How We Approach Your Concerns at Charlotte Skin & Laser
Every patient comes to us with a unique mix of goals, concerns, and skin conditions – from fine lines and sun damage to acne, scarring, redness, and hair loss. At Charlotte Skin & Laser, Dr. Elizabeth Rostan and her team use a systematic yet flexible approach so your treatment plan always matches your skin, lifestyle, and priorities.
What Are the 4 Rs of Rejuvenation?
Relax, Renew, Restore, Retighten
Dr. Elizabeth Rostan’s signature 4 Rs of Rejuvenation – Relax, Renew, Restore, and Retighten – form the backbone of how we design cosmetic treatment plans for aging, texture changes, discoloration, and many other cosmetic concerns. By uniting these four pillars, we can address fine lines, volume loss, skin laxity, uneven tone, and scars in a coordinated way instead of chasing one issue at a time.
- Relax: Soften lines caused by repeated muscle movement (frown lines, crow’s feet, forehead wrinkles) using neuromodulators such as Botox®, Dysport®, Jeuveau®, Xeomin®, and Letybo®.
- Renew: Improve tone, texture, and color by treating sun damage, brown spots, visible pores, roughness, and certain types of acne scarring with advanced laser rejuvenation and skin tightening, IPL photofacial, Fraxel, UltraClear, microneedling, and more
- Restore: Rebuild youthful contours and support structures with injectable dermal fillers such as the Restylane® and Juvéderm® families, Belotero Balance®, and biostimulatory fillers like Sculptra® and Radiesse®.
- Retighten: Firm and lift lax skin on the face, neck, and body with energy-based skin tightening technologies such as Genius RF, Exilis, Venus Legacy, Pellevé, ThermiTight RF, and thread lifting.
This 4 R framework supports not only anti-aging goals but also many concerns related to acne, scarring, redness, and overall skin quality.
What Are the Common Concerns We Treat?
Whether you are bothered by something you see in the mirror or a diagnosis from your dermatologist, we help you connect your concern to the right combination of treatments. Your specific concern may fall into more than one category; that is where the 4 Rs framework helps us build a targeted, efficient plan for you. Below are examples of concerns patients regularly explore with our team:
Texture, pores, and scars
- Acne scarring and other surgical or traumatic scars
- Roughness, enlarged pores, and uneven texture
- Early crepey changes on the cheeks, neck, or around the eyes
Aging, wrinkles, and fine lines
- Forehead lines, frown lines, and crow’s feet
- Creases around the mouth and chin
- A general “tired” or sagging look to the face and neck
Redness and visible blood vessels
- Rosacea-related redness and flushing
- Broken capillaries and facial veins
- Red or pink scars that remain prominent over time
Brown spots, sun damage, and discoloration
- Sunspots, age spots, and melasma
- Uneven tone after years of sun exposure
- Blotchy or dull skin that does not respond to skincare alone
Body contour and skin laxity
- Acne scarring and other surgical or traumatic scars
- Roughness, enlarged pores, and uneven texture
- Early crepey changes on the cheeks, neck, or around the eyes
Hair and scalp concerns
- Thinning hair and reduced density
- Early hair loss with or without underlying scalp disease
How Do We Match Concerns to Treatments?
During your consultation, we start with your primary concern – what you notice first and what bothers you most – and then map it to the tools that best address it. Many patients benefit from a combination of treatments across the Relax, Renew, Restore, and Retighten pillars.
Relax:
Frown lines, crow’s feet – Botox®, Dysport®, Jeuveau®, Xeomin®, Letybo®
Renew:
Sun damage, brown spots, melasma, moles, acne and psoriasis – IPL photofacial, Fraxel, UltraClear, Melasma Treatment , Dry Skin, Acne Treatment, Mole/Growth Checks Screening, Skin Cancer Screening, Pediatric Dermatology
Restore:
Volume loss, deeper folds – Restylane®, Juvéderm®, Belotero Balance®, Sculptra®, Radiesse®
Retighten:
Skin laxity (face, neck, body) – Genius RF, Exilis, Venus Legacy, Pellevé, ThermiTight RF, thread lifting
Renew & Retighten:
Acne scarring, rough texture – UltraClear, Fraxel, SkinPen® microneedling, Genius RF, Tixel, Venus Viva
Redness, rosacea, veins – IPL, VBeam, Rosasia Treatment
Renew & Restore:
Thinning hair – Hair restoration, scalp-focused laser and regenerative therapies
Because we also provide full-spectrum medical dermatology care, we can integrate acne, rosacea, eczema, skin cancer surveillance, and other diagnoses into your long-term plan when needed.
Retighten & Body:
Stubborn fat pockets, contour – CoolSculpting® Elite, Accufit, Venus Legacy, body contouring
What Should You Expect During Your Visit?
Your visit starts with a detailed conversation about your skin history, lifestyle, and goals, followed by a thorough skin examination with Dr. Rostan or another member of our expert team.
- Clarify your diagnosis and concerns – distinguishing, for example, active acne from acne scarring or rosacea from sun sensitivity.
- Focus on your goals – whether that is softening a particular line, refining overall texture, or dealing with a long-standing scar.
- Build a phased plan using the 4 Rs – starting with the treatments that give the greatest impact and layering others over time as needed.
- Support you with professional skin careand follow-up – so you can maintain results with the right at-home regimen and periodic maintenance treatments.
Our aim is to offer options, explain trade-offs, and help you choose the path that feels right for you – not to pressure you into a single solution.
Ready to Talk About Your Concerns?
Whether you are exploring anti-aging options, looking to improve acne scarring, or trying to calm redness or irritation, we are prepared to help you navigate your choices with a clear understanding and assurance.
To get started, call us at (704) 333-9113 or schedule your appointment online so we can tailor a 4 Rs–based plan to your particular concerns with Dr. Elizabeth Rostan and her team.
