EVOLV Medical Aesthetics

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Real Skin Health Takes Work.

The mission of creating and maintaining skin that is optimally healthy, youthful, vibrant and cancer-free is a passion that all of us at evolv Plastic Surgery & Medical Aesthetics share and believe in. As summer comes to a close, it’s an excellent time to evaluate your skin health and make a personalized plan to achieve these goals for yourself. Summer is a time when many patients have had excessive sun exposure, lending itself to hyperpigmentation, fine lines, premature aging and pre-cancerous lesions (actinic keratosis). These skin issues are especially prevalent this time of year, not only in older adults but also in many younger patients.

Unfortunately, we are all inundated by companies promoting the next ‘miracle’ cream that promises to quickly and easily erase skin damage and restore youthful skin. Promotions by celebrities and very clever marketing are all around us in the media and online, convincing even well-educated consumers to buy their product with unproven promises and unrealistic expectations. The sales tactic of ‘snake oil’ in a bottle and promising more youthful and beautiful skin has always been and remains an extremely effective marketing technique. But the truth behind their marketing is that there is rarely any science or credible research to back up these claims, and the majority of consumers end up spending significant amounts of their resources for ineffective products that are cleverly packaged and promoted. There is definitely a lack of trust and credibility in the skin care and cosmetics industry.

After nearly 30 years of involvement and dedication in medical skin care and skin health, I can assure you that the advice of Dr. Obagi, “real skin health takes work,” is spot on! In order to repair, restore and rejuvenate aging or damaged skin, one must understand the physiology of healthy skin and how it is designed to function naturally and optimally. Years of research and the benefits of science and biotechnology have opened the door to many exciting possibilities in achieving and maintaining youthful and healthy skin, as well as reducing cancer risk by utilizing and respecting the natural functions of the skin. Research supports the basic principles of skin health which are the fundamental of the ZO Skin Programs:

  • Effective, but not traumatic, daily cleansing and exfoliation
  • Restoration of a normal maturation cycle through conditioning and stimulation
  • Repair of cell damage, excessive pigmentation, injury and disease
  • Protection and reduction of inflammation
  • Hydration and calming
  • Protection from ultraviolet radiation and reducing skin cancer risk

Because of the interactive nature of the skin, as well as ethnic and environmental factors, every patient’s program must be personalized to each individual’s ethnicity, lifestyle and unique skin characteristics. Obviously no single product or treatment can repair and restore skin health. A medical history, complete evaluation and understanding of the comprehensive nature of skin function and health by an experienced and knowledgeable professional are absolutely necessary for achieving youthful, healthy skin and reducing the signs of aging and risk of skin cancer.

Yes, restoring and maintaining beautiful, youthful skin takes work and commitment, but the results can be not only gratifying but life changing for those who ‘show up’ every day for their skin workout! If you would like to find out more, please contact an evolv medical aesthetician to learn about what a difference healthy and ageless skin can make in your life.

ensoCLUB Update

We are all more than thrilled to report that after introducing evolv’s ensoCLUB subscription for personalized, aesthetic treatment plans last month, we have had more than 115 new patients subscribe as new members! At evolv, we believe that a comprehensive plan as an ensoCLUB member is the most cost effective and successful way to achieve optimal results for each patient. Be sure to inquire and find out more about the game-changing benefits available to ensoCLUB members, and come see what all the excitement is about!

The Growth of Non Surgical Aesthetics

The latest statistics are quite remarkable: last year in 2017, there were over 20 million non-surgical cosmetic procedures performed in the U.S. and nearly 16 million of that number were injectables of Botox type neuromodulators and soft tissue volume replacement (fillers).  So what could possibly explain this explosive growth?

At evolv Plastic Surgery and Medical Aesthetics, we have a long term commitment and interest in ongoing education for our staff as well as our patients.  So let’s take a look at some of the reasons driving the increased demand and popularity of injectable soft tissue fillers and Botox type neuromodulators.

More natural long lasting results

Gone are the days of simply injecting Botox to the scowl lines of the forehead (glabella) or adding filler to the nasolabial folds to rejuvenate the aging face.  The commitment to comprehensive aesthetics at evolv is a holistic appreciation of all of the parameters of the aging face and body.  Along with the fundamentals of a personalized skin health program, a number of different FDA approved injectable neuromodulators (Botox/Xeomin/Dysport) may be used for different applications and results balancing facial expressions and movement to obtain a more youthful outcome as well as to reduce migraine headache triggers.  Patients may be surprised to learn that there are over 100 medically approved therapeutic indications for current Botox type treatments!  A new Botox type injectable (DaxibotulinumtoxinA or RT002) is scheduled for release soon and has the advantage of lasting 50% longer or up to 6 months.  Combining neuromodulators and soft tissue fillers properly can result in a natural and balanced youthful appearance that can be quite cost effective and lasting.  New ‘flexible’ fillers (Galderma’s Refyne and Defyne) which create volume replacement while maintaining harmonious movement in the face resulting in a more natural result along with less swelling.

Less chance for bruising, swelling and discomfort with treatments

For many patients, the risk of bruising and prolonged swelling with traditional injection is a major concern.  This risk can be minimized by the use of cannulas for soft tissue filler placement in some areas instead of needles.  In addition, advances in bioengineering and technology have resulted in new fillers that last longer and induce significantly less swelling (Allergan’s Voluma, Vollure and Volbella and Bellotero form Merz).  evolv recently introduced the ProNox system for patients which allows them to self-administer nitrous oxide gas to reduce the perception of any discomfort during treatment.  Finally, new formulations in topical numbing or anesthetic creams are more effective in reducing any discomfort during injection and other procedures in the office.  All of the above have significantly improved the patient experience during injectable treatments at evolv.

Expanding patient base and options

Because of the improvement in products and the potential for more natural and affordable outcomes, more patients, male and female, and of all ages, are seeking treatments.  Indications as well as ‘off label’ uses of FDA fillers and neuromodulators are providing more comprehensive and natural appearing results.  A few examples are the use of Botox for migraine prevention, and the use of injectable soft tissue fillers for rejuvenation of the aging hands as well as for correcting depressions and cellulite improvement on the body and buttocks.  A new category of fillers that induce soft tissue growth from the patient’s own cells are called ‘biostimulators’ and they include Sculptra and the new exciting product Renuva which is called an ‘adipose matrix’ and triggers natural fat and tissue growth in areas of scars or depression.

The importance of safety and training

As in all areas of aesthetics, the key to achieving high patient satisfaction and safety is comprehensive and ongoing training for all providers and staff. At evolv, education and patient safety are our passion and we believe it is everyone’s responsibility to keep patients safe and happy with their overall experience.  We take this commitment seriously because, as everyone is aware, complications and unfavorable results are all too common in cosmetic treatments.  The high demand for aesthetic treatments has outpaced the number of properly trained and credentialed service providers so it is especially important for anyone interested in these treatments to carefully research and understand the experience and training credentials of any provider offering services in aesthetic care.  Complications can be very difficult and expensive to treat and correct so we encourage any interested patient to be well informed before making a decision to undergo cosmetic treatment.

The advances in biomaterials, technology and research proven new products and techniques have resulted in significant improvement and new options in non-surgical facial and body rejuvenation with injectable soft tissue filler augmentation and Botox type neuromodulators.  Safety and longevity of results, when performed by a board certified/eligible plastic surgeon or properly trained registered nurse injector, have also resulted in a tremendous increase in the popularity of these procedures.  At evolv Plastic Surgery and Medical Aesthetics, we believe in and emphasize comprehensive aesthetic programs combining these options along with a personalized skin care plan as the most effective way to achieve long lasting and natural appearing outcomes for each patient.  And finally, evolv has recently introduced the ensoClub which is a private membership program with the benefits of reduced cost, preferred bookings and more affordable customized treatment plans.  If you are interested in more information on the ensoClub program be sure to ask any of the evolv professional staff.

The Organic Approach

Whether you just received a breast cancer diagnosis or have been living cancer free from your diagnosis for years, every survivor remembers their first consult. Not only the many doctor’s consults but also with family and friends. Everyone tries to piece together all the information they are being told.  Much has changed in breast reconstruction, especially in Toledo over the past year that we want all of our patients and friends to be aware of. We like to think we take a very “organic” approach to breast reconstruction and customize the approach to every patient’s goals and personal situation. Our focus is to give you as natural of a breast as possible while causing as little disruption to your body and your life as possible. 

There are 5 new advances in breast reconstruction that we want to bring to your attention. We would welcome a discussion with anyone who may have questions about these points, which we will only touch on in this newsletter.

1. Autologous Breast Reconstruction
2. New and Improved Implants
3. Breast Sensation Following Reconstruction
4. Save the Pecs!
5. Yellow Gold!

1. Autologous Breast Reconstruction
The prefix “Auto” means “self”. Therefore, reconstruction of your breast with “self”. We think this approach personifies the “organic” breast reconstruction. While traditionally (as well as today) many breast reconstructions are performed with tissue expanders and implants, there are several operative procedures that allow the surgeon to use your own tissues (wherever you have excess, but most commonly the abdomen) to reconstruct your breast. This can take place at the time of your breast removal or even years later, even after you may have already had implants. Through the use of microvascular reconstructive surgery, tissue can be removed from one part of your body and transplanted to your breast with a quicker recovery and with less disruption of where your tissue was removed than autologous operations (TRAM) of the past.

2. New and Improved Implants
If you elect to undergo an implant-based approach to your breast reconstruction, today’s implants have drastically improved. The “organic” approach to implant-based reconstruction is based around the concept that you want your implant to be more “natural breast like” in feel and shape than the implants of the past. Additionally, today’s implants are safer than they have ever been. When the correct implant is chosen for your body there is no doubt that today’s implant breast reconstructions can come closer than ever to your “organic” breast.

3. Breast Sensation Following Reconstruction
So, you have had your breast removed…it frequently is not discussed that you will not feel your reconstructed breast again. This is important to discuss and realize going into your reconstruction. While currently it is not possible to restore sensation if you opt for an implant-based reconstruction, there have been some exciting developments with autologous (auto=self) reconstruction. At the time of transfer of your tissue from one part of your body to your breast, the nerves to your breast can be connected to your tissue that supplies sensation or feel to your abdomen to allow you to regain some sensation to your breast again. We feel like this is an exciting development worth talking about as the “organic” breast is sensate, or able to be felt!

4. Save the Pecs! 
Of Course, we all want to preserve as much of the total breast as possible but cancer removal may not allow.  However, it may be possible to save your “Pec” muscle or pectoralis major muscle at the time of your breast reconstruction. Traditionally in implant-based breast reconstruction, the chest muscle, the pectoralis major, is lifted from the chest wall and the implant is placed beneath. This is not “organic” but was previously thought to give the safest, most reliable reconstruction. However, with advances in implants and other biologic material now at our disposal, we have been able to produce implant reconstruction above the muscle, where the breast “organically” resides. This allows for less pain, a more natural look, and quicker recovery to your normal activities.

4. Yellow Gold!
Yellow Gold! While jewelry was previously a girl’s best friend, we are here to report that the new yellow gold is your own “organic” supply- FAT! With the advent of new liposuction techniques, developments in processing the fat, and injection techniques, it is now possible to deliver a much more natural looking and feeling breast reconstruction. No matter if you choose implant or autologous reconstruction, most people benefit from a touch of liposuction from one part of your body with transfer to the breast. This can happen at any point in your reconstructive journey in order to produce the most “organic” breast reconstruction.

We sincerely hope everyone is enjoying this beautiful (and HOT!) time of year and look forward to welcoming you all to the office in the near future. We greatly value our relationship with each and every one of you.

evolv Forever Young BBL

What is Forever Young BBL?

Forever Young BBL is a patented technology by Sciton Laser that uses light energy to reduce the signs of aging in the skin and improve areas of pigmentation, vascular lesions, and redness. It has been shown by clinical studies at Stanford University Medical Center that this particular wavelength of light, broadband light or BBL, can actually stimulate skin cells and genes associated with youthfulness and turn back the clock. This technology is an especially exciting finding for patients committed to improving skin health and reducing skin aging.

What does Broadband Light (BBL) do?

Broadband Light treats and reduces brown spots or age spots as well as skin redness and blood vessels. With precise wavelength and power, the light energy is absorbed by pigmentation, spotty areas of sun damage, and melasma. Red areas of the skin also absorb the light energy, including small blood vessels, veins, or rosacea (a chronic inflammation of skin with persistent redness) and are permanently reduced.

In our experience, pulsed light or BBL is the only effective technology that permanently reduces rosacea, redness and pigmentation in the skin. Additionally, BBL can stimulate receptors on the skin cells, improving collagen production, which is critical to create more firmness and maintain youthful skin health.

What to Expect with evolv Forever Young BBL

The Forever Young BBL treatment is very well-tolerated. Most patients do not require topical numbing cream or anesthetic. Once the patient comes into the office and after the skin is cleansed, goggles are applied and the light treatment lasts approximately 15 minutes or less for the face. During treatment, patients will notice a warm sensation, or a warm rubber band snapping sensation in the skin which is usually quite tolerable. Topical numbing cream can be used if needed.

Typically there are no blisters or bruises associated with this treatment. Afterward, the skin may feel slightly red or swollen, but this is often negligible and subsides quickly. Patients may notice a slight amount of redness which generally fades within a few hours.

Evolv Forever Young BBL & Skin Care

In our experience at evolv Plastic Surgery and Medical Aesthetics, incorporating a personalized medical skin care program with light therapy treatments significantly improves results and reduces complications. We feel it is very important to have a balanced, long-term program to maximize the response of the skin, and overall improve the outcomes for each patient. Skin that is prepared prior to treatment will respond more favorably and consistently and also has a quicker healing time as well as avoids complications associated with patients who have no preparation before their laser or light treatments. Working with your professional aesthetician or physician is important when customizing these programs in order to provide comprehensive treatment and optimal outcomes. It should also be emphasized that daily skin care and sun protection are important in obtaining and maintaining these results.

Evolv Forever Young

Evolv Forever Young is unique and exciting, cutting-edge program incorporating balanced skin care combined with maintenance treatments or broadband light therapy once every three or four months to essentially stop the aging clock in the skin. Stanford dermatology studies have shown that patients treated with BBL over 10 years actually looked younger than when they started the program. BBL is proven by laboratory research that these treatments result in unique benefits such as stimulating the ‘genes of youth’ at a molecular level. This innovative treatment is a quite exciting way to basically prevent most of the undesirable changes associated with aging in the skin.

To learn more about this personalized program – contact our office today for more information or request your skin analysis.

The Proof of Regenerative Medicine

Regenerative Medicine, or the science of using a patients’ own tissues or products to restore or rejuvenate is going to change the way aesthetic and reconstructive treatments are done as well as dramatically improve their outcomes in many ways, surgical as well as non-surgical.  The term ‘rejuvenation’ is one that has been used by many and is often misunderstood or misconstrued so it needs to be carefully defined.  We define rejuvenation as the restoration of characteristics of youthfulness and health to aged cells and tissues.  These regenerative medicine therapies will offer the potential of targeted cell-based treatments that can repair, restore and rejuvenate aging or damaged cells and tissues in ways that are truly remarkable.   Here are just a few of the clinical options that are being offered by evolv for our patients in this area:

–   A new form of light therapy that has been proven to reverse and slow aging in the skin at the genetic level and can, with twiced a year maintenance treatments and medical skincare, prevent or slow the majority of visible aging changes in the skin for years. Researchers at Stanford University School of Medicine have confirmed this phenomenon in recent scientific and clinical studies.

–  Grafting a patient’s own fat cells enriched with their stem cells and blood product growth factors (‘platelet rich plasma or PRP) to rejuvenate aging skin, tissues, and provide ‘living’ volume replacement to restore aged or damaged tissues (as in actual evolv patient photo above).

Hair regeneration in men and women with the patient’s own stem cells, PRP and growth factor treatment that rejuvenates native hair growth and prevents or slows future hair loss, as well as eyelashes and brows.

Collagen stimulation and scar therapy (acne, stretch marks, etc) with non-surgical office treatments using natural growth factors and signaling proteins obtained from the patient

– A new topical multi functional product form ZO Skin Health that has therapeutic benefits in reducing red, sensitive skin and rosacea

-Combining aesthetic surgery procedures with pre-surgical ZO Skin Care and long term non-surgical maintenance programs incorporating Regenerative Medicine technologies to obtain optimal and long lasting results.

In summary, we are excited to ring in this New Year with this new science that can benefit the quality of life and health of our patients. Regenerative Medicine or ‘using your own tissues to heal’  represents a major health care paradigm shift and is one of the most exciting potential options in minimally invasive, surgical and non-surgical options currently available in aesthetics  and cosmetic medicine as well as in reconstruction.  Look for the ‘Forever Young evolv’ patient program coming soon to introduce these concepts and long term, personalized aesthetic programs for rejuvenation and health.

From all of us at evolv Plastic Surgery and Medical Aesthetics, we wish you a New Year of great health, joy and happiness!





Frank Barone MD FACS

Diets in the US – February 2018 Newsletter

Why your diet is NOT working…and probably NEVER will. 

January is National Dieting Month, and just about everyone has made some sort of post-holiday resolution to lose weight by cutting calories.  Every year brings a new diet and a new hope that this just might be ‘the one’ to restore our health and youthful contours.  But no matter how many celebrity-sponsored diets and enticing marketing claims are made, the results are almost always short-lived and disappointing.

Let’s look at what science has proven so that we find some realistic options that can truly benefit our overall health and well-being.

  1. Diets don’t work! They never will because calorie restriction is difficult to maintain long-term, and our bodies ‘learn’ to adjust and often rebound with later weight again.
  2. Weight loss alone doesn’t necessarily make you healthier. Although you may lose weight temporarily by restricting calories and starving yourself, your overall health requires regular exercise, reduced stress, adequate sleep and emotional well-being for you to be truly healthy.
  3. Focusing on dieting will distract your focus from the more important fundamentals of a sustainable, healthy and balanced lifestyle. As always, it’s the big picture that matters!
  4. Severe Calorie Restriction can lead to mood disorders and binge eating. More importantly, significant calorie reduction can rarely be maintained.

So what can we overweight and frustrated adults do?

Clinical research and nutritional research studies reveal that the real secret to healthy and long-term weight loss lies is in making a sustainable and comprehensive lifestyle change, not in the passing fads of calorie counting.

There are no effective, magic potions, celebrity ‘secrets’ or newly discovered gimmicks that will provide safe and healthy weight loss.  What really CAN work is making a personal commitment to a balanced and healthy lifestyle, emphasize a nutritious more plant-based diet, control portion sizes, learn to manage your stress, prioritize adequate sleep and do more of what makes you happy!

At evolv Plastic Surgery and Medical Aesthetics, we believe in long-term and comprehensive aesthetic programs that improve quality of life and happiness.  We care about all of our patients’ overall health.  We hope to inspire everyone to make healthier choices and improve their lifestyle and well-being through education, research and by providing safe and proven products, services and treatment.

So we invite and encourage everyone to focus on wellness, not weight.  Remember ‘weight’ is just a number, like ‘age,’ and not really as important as overall wellness and emotional well-being.  By learning and embracing better habits and lifestyle, respecting yourself and cultivating an attitude of thankfulness and gratitude, life can be a lot more fun as well as healthy.  After all, life is just too short to drink bad wine!






Dr. Frank Barone M.D., FACS

New Year, Better You!

It’s the New Year and traditionally that time to make our resolutions for self-improvement.  We often hear the phrase ‘New Year, New You,’ but there is a reason why less than 8% of us ever achieve our New Year’s resolutions – real change is difficult.  At evolv we believe in the power of optimal and personalized aesthetic care to improve quality of life for any patient, to create a better you – balanced and natural results improve and enhance your individualized features and youthfulness.  How can we help you get there… with planning, education, partnership and commitment!

So let’s look at the Top 10 Trends for Aesthetics in 2018 and discuss how they can achieve a Better You for the New Year:

  1. The Rise of Comprehensive Care 1+1+1≠3 = 10!

Synergy is a result that is more than the sum of its parts.  For 2018 at evolv, we are focusing on comprehensive aesthetic plans individualized to each patient which will provide longer-lasting, more natural-appearing, youthful outcomes for greater value.  This is possible by combining less invasive techniques, services and products based on each patient’s goals, budget and aging patterns.  Stop in to learn more about this exciting program.

  1. Non-Surgical Face, Breast and Body Tightening

New technology in energy devices (J-Plasma), radio frequency with ultrasound (Exilis Ultra) and acoustic wave energy (Cellutone) can result in significantly more tightening and lifting of facial, neck, breast, arm and body skin in appropriate patients without surgery.  Non-surgical fat loss by proprietary radio frequency technology (Vanquish ME) is also an exciting and developing non-surgical option.

  1. Botox 2.0

New uses for neuromodulators (Botox, Dysport, and Xeomin) are expanding.  One example is the ‘Micro Botox’ technique which uses tiny droplets of neuromodulator injected more superficially in the skin to improve fine wrinkles, as well as skin texture and quality.  A new, longer-lasting and more effective form of Botox is scheduled for release in 2018.

  1. Natural Appearing Lips

The days of that over-filled lip look are fading with improved techniques and new filler products that restore youthful balance, while respecting each patient’s unique anatomy.  Longer-lasting bioidentical products used properly with a ‘less is more’ approach will be more desirable.  More effective topical anaesthetics provide better comfort with lip procedures.

  1. Effective Vaginal Rejuvenation

The recent release of Ultra Femme 360 from BTL Aesthetics provides no downtime and comfortable improvement of internal and external laxity, as well as significant reduction in bladder stress incontinence with a greater than 90% satisfaction rate.  New surgical techniques in labiaplasty for aesthetics and comfort have increased by over 30% from last year.

  1. Jaw Definition for Men and Women

Defining and enhancing the jawline non-surgically with injectable volume fillers, fat grafting, Kybella injections, J-Plasma subdermal contouring and Exilis Ultra treatments have provided new options and improved results for male and female candidates.  More natural results and contouring better enhance each patient’s appearance.

  1. Tummy Tucks with less discomfort and without drains

Eliminating drains from most tummy tucks or abdominoplasties is an evolving technique that is growing in popularity.  The use of long-acting pain blocks (Exparel) and new non-narcotic medication have resulted in less discomfort and downtime for patients.

  1. Hair Regeneration and Scarless Hair Grafting

Transplanting individual hair follicles without a donor site scar with the NeoGraft system can restore a natural hair line in men and women.  Using new topical products (Hair Medica), combined with regenerative medicine techniques utilizing platelet rich plasma (PRP), natural growth factors and stem cells may reduce or stop hair loss and rejuvenate hair follicles in appropriate patients.

  1. Advances in Medical Skin Care

ZO Skin Health continues to innovate with the development of new products and services that restore skin health and youthfulness with research-proven technology.  Stop in to learn about topical products that will effectively reduce pore size, facial redness, excess pigmentation, acne and fine lines from our evolv licensed aestheticians.

  1. Using Laser and Light Energy to Restore and Maintain Youthful Skin

Lasers and light therapy options for skin treatment have evolved significantly.  One of the most innovative and exciting technologies is Sciton’s Broad Band Light (BBL) treatment to rejuvenate and maintain youthful cell function at the genetic level.  Recent clinical research studies have proven that proper BBL treatment can reduce and delay skin aging at any age.  Less-downtime laser peels with tuneable energy provide varied and customizable options for facial resurfacing.

All of us at evolv are excited about these new innovations and disruptive technologies that will offer improved and natural results for patients of all ages.  Please stop in to learn how a personalized and comprehensive aesthetic plan can provide a better you for 2018 and beyond.

We wish you all of you a very Happy and Healthy New Year!





Frank Barone, MD, FACS

Crisis in American Health

Did you know that the average US adult today weighs over 26 pounds more than they did in the 1950’s?

Over one-third of Americans are obese and another third are overweight. The result is affecting every family in this country, and will cost us nearly 200 billion dollars this year…yes, this is a crisis.

At evolv Plastic Surgery and Medical Aesthetics, we see patients and families whose lives are affected every day by the obesity epidemic.  Patients are at higher risk of complications with surgical care because of type 2 diabetes, high blood pressure, and other weight-related consequences that increase risks unnecessarily.

So what can we do as a plastic surgery and aesthetic practice and how can we make a difference in this complicated and multifaceted issue?  We have personally experienced the power of appropriate and balanced reconstructive and aesthetic care to improve quality of life for any patient at any age.  We know through many years of personal experience that patients who experience positive results with improving skin health, reducing cancer risk, restoring more youthful and attractive features feel better and, just as importantly, are more motivated to make healthier lifestyle choices such as activity levels and exercise, nutritional choices, and just taking better care of themselves.  Perhaps patients who are more confident will have more success in healthy weight loss when they feel more positive and attractive?

Maybe motivation is the real key to losing weight and living a healthier life!

Well, this isn’t just a theory, it is actually supported by a number of recent clinical studies and it is consistent with our long-term patient experience here at evolv.  We care about our patients’ overall health and we are passionate about what we do….we truly believe everyone has the potential to Live Longer, Better!

Obviously, the answer isn’t simple or that easy but all of us at evolv would like to especially emphasize for the month of November on encouraging our patients and their families to focus on their nutrition, their weight, and activity levels and we hope to do that with education, encouragement and motivation!

After all, this is a crisis affecting every family at every level of society, and we believe we can make a difference by using our experience and training to help our patients and their families.  So please check with our staff to learn about our individualized programs and November promotions. Find out how we can help and how you can make a difference not only in your life and in your motivation, but also in those around you as well.

So Happy Thanksgiving to all and remember to keep moving, learn about your health, and take it easy on the gravy and stuffing over the holidays!





Frank Barone, MD, FACS

Summer Newsletter 2017

Summer is now in full swing and as always moving by much too quickly. All of us at evolv Plastic Surgery and Medical Aesthetics wish you a great season of outdoor activities, vacation and family time. As skin care professionals we also hope that you will be vigilant in protecting yourselves and your family from excessive exposure to the damaging ultra-violet rays of the sun. Maintaining long term skin health, reducing skin cancer risk and premature skin aging requires education, consistency and vigilance. New advances from ZO Skin Health in sunscreen technology and in reversing the signs of aging are quite exciting so be sure to inquire about options at evolv from any of our professional staff.

Although many people are traveling and taking a break from work related activities at this time of the year, the staff at evolv have been busy planning and preparing some new and innovative ideas and options in cutting edge aesthetic care for our patients for the rest of the year as well as 2018, including:

  • State of the art hair restoration of the scalp and eyebrows for men and women with thinning or hair loss.
  • No downtime light treatment that has been proven to reverse aging changes in the skin at the genetic level.
  • The possibility to restore feeling and sensation for post-mastectomy patients by microsurgical nerve reconstruction.
  • Skin resurfacing and peels with minimal recovery time utilizing new technology laser and light energy treatments.
  • In-office non-surgical fat reduction, body contouring and cellulite improvement with combination radio frequency therapy.
  • Value added patient loyalty and new patient rewards programs.
  • New state of the art products and services from evolv and ZO Skin Health.
  • Volbella XC & Vollure XC, Just Released, longer-lasting natural injectable fillers from Juvederm that restore volume and reduce the signs of aging.

Our mission and passion at evolv are to provide personalized, state of the art, research proven surgical and non-surgical aesthetic care with optimal safety and confidentiality. Over the next few months, our entire team will be hard at work developing and implementing new cutting-edge services and products for innovative patient care options. So stay tuned!

We are also very excited to introduce our new Plastic Surgeon, Dr. Peter Koltz, his wife Brooke and their four children to our evolv family. Dr. Koltz brings world class and unique training skills in microsurgical breast reconstruction in Toledo, which will provide exciting new options for many breast cancer and reconstruction patients of all ages.

Please stop by evolv at any time to learn more. We look forward to hearing from you!

Frank Barone, MD, FACS

Introducing Dr. Peter Koltz

evolv has some exceptional news to share with our readers, as well as the Toledo community!

We are all very excited to announce that Dr. Peter Koltz will be moving to Toledo joining St. Luke’s Hospital and working with Dr. Barone and evolv Plastic Surgery and Medical Aesthetics starting this July. 

Dr. Koltz is a Toledo native and graduate of St. John’s Jesuit High School and just completed his one-year post-graduate fellowship at the world-renowned Institute for Microvascular Surgery at the University of Pennsylvania School of Medicine in Philadelphia. Dr. Koltz completed a Plastic and Reconstructive Surgery Residency as well as a General Surgery Residency at the prestigious University of Rochester Medical Center in Rochester, New York. Dr. Kotz is married to Dr. Brooke Koltz, also a physician, and they have four young children.

I believe that having a physician and plastic surgeon with Dr. Koltz’s exceptional training background and research experience will be a tremendous and positive opportunity for the entire Toledo and Northwest Ohio community. 

In addition to having a strong background in all areas of plastic surgery, Dr. Koltz completed an additional year of fellowship training, which will bring to our community the most advanced techniques in reconstruction and microvascular tissue transfer, providing breast cancer and other complex cancer patients’ unique options and advantages after cancer resection, radiation and other deformities.

Dr. Koltz’s unique training and skill will provide our evolv Plastic Surgery practice with the most comprehensive and state-of-the-art services and programs in plastic surgery and aesthetics; a tremendous opportunity and benefit for our community.

Please join us in welcoming Drs. Peter and Brooke Koltz and their family back to the Toledo area. We invite all of you to stop by evolv to learn more about this exciting news!

Dr. Frank Barone