surgery through the use of BOTOX® and fillers to help you achieve your goals. 

What products do you carry?

We offer a wide range of aesthetic products to address a variety of skin and aging concerns. Your provider will work with you to determine the areas you wish to treat and review your options for helping you achieve your goals.



Over time, your face changes in many ways. Lines and wrinkles form, but other changes often include volume loss in the cheek area or thinning lips. Fortunately, JUVÉDERM® includes several formulations to treat different areas of the face. JUVÉDERM® is the #1 selling collection of fillers in the US, proven to lift and contour your cheek area, smooth wrinkles, fine lines and enhance your lips. 


These are cosmetic dermal fillers that diminish moderate to deep facial wrinkles and folds by using the body’s own moisture to restore volume and fullness to the skin. The hyaluronic acid in these fillers is hydrophilic (“water-loving”). As it gradually degrades, each molecule binds to more water, which helps to produce lasting results.


Some women may wish to add subtle volume to their lips; others may want to soften the appearance of the vertical lines above them. Lines such as these are often caused by factors such as sun exposure or repeated muscle movement. VOLBELLA® XC Adds subtle volume to lips, softens the appearance of vertical lip lines and is the first and only filler proven to last up to 1 year.


 What makes for youthful, healthy looking skin? A smooth texture and radiant tone just scratch the surface. It may not be as emphasized as the other signs of aging, but volume is another major characteristic of a beautiful face- and it makes a world of difference in the appearance of your skin. JUVÉDERM VOLUMA® is the first and only FDA- approved injectable gel that gives your skin just enough volume to contour your face and subtract years from your appearance.

Maybe you’ve noticed a few stubborn lines above your lips that used to be hidden by makeup, or you’ve caught your reflection and seen some small wrinkles starting to develop around your mouth. Although these changes are natural, it doesn’t mean you have to live with them. BELOTERO BALANCE ® is a prescription injection that is approved to temporarily smooth out and fill moderate to severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth.) BELOTERO BALANCE ® is an ideal option for those looking to smooth stubborn etched-in lines and wrinkles around your lips and mouth.
Juvederm1 Before Juvederm1 After
Juvederm2 Before Juvederm2 After
Juvederm3 Before Juvederm3 After
Juvederm 4 Juvederm4 After


Injections of BOTOX® Cosmetic temporarily reduce the appearance of fine lines around the eyes and across the forehead. BOTOX® safely relaxes certain facial muscles without affecting normal facial expressions. The injection feels like a slight pinch, and no anesthetic is required.

Treatment requires minimal downtime or recovery; it’s often called a lunchtime procedure. You’ll be able to go about your normal routine immediately after your BOTOX® treatment. You may begin to notice results within 24 to 48 hours for moderate to severe frown lines, with results lasting up to 4 months.

BOTOX® Cosmetic

BOTOX® Cosmetic

BOTOX® Cosmetic

BOTOX® Cosmetic

Botox Cosmetic


KYBELLA™ Is the first and only FDA –approved injectable treatment to improve the appearance of moderate to severe fat beneath the chin by physically destroying fat cells.

KYBELLA™  could be for you if:

  • You are bothered by fat under the chin, also known as submental fullness
  • You don’t want surgery
  • You feel the condition makes you look older or heavier than you actually are
  • You eat well and exercise, but submental fullness does not go away.


How Many Treatment Sessions Will I Need?

We will sit down and help you determine how many treatment sessions you will need based on your goals and your current situation. Up to six treatments may be administered, spaced at least one month apart.

How is KYBELLA™ Administered?

KYBELLA™ is given during an in-office visit, where the injection may take only 15-20 minutes. Essentially, we will give you a series of injections into the fat under your chin at each session.

What Can I Expect After My Treatment Session?

For most patients, the first treatment requires the most downtime, with some swelling in the injected area. You should be able to resume your normal daily activities but are likely to have that swelling to some extent. Keep your social plans and work commitments in mind when scheduling your treatment.

Prior to your injection(s), we may apply ice/cold packs or topical and/or injectable local anesthesia to the treatment area to make you more comfortable. After treatment, we will also suggest that you apply ice or a cold pack to the treatment area for 10 to 15 minutes, as needed, to help with swelling.


LATISSE® Grows Lashes Longer, Fuller and Darker. LATISSE® is the first and only FDA-approved prescription treatment proven to grow lashes. Used to treat (inadequate or not enough eyelashes), LATISSE® is an actual growth treatment that is applied once a day to the base of the upper eyelashes.

Bimatoprost, the active ingredient in LATISSE®, increases the length of the eyelash growth cycle and the number of hairs in this growth phase. Some of those who use LATISSE® see more length in as little as 4 weeks, with full growth in 16 weeks.

Meet Your Providers

best eye doctor
Cosmetic and Reconstructive
Eyelid and Facial Surgery
Orbital and Tear Duct Surgery
Cosmetic and Reconstructive
Eyelid and Facial Surgery
Orbital and Tear Duct Surgery

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