Heightened Aesthetics

NOTHING is as humbling as no makeup, no filter, bare skin, zoomed-up photos before an IPL treatment (as a medical provider with a medical aesthetics practice).

As a 46-year-old Gen Xer who has lived in Florida since 1998, my skin has been through it.

My parents both looked like California Raisins and believed SPF caused skin cancer, so sun protection was definitely not a thing in our house, ever.

I grew up in eastern Pennsylvania. If the sun was out, I was laying in the backyard. In the endlessly long sunless late fall, winter and spring I went to the tanning bed.

Then I moved to Florida and lived on Manasota Key, where I spent pretty much every day on the beach.

I didn’t start truly caring for my skin until I was 36.

And to be fair, the skin you’re seeing now has had help since I began my career in medical aesthetics. I’ve had multiple IPL treatments over the years (amongst other treatments), with my last one in 2024. I’ll also post a photo from 2018 so you can see my BEFORE BEFORE and just how far my skin has come.

I started another IPL Photofacial series today and documenting it from the beginning so you can see exactly how my skin changes along the way.

Stay tuned

skinqualitytampa

Mirjam has new Lakewood Ranch availability for Microneedling + VI Peels!

If you’ve been waiting for a Sunday appointment, we’ve added a few new dates:

Sunday, August 23
1:00 PM | 2:00 PM

Sunday, September 20
9:00 AM | 10:00 AM | 11:00 AM | 12:00 PM | 1:00 PM

Sunday, October 18
9:00 AM – 2:00 PM

Available treatments:
• Microneedling
• VI Peel
• Microneedling + PRF

I promise I do more than lips.

They’re just so beautiful to photograph.

Every pair is different, and every patient has a different idea of what they want. My job isn’t to create the same lips on everyone. It’s to sculpt lips that complement the face they’re on.

For this patient I chose 1 mL of Restylane Kysse for soft, natural enhancement. The goal wasn’t bigger lips. It was improved hydration, shape, balance, and subtle volume while preserving her natural anatomy.

These photos were taken at follow-up. She is healed, but you’ll notice a little residual swelling because we massaged a few small areas just before the photos to smooth the way the filler settled. That temporary swelling will continue to resolve.

Natural-looking lips aren’t about adding volume. They’re about respecting anatomy, listening to what each patient wants, and creating results that look like they were always meant to be there.

📍Heightened Aesthetics
Tampa & Lakewood Ranch

This result was achieved with just ½ syringe of Restylane Kysse. The after photo was taken immediately after treatment, so there is some expected tissue trauma.

As the lips heal over the next couple of weeks, they’ll soften, settle, and look even more natural. The goal isn’t to create a different set of lips. It’s to enhance what she already has with a little more hydration, definition, and balance.

Natural lips. Just refreshed.

Restoring support to the chin is one of my favorite treatments.

Chin recession doesn’t just affect projection. It can deepen the mental crease, create shadows beneath the lower lip, and make early jowling appear more noticeable.

For this patient, I used Restylane Defyne and Restylane Lyft to restore structural support to the chin, improve her chin recession, soften the mental crease, improve the labiomental fold, and create a smoother transition between the lower lip, chin, and jawline.

This treatment was performed during a live demonstration, so I intentionally focused only on the chin and lower face. She would be an excellent candidate for full facial balancing, where restoring support throughout the face would create even greater harmony and balance.

One of the things I love most about facial balancing is that it isn’t always about adding volume. More often, it’s about restoring support in the right place to soften shadows, improve facial proportions, and create natural-looking results.

Your Natural Beauty, Heightened.

For this patient, we used Heightened Aesthetics’ Sculpt & Lift Protocol:

• Sculptra was strategically placed throughout the peripheral face, including the temples and hairline, to stimulate collagen and rebuild the foundation.
• Restylane Contour restored soft, natural support to the medial cheeks.
• Restylane Lyft provided structure and lift to the lateral cheeks.
• Restylane Defyne refined the chin shadow, marionette lines, and nasolabial folds for subtle definition and support.

By treating the face as a whole rather than chasing individual lines, we restore balance, support, and proportion. The result is subtle, refreshed, and naturally youthful without looking overfilled.

Aging is a loss of bone, fat, collagen, and structural support. Heightened Aesthetics’ Sculpt & Lift Protocol is designed to address each of those changes in a thoughtful, comprehensive way.

✨ Your Natural Beauty, Heightened.

This is why consistency matters.

These before and after photos were taken 3 months apart after treating the glabellar complex (the muscles that create the “11s” between the eyebrows).

Notice the static crease. It’s still there, but it’s significantly softer than before.

Static wrinkles don’t disappear the day Botox starts working. They develop after years of repetitive muscle movement, and they improve the same way: gradually. Once the muscles are relaxed, the skin finally has the opportunity to remodel itself instead of being folded over and over again.

With consistent treatments, these etched-in lines often continue to fade and may eventually disappear altogether. Think of it as allowing your skin to catch up after years of repetitive motion.

Botox doesn’t just prevent future wrinkles. It can improve the ones you already have. It just requires time, consistency, and realistic expectations.

Your natural beauty, heightened

At least your skin will be glowing when you like that post from 2014 🫠

📍 Seminole Heights, Tampa
🔗 Book via link in bio