Wrinkles Specialist

Pain Consultants of Michigan/ A & R Therapies

Interventional Pain and Regenerative Therapies & Aesthetics located in Saginaw, MI

You can fight the effects of aging and diminish the appearance of wrinkles without surgery when you choose procedures like cosmetic injectables, medical grade skincare, PRP, micro needling and skin-tightening with TempSure™ Envi. Kari Sullivan, FNP-C at Pain Consultants of Michigan/ A & R Therapies has extensive experience helping patients rejuvenate their skin. To learn which procedure is best for your skin needs, call the office in Saginaw, Michigan, or book an appointment online today.

Wrinkles Q & A

What factors contribute to wrinkles?

As you get older, your skin produces less collagen and elastin, which means it loses strength and elasticity. Your skin also thins out and oil production declines. The natural, healthy layer of fat under your skin loses volume, starts to accumulate in pockets, and droops downward.

All these changes work together to create wrinkles over the years. If you spend time out in the sun without wearing a sunscreen, the ultraviolet (UV) light accelerates wrinkle formation.

The aesthetics team at Pain Consultants of Michigan/ A & R Therapies offers several treatments that can help diminish the appearance of wrinkles, including microneedling, and TempSure Envi skin tightening.

What is microneedling and how does it treat wrinkles?

Microneedling is performed using a device that contains numerous very fine needles (microneedles) to gently puncture your skin. These small, controlled wounds stimulate a healing response, which in turn boosts collagen and elastin production.

When old skin cells at the surface naturally shed, they’re replaced with new cells growing up from below the skin. Following microneedling, your new skin is stronger and better-toned thanks to the extra collagen and elastin.

Microneedling effectively improves numerous cosmetic concerns, such as:

  • Loose skin
  • Fine lines and wrinkles
  • Uneven skin tone
  • Brown spots and sun spots
  • Acne scars
  • Large pores

Microneedling can also be combined with platelet-rich plasma (PRP) to enhance your skin’s rejuvenation. PRP is made from your own blood by taking a blood sample and processing it in a centrifuge. Spinning in the centrifuge separates platelets from other blood components, then they’re used for your PRP treatment.

After undergoing microneedling, your aesthetician applies PRP to your skin. The small punctures allow PRP to get under your skin, where the platelets promote healing, reduce inflammation, and stimulate the production of collagen, skin cells, blood vessels, and other tissues as needed.

How are wrinkles diminished with TempSure Envi?

TempSure Envi, or TempSure, uses radio-frequency (RF) energy to tighten your skin. RF waves safely pass through your skin to reach structures below the surface. As RF energy heats the deep tissues, it stimulates collagen production.

After treatment with TempSure, old skin at the surface is replaced with a new growth of collagen-rich skin. As a result, your skin becomes stronger and tighter, which diminishes the appearance of fine lines and wrinkles.

If you’re ready to restore a more youthful appearance, call Pain Consultants of Michigan/ A & R Therapies or book an appointment online today.


Cosmetic Injectables


Botox® (onabotulinumtoxinA)


Repeated facial expressions and shortening of the muscles overtime can create etched in lines of the skin. This is due to the breakdown of collagen and elastin in these areas where the skin is being folded repeatedly. Injections of Botox® to the targeted muscle decreases the muscle movement in the areas of concern. With consistent treatments, the muscles will relax and the etched-in lines will smooth and soften over time.

Botox® has been the #1 FDA approved anti-aging treatment for quite some time. It is more commonly referred to for cosmetic purpose but it is also used for many medical conditions such as chronic migraines and blepharospasm. It is non-toxic and does not cause botulism. Botox® is the purified protein of Botulinum toxin. You would actually need 200-300 times the number of units of the actual toxin for any negative effects. Botox® inactivates nerves by blocking acetylcholine that stimulates the muscles to contract. Botox® typically lasts 3-5 months, depending on your metabolism and dose. After your treatment, Botox may take up to 10 days to be effective.


Dermal Filler


As we age, our face begins to droop and fat pads descend, losing the youthful “V” shape to a more squared appearance. This is due to bone loss and the skin, fat, and muscle accumulating at the lower face. A&R Therapies use FDA approved hyaluronic acid dermal fillers, such as Juvederm® and Versa™, to contour, replace volume, and plump the skin. Hyaluronic acid is a naturally occurring substance in the soft tissue. Hyaluronic acid can be synthetically produced from a process of bacterial fermentation, chemically stabilized, and purified for use as an injectable soft tissue filler. The hyaluronic acid in dermal fillers is biocompatible and is a non-animal product. Bringing volume to the areas, such as the cheeks, rebalances the facial structure. Lips are also a sign of youth but as we age, due to a decrease in collagen, the lips become thinner and turn inwards. Dermal filler is used to bring volume back to the lips and to smooth fine lines creating a soft, plump, youthful appearance to the mouth. Other areas we can treat with dermal filler include marionette lines and nasal labial folds. If you are worried about not being satisfied, although we know you will be, hyaluronic acid fillers can easily be reversed with an agent called hyaluronidase which is always stocked in the office. The dermal filler gives immediate results and, depending on the filler chosen, these results may last up to 2 years! The product is based on the goals of the patient and the area being treated.


Prior to your treatment, our nurse practitioner will discuss your goals and anatomy to find the best dose/treatment plan for you! At A&R Therapies we have a number of pain management techniques to make your treatment as painless as possible.