Sun Damage

Dr. James D. Fontaine

Your skin is very susceptible to damage from ultraviolet (UV) radiation exposure such as which occurs when you are out in the sun or use a tanning bed. Excessive UV exposure causes molecular and genetic changes in the skin that results in dark spots (age spots), freckles, lines and wrinkles, uneven skin tone, appearance of superficial blood vessels (telangiectasia), thinning of the skin and skin cancers. The best treatment is prevention by using a broad-spectrum sunscreen with a high SPF daily, wearing a wide brimmed hat, sunglasses and protective clothing when outdoors and avoiding all forms of tanning. Treatment of mild photoaging includes skin care products with retinoids or retinols, vitamin C and various acids. These can also be used as a maintenance program after treatment with lasers. For moderate photoaging, fractionated laser resurfacing can be quite rejuvenating. Intense pulsed light (IPL) can reduce age spots. Botox, Dysport, fillers, lasers (Alma ClearLift) and radiofrequency (Alma vShape Ultra) can be used to treat wrinkles.

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BOTOX®Dermal Fillers Laser Skin Resurfacing Skin Tightening

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When I came to Dr. Fontaine several years ago, I was going into early menopause and experiencing so many symptoms. Hot flashes, fatigue, pain, brain fog, and depression that were being dismissed by my regular doctors. Dr. Fontaine was truly a godsend. He listened, took my concerns seriously, and helped me create a plan that worked for my body. Over time, we adjusted my medication, and I now feel 100% better. I’m so grateful for his care and support!

A.H. Google

Louise initially treated me with Botox at an MD clinic I had been using for years. I was so pleased with my results, when she moved to Fontaine MD I followed her even though it was much farther away. Recently, I decided to also get fillers and expressed to her my desire for a very natural and youthful look, and she nailed it! She is a licensed RN with an Art degree therefore she really understands the anatomy and symmetry of the face. She is welcoming, professional, never rushes and very skilled at injecting both Botox and fillers, I highly recommend Louise!I also highly recommend Fontaine MD, great Doctor, and staff in a lovely, serene setting. They were instrumental in aiding me in a 20+ lb weight loss (so easy) and I could not be more grateful. I feel and look so much better and have maintained my new weight. That is not easy for many 60-year-old females.

L.L. Google

Louise is absolutely wonderful to work with! I have seen her for both an IPL facial and Botox (my very first time!). She took the time to answer my questions, address my concerns, and put my mind at ease. I could sense that I was in the hands of someone who was going to take care of me. Louise cares about her clients and their desired outcomes. I have done IPL facials in the past with other providers and the procedures felt very harsh on my skin. With Louise, my skin was not red, bumpy, or painful after and my sunspots were treated effectively! I also trusted Louise with my first Botox experience. Louise made me feel both comfortable and excited about the natural but effective results I was hoping to have! I am thankful I found Louise and will be a returning client!

N.B. Yelp

Louise listened to my skin concerns, made recommendations and completed Botox and filler procedures that that made an amazing difference!

C.T. Google

Before seeing Dr. Fontaine, I had no idea I could feel better. I just assumed that as I got older, low energy, hormonal struggles, and general decline were just part of life—something I had to accept. Looking back, I realize how much I had normalized feeling exhausted, unmotivated, and off-balance. My energy had dipped, my sleep was inconsistent, and no matter what I did, things like weight gain and mood swings seemed unavoidable. I wasn’t in crisis—I just wasn’t thriving. Dr. Fontaine completely changed that. From the first appointment, he took the time to listen, evaluate my symptoms, and explain what was really happening in my body. Seeing my lab results was an eye-opener—I finally had real data that explained why I felt the way I did. Within a couple of months of starting treatment, I started feeling like myself again. My energy improved, my focus sharpened, and I finally started sleeping through the night. Over time, the changes were undeniable—I was stronger, my mood was steady, and I didn’t feel like I was constantly fighting against my own body. Dr. Fontaine has been with me every step of the way, adjusting my treatment as needed and making sure I feel my best. He’s thorough, knowledgeable, and truly invested in his patients' well-being. I never feel rushed in my appointments, and he always takes the time to answer my questions. I didn’t realize how much I was missing out on until I started feeling this good again. Now, I feel like I’ve regained the energy, confidence, and vitality I thought were long gone. I’m beyond grateful to Dr. Fontaine for helping me.

C.M. Google

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