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Results Rx is our amazing brand new skin care line of products and peels. It is totally unlike any skin care line we have ever seen simply because these scientific advances were not available before. It is only available through physicians and we are the only place to get it in Knoxville.
So...what makes it so different?
- It is the first physicans grade skin care line EVER to be entirely chiral. This has huge implications for skin care in general because chirally corrected molecules interact with the skin in a unique way. In short, chiral active ingredients provide all the results with far less possibility of irritation or allergic reaction: they speak the language of the skin. (If you google "chiral" you will find that this breakthrough discovery has applications in all forms of medicine, not just skin care.)
- It contains the highest available concentrations of active ingredients delivered by Fullersomes, a Nobel-Prize winning transport vehicle. If you have sensitive skin, Rosacea or simply want to get more aggressive with your skin care without irritation, Results Rx is perfect for you.
- The ingredients are state-of-the-art: epidermal growth factors, peptides, AGP complex and specialized botanicals produce immediate results. Patients are experiencing plumping, firming and tightening that is really noticeable, not just wishful thinking. One of our most discriminating patients started using Results Rx "Eye Doctor". She told us the very next day that she had "used every eye product out there including La Mer and she had never seen anything like the immediate results with "Eye Doctor".
The Personal Approach to Skin Care
If you want to see major improvements in your skin, but don't have time for "fluff".... If you notice changes in your skin pigmentation due to sun exposure or hormones.... If you have acne, blackheads or hormonal breakouts.... If you want to treat yourself or a friend to a relaxing skin treatment with noticeable results....
Our Skin Care Clinic offers the latest skin care products and services that are medically approved to consistently deliver impressive results, making a dramatic difference in the look and feel of your skin. Because most of our products and services are available only through physicians, results like these cannot be duplicated in a spa or salon.
Yet your skin care experience will not be clinical. Soft lighting, relaxing music and luxurious bedding combine to pamper as never before. Your skin care service will be a treat as well as a treatment.
Introducing Heather McNeal:

If you haven't met Heather yet, you are in for a real treat. She has a unique ability to make everyone around her smile.
With over eleven years experience in medical and aesthetic care, Heather brings a wealth of knowledge to our office.
She moved to Knoxville recently from Nashville where she was one of a selected few aestheticians chosen to pamper the elite guests of the Opryland Hotel. Her soothing, relaxing touch combined with medical-grade products and procedures is a winning combination for our patients.
Warm, welcoming and fun, Heather has special strengths in working with aging and hyper-pigmented skin. She is legendary for her waxing and has quite a following for brow design and shaping, which provides an added convenience to our patients.
When she is not at the office, she volunteers for the Thompson Cancer Center performing relaxing services on current and recovering cancer patients.
Menu of Skin Care Services-
Brand New! Results Rx Peels (These are not your old-fashioned glycolic peels.)
Results Rx has reinvented the peel giving us more options and better results that can be blended and customized for every skin type, including Rosacea. Rather than just treating the superfical layers of the skin like other peels, Results RX peels penetrate to the dermis, rejuvenating the skin from the inside out. The chirally corrected active ingredients actually help to remodel the skin for less down time and more visible results. One of the peels requires skin preparation in advance for best results and the rest can be done without preparation.
*And for you skin care veterans needing a jump-start, they can be boosted and layered for powerful results never before possible.
Timeless Peel
This is the overnight sensation for treating acne, sun damage, wrinkles. It is our maximally effective remodeling peel to dramatically reduce the visible signs of aging. It requires 10-20 days of skin care preparation before the actual peel. The skin preparation products come packaged together in an easy-to-use kit.
Then the big day! The peel is applied and left on overnight. (Don't worry, it dries clear and you can put makeup on right over it.)
While you sleep the AGP Complex with Nobel prize-winning transport ingredients are hard at work to stimulate cell turnover and protein synthesis, resulting in smoother, denser, beautifully hydrated skin. This overnight sensation works especially well for treating fine lines and wrinkles, adult acne, sun damage and actinic keratosis. Timeless Peel $225
D-Tox Peel This is a synergistic blend of chirally-correct acids that works deep within the skin to fight bacteria and heal acne lesions. It fights bacteria and restores balance by reducing skin toxins and sebum. It also contains anti-inflammatory and anti-redness ingredients to combat the irritation associated with acne. A moderatedepth peel, this soothing, calming, medical-strength exfoliating peel is excellent for all grades of acne and impure skin conditions. D-Tox Peel $150
Bene-Factor Peel
This peel is a great choice for skin with sun damage and hyperpigmentation. It softens, exfoliates and stimulates while lightening, brightening and repairing damaged skin. The first peel ever to contain growth factors that stimulate skin renewal, it leaves you with a healthy luminous complexion. This also makes it a good choice for blemished skin or patients with acne scarring. Bene-Factor Peel $150
Blueberry Smoothie Peel
This gentle peel uses active blueberry extract and anti-oxidants to invigorate and exfoliate skin. It restores a youthful glow without visible irritation. Best for oily acneic skin, sensitive skin and dull complexions. Blueberry Smoothie Peel $100
Before and After Care Kits
These kits are used in preparation for the Timeless Peel and for a week after the Timeless Peel and the Bene-Factor Peel. They can be re-used in subsequent peels. Before Kit and After Care Kit $40 each
Skin Chemistry for Dummies
To appreciate how Results Rx works, you should have a basic understanding of the chiral correction and the other technological breakthroughs that make it so unique. The challenge for all topical skin care products is to penetrate the protective top layers of the skin, get to the correct receptors in the dermis, and activate them to create healthy cells and new collagen without irritation. That's the goal. Most skin care products stay on the surface of the skin, useless, because their molecules are too big to enter the skin. To infiltrate the skin's formidable barrier, Results Rx uses Fullersomes, a Nobel Prize-Winning Transport vehicle. If your background is in nanotechnology, you know all about Fullersomes. If not, let's just say that they are very, very small and can fit between the skin's cells while carrying active ingredients.
With apologies to all of you science whizzes, we like to use mittens to illustrate chirality.
Most molecules have two parts to them- one part that spins left and one part that spins right. These are called dimers, and like mittens, they are not interchangeable. Receptors in the skin are shaped so they benefit from either a left OR a right dimer. The dimer the skin can't use causes irritation which then limits the amount of active ingredients the skin can tolerate. When an ingredient is chiral, the unwanted dimer is completely removed at the molecular level, so the skin gets only what is can use. You can tell when any ingredient is chirally corrected by the prefix in front of the ingredient. Look for an "L" for the left dimer and either an "R" or a "D" for the right dimer. For example, you'll see lactic acid listed as an active ingredient in most skin care products. With Results Rx, you'll see L-lactic acid which contains only the chirally corrected left dimer the skin can use. So what does this mean to you? 
It means that all Results Rx products and peels contain the highest available concentrations of active ingredients and a little goes a long, long way. If you have sensitive skin or rosacea, you should be able to work up to very active ingredients in the Results Rx line. If you are a skin care veteran, get excited. Refine Rx contains 12% AGP Retinol Complex Vitamin A. That is three times stronger than anything on the market- even by prescription. Did you know? Results Rx's basic cleanser Rx Clean has 12% L-lactic acid? That's more active than many chemical peels. If your skin is dull or flaky just leave it on longer in the shower and you'll see immediate improvement. Not to sound like a broken record but....a little goes a long way.
Vibra-Infusion 
This patented machine gently but completely exfoliates the top layers of skin and goes one step further: it actually stimulates new collagen growth. The Vibraderm machine does not use particulate crystals like our former MicroDermabrasion machine. Instead, a fixed abrasive vibrating stainless steel paddle is used to rejuvenate the skin. The vibrating motion feels good to patients while stimulating increased blood flow and inflammation of the dermal layer, which is desirable. Many patients say they are so relaxed they almost fall asleep.
After stimulating the collagen and removing the superficial layers of the skin medical grade products are directly infused using the infusion paddle. For example, patients may choose salicylic or glycolic acid for patients with acne, hydroquinone to lighten age spots, a hydrating fluid for patients with dry skin and advanced antioxidants for patients with environmental damage.
An ideal candidate for Vibra-Infusion is anyone with fine lines and wrinkles, age spots or dull skin, acne scars, dryness or oily skin. The procedure also reduces the appearance of pore size. It is the treatment for stubborn keratosis pilaris of the arms. Patient response has been phenomenal. After Vibra-Infusion most people can’t believe how smooth their skin is- all the little bumps and uneven texture have been buffed away. After a few days when they see the tightness and firmness of their skin, they are hooked.
Patients purchase their own individual reusable paddle kit that can be stored in our office. It contains the white plastic infusion paddles and three sizes of stainless steel abrasive paddles so delicate areas around the eyes can be treated as well as the larger areas like the back and arms. Please note that the pricing below does not include the one-time $40 charge to purchase the paddle kit.
Before and After Vibra-Infusion
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Vibra-Infusion- Treatment includes exfoliation and stimulation of the face, neck and upper chest with the Vibraderm machine as well as infusing the appropriate serum directly into the deeper layersof these areas. (30 minutes)
$135 or package of 6 for $750
Ultrasonic Facial with Vibra-Infusion- This highly recommended procedure is a powerful combination of the only two skin care procedures clinically proven to stimulate deep into the dermal layer providing strength and firmness to the skin. You may have already experienced the benefits of therapeutic ultrasound with electrical stimulation. Now it’s even better! Combined with the Vibra-infusion, patients comment that their skin feels smoother, and tighter and the effects are immediately noticeable and long lasting.
The Ultrasonic Facial includes deep pore cleansing, Vibra-Infusion of the face and neck followed by ultrasound. (60 minutes)
$175 or a package of 6 for $950
Vibra-Infusion Facial- A Vibra-Infusion Facial includes deep pore cleansing and Vibra-Infusion of the face, neck and upper chest. This is followed by steam extractions or a hydrating facial massage and ends with a soothing mask. (60 minutes)
$175 or a package of 6 for $950
Vibra-Infusion plus Peel- This is an aggressive combination of Vibra-Infusion of the face, neck and chest followed by a chemical peel chosen for your skin. The combination is the perfect “pick me up” for tired skin but not intended for sensitive skin or skin care novices.
$150 or a package of 6 for $850
Vibra-infusion for the arms or back- This is the way to create smoother looking skin on the back and arms. It is designed for people who have acne, dry dull skin, or stubborn keratosis pilaris. It is our prescription for a fabulous evening in a strapless dress!
$100 arms $100 back
All facials include deep pore cleansing, exfoliation, steam and a specialized mask designed for your skin type. High frequency and extractions are available for patients with specific skin conditions as needed. (60 minutes)
$75 or a package of 6 for $350
There is never a better time than the present to start a customized skin care program. Prevention and education are the keys to a lifetime of great skin. This facial is one part procedure, the other part beginner skin care lesson. (60 minutes) $75 or a package of 6 for $350
Cirepil Waxing Services
Cirepil Wax is known the world over as one of the most popular and effective lines of depilatory waxing product lines. Cirepil's low temperature waxes are applied at or just above skin temperatures (often 20-30 degrees below most waxes on the market). They are manufactured in France.
Cirepil Blue revolutionizes waxing with a special polymer that "shrink wraps" the hair for ease of removal, particularly on difficult hair growths. The wax is applied at or just above skin temperatures making it safer and more comfortable to use. It contains the anti-irritants Titanium Dioxide and Jojoba, to enhance the overall outcome and reduce any discomfort you might experience.
Waxing is an effective method of removing unwanted body and facial hair. We use only Cirepil brand wax which is warmed to allow it to be spread easily over the skin. The hair is then shrink wrapped in the wax, which is quickly pulled off, removing hair at the follicle. This method allows for better removal of hair and less stress on affected skin.
Women’s Waxing Services
For the face, we currently offer our signature brow wax as well as brow maintenance. Also available are lip, chin and full-face hair removal. For the body, we offer partial and full arms, partial and full legs, underarms and basic bikini waxing.
Brow design $20 Brow maintenance $15 Lip/Chin $12 Full face (includes brows) $40 Basic Bikini $35 Full leg $75 Full leg with bikini $95 Upper leg $50 Lower leg $45 Full arm $45 Half arm $30 Under arm $25
Men’s Waxing Services
For men (also available for women) we offer chest and back waxing sessions. Brow maintenance consisting of brow trim and removal of unsightly hairs is also available to maintain a professional appearance.
Basic brow $10 Back $50+ Abdominal $30 Abdominal + chest $65
Clarisonic Professional Skin Care Brush
When Results Rx recommended the Clarisonic Pro to us for use with their products we were a bit skeptical. Perhaps it was just the thought of adding an extra step to our skin care regimen but we were initailly hesitant to try it. Would it be worth the time and the expense of the product? Could we really see a difference since we are already using the best skin care products available?
After using the Clarisonic at home and on our patients in the office, we are true believers now! It's not just that it sets a new standard in cleansing the skin, it is the ablility to use the Clarisonic Pro with active ingredients to take them to a new level of effectiveness. Finally we can provide an easy way for our patients to physically infuse active topical products deep into the skin at home. It gives us an effective new weapon in fighting difficult skin care conditions like hyperpigmentation and acne.
How Does it Work?
The Clarisonic sonic technology oscillates back and forth at 300 movements per second, working deep within the pores to gently loosen dirt and oil. Clarisonic removes six times more makeup than traditional facial cleansing. It also helps reduce oily areas, dry skin patches, blemishes and the appearance of visible pores.
The Clarisonic Professional is only available through physicians. It has three adjustable power levels to treat each individual skin care type. Thorough but gentle cleansing is so important for the skin of people suffering from seborrheic dermatitis, rosacea and acne. Clarisonic Professional is has settings to treat sensitive skin, including skin affected by complicated conditions, yet can be adjusted for skin care veterans looking for a power boost.
See for yourself the difference Clarisonic Pro makes removing makeup.
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In a split forehead randomized study, equal amounts of fluorescent makeup were placed on the forehead of each subject. The level of glowing makeup is indicative of dirty skin (less glowing means cleaner skin). *Scroll to the bottom of this page to see more about the Fluorescent Makeup Method Study.
A sonic boost for all of your cosmetics
Clarisonic Pro cleans your skin so effectively that it actually prepares the skin to better absorb skin care products, and it creates the perfect canvas for makeup. Finally, your serums and moisturizers have the chance to work the way they should, and your makeup goes on smooth and even.
Oh so clean, but so, so gentle
Not all skin is created equal. We all have our problem areas — from dry patches to blemishes, from pre-mature wrinkles to sensitive skin. We were worried that the Clarisonic Pro might not be suitable for our patients with the most sensitive skin. Not so. Our patients with sensitive skin found that the Clarisonic Pro actually helped soothe the skin, rather than irritate it.
Not just for girls
In a recent study, the majority of men reported a closer shave when the Clarisonic Pro was used to apply their shaving lubricant. Guys are hard to buy for and what could be cooler than using a power tool in the bathroom!
Clarisonic Professional Skin Care Brush $195
The Doctor is in.
We have never had a skin care product that inspires as much passion from our patients and staff as Results Rx Eye Doctor. One of our most discriminating patients started using Results Rx Eye Doctor. She told us the very next day that she had "used every eye product out there including La Mer and she had never seen anything like the immediate results with Eye Doctor". Another patient said her competitive twin sister literally stole her Eye Doctor because she was "looking too much younger". We have lots of funny stories about Eye Doctor, but the day we ran out of it right before Christmas was not at all pretty. You would have thought it was the latest Nintendo game. So what exactly is Eye Doctor? It is a liquid crystal eye serum that plumps damaged, thinning skin around the eyes. The ultimate combination of AGP Complex (retinol) and cococin growth factors stimulate collagen and elastin formation to reduce the appearance of fine lines. The addition of copper complex provides potent strengthening power for the delicate eye tissue. Like other Results Rx products, with Eye Doctor less is more. The tiniest, smallest amount you can pump is what you use, and one bottle should last you at least six months. Results Rx Eye Doctor $125 Did you know? When you put a drop of Eye Doctor on your finger you can actually see it double in size, which is how it plumps the skin around the eyes. Ask us for a demonstration.

Take Control of your acne at any age...
- If you have acne that is not responding to conventional treatments?
- If you are looking for an effective alternative to antibiotics and strong medications?
Maybe it's time to consider something else.
Introducing , the FDA approved treatment for mild to moderate acne. The is a very special blue light that kills p.acnes bacteria, a major cause of breakouts.
Treatments are simple--you simply sit with your face close to the light for 15 minutes, usually once or twice a week. After some weeks, depending on your individual schedule, the blue light can control your acne, or clear it up for a very long period.
Treatments are safe--The blue light is not hot or painful at all. It is not a laser and does not emit any UVA or UVB light rays that damage the skin. Patients experience no "downtime" or redness and can immediately resume their daily activities.
$320 for a package of 8 treatments $400 for a package of 12 treatments
Blu-U Light treatments with Levulan Kerastick
This is an aggressive two-step therapy that is showing promise treating patients with severe acne, sun damage and pre-cancerous skin cells. The first step is an application of the Levulan Kerastick containing a 20 percent aminolevulinic acid solution, which makes abnormal skin cells more sensitive to light. After an incubation period, the patient sits in front of the Blu-U light, which activates the Levulan, absorbed into the undesirable cells.
A consultation is a prerequisite for anyone considering Levulan treatments as it not appropriate for everyone and there are some important directions that must be followed regarding sun exposure after treatment. Also, most patients will require 3-5 treatments to obtain optimal results.
$300 per treatment

Here is a letter from one of our very first Vibra-Infusion patients.
I recently had my first Vibra-Infusion treatment and was so impressed! Whereas with MicroDermabrasion my skin felt cleaner, with Vibra-Infusion my skin also felt tighter, firmer and so much smoother. And it lasts much longer. I kept asking my friends to touch my face. Now they all want to try it."
Call 865-450-9417 to schedule your appointment with Licensed Aesthetician Heather McNeal or e-mail her directly at HeatherM@dbreath.com.

*More about the Clarisonic Makeup study In a split forehead randomized study, equal amounts of fluorescent makeup were placed on the forehead of each subject. Photographs of the forehead were then taken using a digital camera with a flash. An Aesthetician then cleansed half of the forehead with the and the other half by hand. Both sides of the forehead were then rinsed with equal amounts of water and left to air dry. After drying, the subject’s forehead was again photographed. The level of glowing makeup is indicative of dirty skin (less glowing means cleaner skin). flash. An Aesthetician then cleansed half of the forehead with the and the other half by hand. Both sides of the forehead were then rinsed with equal amounts of water and left to air dry. After drying, the subject’s forehead was again photographed. The level of glowing makeup is indicative of dirty skin (less glowing means cleaner skin).
Hair Removal 
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