How Advanced Imaging Helps Detect Artery Plaque Early

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Dr. James D. Fontaine

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6/25/2026

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By the time most people realize they have a heart problem, it's often been developing for years. Plaque can build up in the arteries gradually and silently, and standard checkups don't always catch it early enough. If you have any heart attack risk factors, you can't afford to wait for symptoms like chest pain or shortness of breath to appear. The key is early detection through advanced imaging. 

At Fontaine MD Aesthetics and Anti-Aging Medicine in San Diego, CA, Dr. James D. Fontaine uses the BaleDoneen Method to identify arterial disease before it becomes dangerous. Call us today to schedule a consultation and learn how you can take control of your heart health. 

Why is plaque in the arteries so dangerous? 

Plaque is a buildup of fat, cholesterol, and other substances that accumulates along the walls of your arteries over time. As it grows, it narrows the space available for blood to flow, increasing the risk of a blockage. If a blockage happens, the results can be severe. 

What makes plaque particularly dangerous is that it rarely causes symptoms in its early stages. Many people have no idea it's there until they experience signs of a heart attack. This is why proactive measures like the BaleDoneen Method are so important. 

Advanced imaging gives you the full picture 

A routine checkup might flag high cholesterol or blood pressure, but it can’t show what's actually happening inside your arteries. For patients with heart attack risk factors, advanced imaging allows Dr. Fontaine to visualize the state of their arteries. This makes it possible to detect dangerous plaque buildup when it's early enough to treat. 

At Fontaine MD Aesthetics and Anti-Aging Medicine in San Diego, CA, this imaging is a key part of the BaleDoneen Method. This science-based approach combines lab work, imaging, and genetic data to create a complete picture of your arterial health. Instead of waiting for signs of a heart attack to appear, this method finds the problem at its source so it can be addressed proactively. 

Is early detection right for you? 

While anyone can benefit from a deeper understanding of their cardiovascular health, early arterial imaging is especially important for certain individuals. Consider exploring this option if any of the following apply to you:  

  • Family history: A family history of heart disease or stroke is one of the most significant heart attack risk factors you can have. 
  • Worrying numbers: You've been told your cholesterol or blood pressure levels are heading in the wrong direction. 
  • Unexplained symptoms: You experience shortness of breath, fatigue, or other subtle symptoms that don't have a clear cause. 
  • Related health conditions: You are managing conditions like diabetes or obesity, which are known to speed up arterial disease. 
  • You want a baseline: You've never had a comprehensive cardiovascular evaluation and want to know your true health status. 

Take control of your cardiovascular health 

Don't wait for a major health event to pay attention to your heart. At Fontaine MD Aesthetics and Anti-Aging Medicine, Dr. James D. Fontaine and his team are dedicated to proactive cardiovascular care through the BaleDoneen Method. If you have questions about your overall heart health, potential signs of a heart attack, like shortness of breath, or the development of plaque in the arteries, now is the time to act. 

Serving patients in San Diego, CA, our team is ready to build a personalized plan around your health goals. Call us today to schedule your consultation.

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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.

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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!

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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.

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