Real Patients · Clinical Records
Real Results Gallery · Before & After
All cases are real ID Cosmetic Clinic patient records with signed written Media Release Forms. Photos unretouched.
Real Before & After Photos · By Concern
Skin Concerns
View All ›Dr. Xu's Real Melasma Treatment Cases
The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. All photos are unretouched clinical records. Individual results vary based on skin type, Fitzpatrick classification, and treatment adherence.


Case 9 · Melasma Clinical Record
- Ideal candidate profile
- Asian Female · Fitzpatrick IV · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® + 2 additional treatments — 5 items total (4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 09: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 Years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian Female · Fitzpatrick IV · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 13: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 17 · Melasma Clinical Record
- Ideal candidate profile
- Asian Female · Fitzpatrick IV · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 17: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 Years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 18 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 18: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 20 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 20: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 21: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 22 · Melasma Clinical Record
- Ideal candidate profile
- Asian Female · Fitzpatrick I · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + M22® IPL Photofacial (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 22: Melasma Before & After · Asian Female · Fitzpatrick I · Duration 5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- 9-12 months later for a Juvéderm® touch-up
Case 01: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting + 15 additional treatments (multiple sessions within 3 months) — 17 items total
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 06: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 11: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 11 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Long-term duration
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 11: Melasma Before & After · Asian Female · Fitzpatrick IV · Long-Standing Duration · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 45 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 45: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 46 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 46: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 49 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 49: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 52 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 52: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 53: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 71 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 71: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu's Real Freckles Treatment Cases
The following before-and-after images are authentic clinical records of freckle treatments performed by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. Photos are unretouched clinical documentation. Individual results may vary based on skin type, Fitzpatrick classification, and post-procedure sun protection compliance.


Case 3 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 03: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 4 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 04: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 5 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 05: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Vbeam® and 1 additional modality — 5 treatments total (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 07: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 9 · Authentic Freckle Treatment Record
- Client Profile
- Asian Male · Fitzpatrick IV · Long-Term Results
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® — 6 modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Annual follow-up + long-term SPF 50+ · Touch-up session if needed
Case 09: Freckles Before & After · Asian Male · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 11 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 11: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 12 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 12: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 13 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 13: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 15 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 15: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 16 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 16: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 17 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 17: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 18 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 18: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 19 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 19: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 20 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 20: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 21 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® and 4 additional modalities — 7 treatments total (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 21: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 22 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 5 additional modalities (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 22: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 23 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 5 additional modalities (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 23: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 29 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 29: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 31 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 31: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 32 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 32: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Lasting 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 33 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 33: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 34 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 34: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 40 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick I
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- (3 multiple sessions within months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 40: Freckles Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 6 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona® 4D Lift and 14 additional modalities — 17 treatments total (multiple sessions over 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 06: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 07: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 8 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 08: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Lasting 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 8 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening + PicoSure® + PicoSure Pro® — 5 procedures (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® and 5 modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 09: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 12 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® and 5 modalities (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 12: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 5 Years
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 13: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 5 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 14 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + thread-lift double eyelid — 16 procedures (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Botox Micro-dose 4-month maintenance + Juvéderm® lip line enhancement
Case 14: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 17 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 5 Years
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 17: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 5 Years · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 18 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 18: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 20 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 20: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 21 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 21: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 22 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick I · Results Lasting 5 Years
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + IPL Photofacial (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 22: Freckles Before & After · Asian Female · Fitzpatrick I · Results Maintained 5 Years · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 38 · Freckles: Real Patient Results
- Client Profile
- Asian Male · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 38: Freckles Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 39 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 39: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 40 · Freckles: Real Patient Results
- Client Profile
- Asian Male · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 40: Freckles Before & After · Asian Male · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 41 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 41: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 42 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 42: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 45 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 45: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 46 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 46: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 49 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 49: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 52 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 52: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 53 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 53: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 71 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 71: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu's Real Clinical Cases: Age Spot / Sun Spot Treatment
The following four cases were treated personally by Dr. Dan Xu at the Toronto Markham clinic and are shared with written Media Release Form authorization. Age spots are highly prevalent among Asian Canadians aged 40+, yet they typically respond to treatment better than melasma.


Case 1 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 01: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 02: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 03: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- (3 multiple sessions within months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 04: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 38: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 39 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 39: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 40: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 41 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 41: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 42 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 42: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 43 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 43: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 44 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 44: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 45 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 45: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 46 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 46: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 48 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 48: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 49 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 49: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 52 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 52: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 53: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 54 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 54: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 71 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 71: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 76 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 12 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 76: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Duration: Long-Term · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 76 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 2 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 76: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- 9-12 Filler top-up after months
Case 01: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 04: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting and 17 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 06: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 2 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 09: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Duration Long-Term · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 11: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration Long-Term · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 20 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 20: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 21: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 32 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 32: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham
Real uneven-skin-tone treatment cases by Dr. Xu
The following four cases were treated personally by Dr. Dan Xu at the Toronto · Markham clinic and are used with Media Release Form authorization. The causes of uneven skin tone are complex, subtypes differ significantly, and individual responses vary — actual results are subject to consultation assessment.


Case 4 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I
- Concerns addressed
- VISIA Dual pigment + erythema metrics · Uneven skin tone · Mixed pigment and redness
- Treatment plan
- Dual picosecond combination + Pico® brightening rejuvenation + PicoSure® honeycomb + AI BBL HEROIC™ photofacial — 6 treatments total (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Uneven skin tone before treatment · Asian female · Fitzpatrick I · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Laser treatment for telangiectasia + Genius™ + Infini™ second-generation RF microneedling + Lutronic INFINI® gold RF microneedling (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 01: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 2 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick IV · 3–5 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Fotona® redness-reduction laser + laser treatment for telangiectasia + Vbeam Perfecta® pulsed dye laser + Vbeam® redness removal and 12 other items (1 session)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 -month maintenance + at-home care
Case 02: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · present for the past 3-5 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 3 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 03: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 04: Uneven skin tone before treatment · Asian female · Fitzpatrick I · 2–3 year history · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination + Pico® brightening rejuvenation + PicoSure® honeycomb + PicoSure Pro® platinum honeycomb — 8 treatments total (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual pico-laser combination + Pico® brightening rejuvenation + PicoSure® + PicoSure Pro® and 9 other treatments (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 05: Uneven skin tone before treatment · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona™ 4D® lifting — 17 treatments total (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 06: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 7 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 07: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick I · present for the past 2-3 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 8 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 08: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual pico-laser combination + Pico® brightening rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- PRP Quarterly × 1 + Ultherapy 18-month maintenance + strict sun protection
Case 08: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 09: Uneven skin tone before treatment · Asian female · Fitzpatrick I · 2–3 year history · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 10: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick I · present for the past 2-3 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 11 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 11: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 12 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick IV · long-standing condition
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 12: Uneven skin tone before treatment · Asian female · Fitzpatrick IV · Long-standing · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Real uneven-skin-tone record
- Client profile
- Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Pico® Brightening rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 16: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · noticeable for the past 1-2 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 38 · Real Uneven Skin Tone Record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 other items (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 38: Uneven skin tone before treatment · Asian male · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Documented uneven skin tone journey
- Client profile
- Asian male · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 other items (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 40: Uneven skin tone pre-treatment comparison · Asian male · Fitzpatrick IV · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 41 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 other items (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 41: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Real Dull Skin Cases by Dr. Xu
The following four cases were personally assessed and treatment-planned by Dr. Dan Xu at our Toronto · Markham clinic, with Media Release Form authorization. The causes of skin dullness vary significantly (slow metabolism / barrier / glycation / hypoxia), individual responses differ, and actual outcomes are determined during consultation.


Case 5 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns Addressed
- VISIA Assessment · Dull skin · Stratum corneum buildup + poor microcirculation
- Treatment Plan
- Acne Clearing AI BBL HEROIC™ + AI BBL HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL Photofacial, and 19 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Hydrafacial/Monthly mesotherapy × 1 + sun protection
Case 05: Dull skin before treatment · Asian female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV · Persistent for nearly 3–5 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Fotona® Redness Reduction Laser + Laser Vascular Treatment + Vbeam® Perfecta + Vbeam® Redness Clearance and 12 other treatments (1 session)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + home care
Case 02: Dull Skin Before Comparison · Asian Female · Fitzpatrick IV · Persistent for nearly 3-5 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 3 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 03: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 04: Skin Dullness Before Treatment · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + PicoSure Pro, and 8 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + AI BBL HEROIC™ Photofacial, and 6 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Pico combination + Pico® whitening & rejuvenation + PicoSure® + PicoSure Pro® and 9 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 05: Skin Dullness Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Real Dull Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona 4D + Fotona® 4D Lifting and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 06: Dull Skin Before Comparison · Asian Female · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 7 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 07: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 8 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 08: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Pico combination + Pico® whitening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- PRP Quarterly × 1 + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 09: Skin Dullness Before Treatment · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 10: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 10 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 10: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 11 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 11: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 12 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick IV · Long-term duration
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- PicoSure® + PicoSure Pro + PicoWay (1-2 sessions)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 12: Dull skin before treatment · Asian female · Fitzpatrick IV · Long-standing · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick IV · Noticeably persistent for 1-2 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Pico® Whitening & rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 16: Dull skin before treatment · Asian female · Fitzpatrick IV · Noticeable for nearly 1–2 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Real Dull Skin Record
- Client profile
- Asian Male · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 38: Skin Dullness Before Treatment · Asian Male · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Real dull skin record
- Client profile
- Asian Male · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 40: Dull Skin Before Comparison · Asian Male · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 41 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 41: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Rosacea Treatment Cases
The following four cases were personally treated by Dr. Dan Xu at our Toronto · Markham clinic and are shared with signed Media Release authorization. Rosacea subtypes vary significantly and individual responses differ — actual outcomes are determined at consultation.


Case 2 · Real rosacea documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Rosacea (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness clearance + Vbeam® sensitive-skin repair + Genius™ + Infini™ 2nd-generation RF microneedling, totaling 7 modalities (multiple sessions within 3 months)
- Improvement
- Marked improvement in rosacea · natural overall result
- PIH Risk
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly assessment
Case 02: Rosacea Before Comparison · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Rosacea Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Rosacea (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness elimination + Vbeam® sensitive-skin repair + pulsed dye laser, Vbeam® vascular treatment + Genius™ and 7 other services (multiple sessions within 3 months)
- Improvement
- Marked improvement in rosacea · natural overall result
- PIH Risk
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly assessment
Case 05: Rosacea before & after · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 57 · Real Rosacea Documentation
- Client profile
- Asian female · Fitzpatrick I · recurrent flares over multiple years
- Concerns
- Rosacea (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Ai BBL® HEROic™Photofacial + acne clearing — AI BBL HEROIC™ + AI BBL HEROIC™ intelligent photofacial + AI BBL HEROIC™ redness recovery and 23 other services (4–6 sessions)
- Improvement
- Marked improvement in rosacea · natural overall result
- PIH Risk
- No PIH
- Maintenance
- Hydrafacial/Monthly hydrating injection × 1 + sun protection
Case 57: Rosacea Before Comparison · Asian Female · Fitzpatrick I · Persistent, recurrent for years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Dr. Xu's Real Clinical Cases: Facial Redness & Visible Vessels
The following before-and-after images are from real clients treated personally by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. Facial redness and visible vessels (Facial Erythema · Telangiectasia · including Rosacea spectrum ICD-10 L71) requireDifferentiating vascular component vs. barrier dysfunction vs. rosacea subtype classification, All photos are unretouched clinical documentation.


Case 1 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Laser vascular clearance + Vbeam® redness reduction + Vbeam® sensitive skin repair + Lutronic Genius® and 2 additional treatments (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Annual maintenance energy session + at-home retinoid
Case 01: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 3 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Male · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness-reduction laser + Vbeam Perfecta pulsed dye laser (2–3 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Vbeam Quarterly maintenance session × 1 + sun protection
Case 03: Facial Redness & Broken Capillaries — Before & After · Asian Male · Fitzpatrick IV · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 4 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Female · Fitzpatrick I
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Pico® Brightening & Skin Rejuvenation: PicoSure® + PicoSure Pro® + PicoWay®, and 14 other options (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 04: Facial Redness & Broken Capillaries — Before & After · Asian Female · Fitzpatrick I · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Male · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness-reduction laser + Vbeam Perfecta pulsed dye laser (2–3 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Vbeam Quarterly maintenance session × 1 + sun protection
Case 01: Facial Redness & Visible Vessels — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional treatments (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 9-12 months later for filler top-up
Case 01: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 2 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Diffuse redness reduction + Vbeam® sensitive-skin repair + Genius™ + Infini™ second-generation RF microneedling, and 7 other options (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 02: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: approx. 3–5 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness-reduction laser + vascular laser + Vbeam® pulsed-dye laser + Vbeam® diffuse redness treatment, and 12 other options (single session)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Sofwave/Ultherapy 18-24 Monthly maintenance + at-home care
Case 02: Facial Redness & Broken Capillaries — Before & After · Asian Female · Fitzpatrick IV · Duration approx. 3–5 years · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive skin repair + Vbeam® vascular treatment + Genius™ and 3 additional treatments (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 05: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 5 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Skin Clearing & Acne: AI BBL HEROIC™ + AI BBL HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL, and 19 other options (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 05: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 6 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive skin repair (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 06: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 7 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Vbeam® Perfecta, and 5 other options (1–2 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 07: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Duration: Long-Term · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 7 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 07: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 8 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 08: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration: approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 08: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration: approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Male · Fitzpatrick I · Duration approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 09: Facial Redness & Visible Vessels — Before & After · Asian Male · Fitzpatrick I · Duration: ~2–3 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 09: Facial Redness & Broken Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 10 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 10: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 10 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 10: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 12 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: 6–12 Months
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Dual Picosecond Combination Therapy: PicoSure® + PicoSure Pro® + PicoWay®, and 5 other options (3–4 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 12: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Duration: 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 13 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 13: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration: approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Male · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam® Vascular Laser + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Repair + Lutronic Genius® Intelligent RF Microneedling — and 5 modalities (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Annual maintenance energy session + at-home retinoid
Case 16: Facial Redness & Visible Capillaries — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 23 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 1 additional treatment (1–2 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 23: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick IV · Duration: long-term · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 57 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: recurrent episodes over many years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Ai BBL® HEROic™AI BBL HEROIC™ + AI BBL HEROIC™ Intelligent Photorejuvenation + AI BBL HEROIC™ Redness Reduction & Repair — and 23 other modalities (4–6 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 57: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: Recurrent flares over many years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu's Real Cases: Comprehensive Acne & Post-Acne Mark Treatment
The following before-and-after images are from real clients treated personally by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. Acne (Acne Vulgaris · ICD-10 L70.0) requires an extended treatment course. All photographs are unretouched clinical records. Individual results vary based on skin type, Fitzpatrick phototype, hormonal status, and treatment adherence.


Case 1 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Vascular Reduction + Genius™ + Infini™ Second-Generation RF Microneedling + Lutronic INFINI® RF Microneedling (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 01: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 2 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness Elimination + Vbeam® Sensitive Skin Restoration + Genius™ + Infini™ Second-Generation RF Microneedling, and 7 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 02: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Acne Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser vascular reduction + Vbeam® Perfecta IPL + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities (multiple sessions over 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 03: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Acne Real Clinical Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser vascular reduction + Vbeam® Perfecta IPL + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities (multiple sessions over 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 04: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive skin repair + Vbeam® vascular lesion treatment + Genius™ — 7 modalities (multiple sessions over 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 05: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness elimination + Vbeam® sensitive skin restoration (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 06: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Acne Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ Skin Clarifying & Acne Treatment + Laser Vascular Reduction + Vbeam® Perfecta Pulsed Dye Laser + Vbeam® Redness Elimination, and 8 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 07: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 13 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ skin-clearing & acne treatment + laser vascular reduction + Vbeam® intense pulsed dye laser + Vbeam® redness elimination — 5 modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 13: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 15 · Acne – Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Lutronic Genius®Morpheus8® + Lutronic INFINI® radiofrequency microneedling + erbium laser (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 15: Acne Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 16 · Acne Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Vascular Reduction + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Restoration + Lutronic Genius® Intelligent RF Microneedling, and 5 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 16: Acne & Breakouts Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 17 · Acne Real Clinical Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Lutronic Genius®Smart RF microneedling (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 17: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 18 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Vascular Reduction + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Restoration + Lutronic Genius® Intelligent RF Microneedling, and 5 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 18: Acne Treatment Before & After · Asian Male · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 22 · Acne Real Patient Record
- patient profile
- Asian Male · Fitzpatrick I · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ Skin Clarifying & Acne Treatment + Mesotherapy (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Hydrafacial Monthly in-clinic session × 1 + home-use AHA/BHA + prescription retinoid + sun protection
Case 22: Acne Treatment Before & After · Asian Male · Fitzpatrick I · Persistent, Recurrent Acne for Years · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Thread Vein Removal + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling, and 6 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 01: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick I
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ Skin Clarifying & Acne Treatment + AI BBL HEROIC™ Redness Reduction + LUMECCA IPL + M22® IPL Photofacial, and 19 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 05: Acne & Breakouts Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, long-term, years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Dual Picosecond Combination Therapy: PicoSure® + PicoSure Pro® + PicoWay®, and 7 other modalities (1–2 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 21: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Persistent, Long-Term · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 23 · Acne Real Clinical Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, long-term, years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Dual Picosecond Combination Therapy + PicoSure® + PicoSure Pro® + PicoWay®, and 5 other modalities (1–2 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 23: Acne – Before & After · Asian Female · Fitzpatrick IV · Persistent, Long-Term · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ skin-clearing acne protocol + Vbeam® Perfecta IPL + Vbeam® redness reduction + Genius™ — 5 modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 53: Acne – Before & After · Asian Female · Fitzpatrick IV · Persistent, Recurring for Years · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 54 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ skin-clearing acne protocol + Vbeam® Perfecta IPL + Vbeam® redness reduction + Genius™ — 5 modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 54: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Persistent, Recurrent Acne for Years · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 55 · Acne Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, and 5 other modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 55: Acne Before & After · Asian Male · Fitzpatrick IV · Persistent, recurrent breakouts over multiple years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 56 · Acne Real Clinical Record
- patient profile
- Asian Male · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, and 5 other modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 56: Acne & Breakouts Before & After · Asian Male · Fitzpatrick IV · Persistent, Recurring for Years · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 57 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick I · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Ai BBL® HEROic™Photofacial + Acne Clearance: AI BBL HEROIC™ + AI BBL HEROIC™ Smart Photofacial + AI BBL HEROIC™ Redness Relief, and 23 other modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 57: Acne Before & After · Asian Female · Fitzpatrick I · Persistent, recurrent breakouts over multiple years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham
Real Acne Scar Treatment Cases by Dr. Xu
The following four cases were personally treated by Dr. Dan Xu at our Toronto·Markham clinic and used with signed Media Release authorization. Acne scar subtypes vary widely and skin response differs significantly between individuals; actual outcomes are determined by in-person consultation.


Case 1 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Laser Capillary Reduction + Genius™ + Infini™ 2nd-Gen RF Microneedling + Lutronic INFINI® Gold RF Microneedling (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 01: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 2 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Genius™ + Infini™ 2nd-Gen RF Microneedling, 7 modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 02: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 2 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV · Duration: 3–5 years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Fotona® 4D redness laser + laser vascular treatment + Vbeam Perfecta + Vbeam® redness reduction, and 12 other treatments (1 session)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 months of maintenance + home care
Case 02: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Duration nearly 3–5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 3 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Laser Capillary Reduction + Vbeam® Perfecta + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair, 8 modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 03: Acne Scar Before Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Laser Capillary Reduction + Vbeam® Perfecta + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair, 8 modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 04: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Vbeam® Pulsed Dye Laser Vascular Treatment + Genius™, and 7 other modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 05: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 5 · Real Acne Scar Record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearance Ai BBL® HEROIC™ + Ai BBL® HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL Photofacial, 19 modalities in total (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 05: Acne Scar Before Comparison · Asian Female · Fitzpatrick I · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 6 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 06: Acne Scar Before Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 7 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearing Ai BBL® HEROic™ + Laser Redness Removal + Vbeam® Perfecta Pulsed Dye Laser + Vbeam® Redness Reduction, and 8 other modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 07: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 13 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- AI BBL HEROIC™ for acne clearance + laser vascular treatment + Vbeam Perfecta + Vbeam® redness reduction, and 5 other treatments (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 13: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 53 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV · Recurring for many years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearance Ai BBL® HEROIC™ + Vbeam® Perfecta + Vbeam® Redness Reduction + Genius™, 5 modalities (4–6 sessions)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 53: Acne Scar Before Comparison · Asian Female · Fitzpatrick IV · Recurring for Years · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 54 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV · Recurring for many years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearance Ai BBL® HEROIC™ + Vbeam® Perfecta + Vbeam® Redness Reduction + Genius™, 5 modalities (4–6 sessions)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 54: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Recurring for many years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 57 · Real Acne Scar Documentation
- Client profile
- Asian Female · Fitzpatrick I · Recurring for Years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Ai BBL® HEROic™Photofacial + Acne Clearing Ai BBL® HEROic™ + Ai BBL® HEROic™ Smart Photofacial + Ai BBL® HEROic™ Redness Repair, and 23 other modalities (4–6 sessions)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 57: Acne Scar Before Treatment · Asian Female · Fitzpatrick I · Recurrent for many years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham
Dr. Xu's Real Enlarged Pore Treatment Cases
The four cases below were personally evaluated and treated by Dr. Dan Xu at the Toronto·Markham clinic, all authorized via signed Media Release Forms. Causes and subtypes of enlarged pores vary significantly (oily-dilated, aging-lax, post-acne scarring, mixed), and individual responses differ. Actual results depend on in-person consultation.


Case 1 · Real Enlarged Pores Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Laser Capillary Reduction + Genius™ + Infini™ 2nd-Gen RF Microneedling + Lutronic INFINI® RF Microneedling (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 01: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick IV · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Genius™ + Infini™ 2nd-generation RF microneedling, 7 modalities total (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 02: Enlarged Pores Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 2 · Real Enlarged Pore Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration approx. 3–5 years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness laser + laser capillary treatment + Vbeam Perfecta pulsed dye laser + Vbeam® redness reduction, 12 modalities total (1 session)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 Months of maintenance + home care
Case 02: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick IV · Duration approx. 3–5 years · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Enlarged Pores Real Record
- Client profile
- Asian female · Fitzpatrick I · Duration: 2–3 years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Hyaluronic acid filler + eye-area rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- 6-month to 1-year review · retreatment as needed + at-home eye-cream maintenance
Case 03: Enlarged Pores Before & After · Asian female · Fitzpatrick I · Ongoing for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Real Enlarged Pores Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Laser vascular treatment + Vbeam® Perfecta pulsed dye laser + Vbeam® redness reduction + Vbeam® sensitive-skin repair, and 8 other treatments (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 04: Enlarged Pores Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Real Enlarged Pores Documentation
- Client profile
- Asian female · Fitzpatrick I
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Dual Picosecond Combination + Pico® Brightening + PicoSure® Honeycomb + Ai BBL HEROIC™ IPL Rejuvenation, and 6 other treatments (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 04: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick I · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Vbeam® pulsed dye laser vascular treatment + Genius™, 7 modalities total (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 05: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick IV · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick I
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Clear-Skin Acne Therapy with AI BBL HEROIC™ + AI BBL HEROIC™ redness repair + LUMECCA IPL + M22® IPL photorejuvenation, and 19 other treatments (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Hydrafacial/Monthly hydra-injection × 1 + sun protection
Case 05: Enlarged Pores Before & After · Asian female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 6 · Enlarged Pores Real Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 06: Enlarged Pores Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 13 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- AI BBL HEROIC™ acne clearing + laser redness/capillary treatment + Vbeam Perfecta pulsed dye laser + Vbeam® redness reduction, 5 modalities total (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 13: Enlarged Pores Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 55 · Enlarged Pores Real Record
- Client profile
- Asian Male · Fitzpatrick IV · Recurrent for several years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Lutronic Genius® intelligent RF microneedling + Lutronic INFINI® gold RF microneedling, and 5 other treatments (4–6 sessions)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Annual energy maintenance session + at-home retinoids
Case 55: Enlarged Pores Before Comparison · Asian male · Fitzpatrick IV · Recurrent for years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 57 · Real Enlarged Pores Documentation
- Client profile
- Asian Female · Fitzpatrick I · Recurrent for several years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Ai BBL® HEROic™IPL Photorejuvenation + Acne Clearing — Ai BBL HEROIC™ + Ai BBL HEROIC™ Intelligent Photorejuvenation + Ai BBL HEROIC™ Redness Repair, and 23 other treatments (4–6 sessions)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Hydrafacial/Monthly hydra-injection × 1 + sun protection
Case 57: Enlarged Pores Before & After · Asian female · Fitzpatrick I · Recurrent for multiple years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Dr. Xu's Real Sensitive-Skin Cases
The following four cases were personally assessed and treated by Dr. Dan Xu at our Toronto/Markham clinic, with signed Media Release Forms on file. Sensitive skin has multiple causes and significant variation between subtypes — actual outcomes are determined by in-person consultation.


Case 1 · Real Sensitive Skin Record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Fotona® 4D redness-reduction laser + Vbeam® Perfecta pulsed dye laser (2–3 sessions)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Vbeam Quarterly touch-up × 1 + sun protection
Case 01: Sensitive skin before treatment · Asian male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 1 · Real Sensitive Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Laser vascular treatment + Vbeam® redness reduction + Vbeam® sensitive-skin repair + Lutronic Genius® smart RF microneedling, and 6 other modalities (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 1 maintenance energy session per year + at-home retinoid
Case 01: Sensitive skin pre-treatment comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham.


Case 2 · Real Sensitive-Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Genius™ + Infini™ 2nd-generation RF microneedling, and 7 other modalities (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 02: Sensitive Skin Pre-Treatment Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Real Sensitive Skin Record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Fotona® 4D redness-reduction laser + Vbeam® Perfecta pulsed dye laser (2–3 sessions)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Vbeam Quarterly touch-up × 1 + sun protection
Case 03: Sensitive skin before treatment · Asian male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 3 · Real Sensitive Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Vascular laser for redness + Vbeam® Perfecta pulsed dye laser + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities in total (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 03: Sensitive skin pre-treatment comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham.


Case 4 · Real Sensitive Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Vascular laser for redness + Vbeam® Perfecta pulsed dye laser + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities in total (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 04: Sensitive Skin Pre-Treatment Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Sensitive-Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Vbeam® Pulsed Dye Laser for Vascular Lesions + Genius™, etc. — 7 treatments (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 05: Sensitive skin pre-treatment comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham.


Case 6 · Real Sensitive Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 06: Sensitive skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Real Sensitive Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- AI BBL® HEROIC™ acne clearing + laser vascular treatment + Vbeam® Perfecta pulsed dye laser + Vbeam® redness reduction, and 8 other modalities (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 07: Sensitive Skin Pre-Treatment Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 13 · Real Sensitive-Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- AI BBL HEROIC™ for clearer skin and acne + vascular laser for redness + Vbeam® Perfecta pulsed dye laser + Vbeam® redness reduction — 5 modalities in total (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 13: Sensitive skin pre-treatment comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham.


Case 15 · Real Sensitive Skin Record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Lutronic Genius®Smart RF microneedling + Lutronic INFINI® gold RF microneedling + Erbium laser (multiple sessions within 3 months)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 1 maintenance energy session per year + at-home retinoid
Case 15: Sensitive skin before treatment · Asian male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 56 · Real Sensitive Skin Record
- Client profile
- Asian male · Fitzpatrick IV · Recurrent for many years
- Concerns
- Sensitive Skin (Comprehensive Improvement via Multimodal Combination Protocols)
- Treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, etc. — 5 treatments (4-6 sessions)
- Improvement
- Marked improvement in sensitive skin · Natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 1 maintenance energy session per year + at-home retinoid
Case 56: Sensitive skin pre-treatment comparison · Asian male · Fitzpatrick IV · Recurrent for many years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham.
Dr. Xu's Real Scar Cases
The following are real cases personally assessed and planned by Dr. Dan Xu at our Toronto · Markham clinic, shared with client authorization via Media Release Form. Individual results vary; actual outcomes are determined through in-person consultation.


Case 2 · Authentic Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV · Present for approximately 3–5 years
- Key concerns
- Scars (comprehensive improvement through multimodal combination protocols)
- Treatment plan
- Fotona® redness-reduction laser + laser vascular clearance + Vbeam Perfecta IPL + Vbeam® diffuse redness treatment, and 12 additional modalities (single session)
- Treatment improvement
- Significant scar improvement · naturally balanced overall result
- Post-treatment darkening
- No PIH
- maintenance
- Sofwave/Ultherapy 18-24 Monthly maintenance + at-home skincare
Case 02: Scar Treatment Before & After · Asian Female · Fitzpatrick IV · Duration ~3–5 Years · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham
Wrinkles & Contour
View All ›Dr. Xu's Real Cases: Comprehensive Full-Face Wrinkle Treatment
The following before-and-after photos are authentic clinical records of real clients treated personally by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham) for Facial Comprehensive Wrinkle Treatment. All clients have signed a written Media Release Form authorizing public use. All photos are unretouched clinical records. Individual results vary significantly based on muscle tone, skeletal support, skin collagen status, age, sun protection habits, and other factors."Comprehensive Wrinkle Treatment"is not"treating wrinkles wherever they appear",but ratherA systematic plan addressing dynamic lines, static lines, and overall facial rejuvenation —— This is a core area of expertise for Dr. Xu as a dual North America Trainer for both Botox® and Juvéderm® under Allergan.


Case 1 · Comprehensive Wrinkle Treatment — Authentic Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 9-12 months later, filler touch-up
Case 01: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 3 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Botox® + neurotoxin wrinkle treatments + Dysport® + Xeomin® and 7 related items (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- Botox 4 months of maintenance
Case 03: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 3 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- HArmonyCa™ hyaluronic acid collagen stimulator + collagen (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- regular sun protection + monthly at-home care + quarterly clinical assessments
Case 03: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 4 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Thread double-eyelid procedure + Botox® + Dysport® + Xeomin® and 5 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- Botox 4 months of maintenance
Case 04: Comprehensive Wrinkle Treatment — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 4 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Hyaluronic acid dermal fillers + under-eye rejuvenation / tear-trough injections (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 6–12 month follow-up · touch-up as needed + daily eye cream maintenance at home
Case 04: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 4 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® skin brightening & rejuvenation + PicoSure Pro® and 8 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- regular sun protection + monthly at-home care + quarterly clinical assessments
Case 04: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Comprehensive Wrinkle Treatment — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Dual picosecond combination therapy + skin brightening + PicoSure® + PicoSure Pro® and 9 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- regular sun protection + monthly at-home care + quarterly clinical assessments
Case 05: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Comprehensive Wrinkle Treatment — Authentic Record
- Client profile
- Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Hyaluronic acid dermal fillers + under-eye rejuvenation / tear-trough injections (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 6–12 month follow-up · touch-up as needed + daily eye cream maintenance at home
Case 07: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years · Multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 8 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Hyaluronic acid dermal fillers + under-eye rejuvenation / tear-trough injections (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 6–12 month follow-up · touch-up as needed + daily eye cream maintenance at home
Case 08: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 9 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Hyaluronic acid dermal fillers + under-eye rejuvenation / tear-trough injections (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 6–12 month follow-up · touch-up as needed + daily eye cream maintenance at home
Case 09: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick I · Results Sustained ~2–3 Years · Multimodal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 10 · Comprehensive Wrinkle Treatment — Real Results
- Client profile
- Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Hyaluronic acid dermal fillers + under-eye rejuvenation / tear-trough injections (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 6–12 month follow-up · touch-up as needed + daily eye cream maintenance at home
Case 10: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 14 · Comprehensive Wrinkle Treatment — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years
- Areas of concern
- Comprehensive Wrinkle Treatment (multimodal combination approach for overall rejuvenation)
- Treatment plan
- Hyaluronic acid dermal fillers + under-eye rejuvenation / tear-trough injections (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in overall wrinkles · natural-looking results
- post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- maintain
- 6–12 month follow-up · touch-up as needed + daily eye cream maintenance at home
Case 14: Comprehensive Wrinkle Treatment — Before & After · Asian Female · Fitzpatrick I · Results maintained approximately 2–3 years · Multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Crow's Feet Cases
The following four cases were personally treated by Dr. Dan Xu at our Toronto/Markham clinic, with authorization obtained via a signed Media Release Form. The key to crow's feet injection isPreserving natural eye expression — Misplacement may result in a stiff smile or ptosis.


Case 1 · Real Crow's Feet Treatment Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Crow's Feet (Comprehensive Multi-Modal Combination Approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Significant improvement in crow's feet · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- 9-12 Month(s) later: filler touch-up
Case 01: Crow's Feet — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu — Real Forehead Line Treatment Cases
The following four cases were personally assessed and treated by Dr. Dan Xu at ID Cosmetic Clinic in Markham, Toronto. Each has been shared with written Media Release Form authorization. Forehead lines vary significantly in cause and subtype — differences in frontalis muscle dynamics, brow compensation, and skin texture all influence treatment strategy and dosage. Actual outcomes depend on individual consultation and assessment.


Case 3 · Forehead Lines — Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Dynamic Forehead Lines · Frontalis Overactivity
- Treatment plan
- Botox® + neurotoxin wrinkle treatment + Dysport® + Xeomin® — 7 items (multiple sessions within 3 months)
- Treatment outcome
- Forehead lines significantly improved · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox 4 Month maintenance
Case 03: Forehead Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Markham, Toronto


Case 4 · Forehead Lines — Real Clinical Documentation
- Client Profile
- Asian Male · Fitzpatrick IV
- Primary concern
- Dynamic Forehead Lines · Frontalis Overactivity
- Treatment plan
- Suture double eyelid + Botox® + Dysport® + Xeomin® and 5 other procedures (multiple sessions within 3 months)
- Treatment outcome
- Forehead lines significantly improved · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox 4 Month maintenance
Case 04: Forehead Lines — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Forehead Lines — Real Patient Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Dynamic Forehead Lines · Frontalis Overactivity
- Treatment plan
- HArmonyCa™ hyaluronic acid collagen stimulator + collagen treatment (multiple sessions within 3 months)
- Treatment outcome
- Forehead lines significantly improved · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly at-home skincare routine + quarterly clinical review
Case 05: Forehead Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Forehead Lines — Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Dynamic Forehead Lines · Frontalis Overactivity
- Treatment plan
- HArmonyCa™ hyaluronic acid collagen stimulator + collagen treatment (multiple sessions within 3 months)
- Treatment outcome
- Forehead lines significantly improved · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly at-home skincare routine + quarterly clinical review
Case 06: Forehead Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Markham, Toronto


Case 1 · Forehead Lines — Real Patient Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Forehead Lines (Comprehensive Improvement with a Multimodal Combination Approach)
- Treatment plan
- Botox® + neurotoxin wrinkle treatment + forehead volume enhancement + Juvéderm® and 1 additional treatment (multiple sessions within 3 months)
- Treatment outcome
- Forehead lines significantly improved · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Once-yearly energy device maintenance + at-home retinoids
Case 01: Forehead Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Forehead Lines — Real Patient Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Forehead Lines (Comprehensive Improvement with a Multimodal Combination Approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Forehead lines significantly improved · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later for a dermal filler touch-up
Case 01: Forehead Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Patient Cases: Glabellar Lines / "11" Lines
The following four cases were personally treated by Dr. Dan Xu at our Toronto Markham clinic and are shared with signed media release authorization. The key to effective glabellar line treatment is not the dosage — it lies inPrecise placement — A placement error of just 1 mm can cause ptosis or an unnaturally stiff expression.


Case 1 · Glabellar Lines / "11" Lines — Documented Results
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Glabellar Lines / "11" Lines (Comprehensive Improvement with Multimodal Combination Therapy)
- Treatment plan
- Botox® + neurotoxin wrinkle treatment + forehead volumizing + Juvéderm® and 5 other procedures (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in glabellar lines / "11" lines · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual energy-based maintenance treatment + at-home retinoid regimen
Case 01: Glabellar Lines / "11" Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Patient Cases — Marionette Line Treatment
The following four cases were treated personally by Dr. Dan Xu at our Markham/Toronto clinic and are reproduced with signed Media Release Form authorization. Marionette lines involve a complex interplay of volume loss, reduced skeletal support, muscle pull and skin laxity; individual responses vary, and outcomes should be assessed during a personalized consultation.


Case 1 · Marionette Lines / Downturned Mouth Corners — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- Dermal fillers + Restylane® (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months, with a maintenance session to prevent further descent of the buccal fat pad
Case 01: Marionette Lines / Downturned Corners of the Mouth — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Marionette Lines / Downturned Mouth Corners — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later for hyaluronic acid filler re-treatment
Case 01: Marionette Lines / Downturned Corners of the Mouth — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Marionette Lines / Corner Mouth Droop — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- Thread Double Eyelid + Botox® + neuromodulator wrinkle treatment + dermal fillers, and 11 other treatments (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox Micro-dose maintenance every 4 months + hyaluronic acid lip line refinement
Case 02: Marionette Lines / Corner Mouth Droop — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Marionette Lines / Downturned Mouth Corners — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Marionette Lines / Corner Mouth Droop (Comprehensive Multimodal Combination Approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Thread Double Eyelid, and 13 other treatments (multiple sessions within 3 months)
- Treatment outcome
- Marionette lines / downturned mouth corners significantly improved · Overall results natural-looking
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox Micro-dose maintenance every 4 months + hyaluronic acid lip line refinement
Case 14: Marionette Lines / Oral Commissure Descent — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Markham/Toronto
Dr. Xu's Real Cases — Perioral Lines / Smoker's Lines
The following are real cases personally assessed and treated by Dr. Dan Xu at our Toronto / Markham clinic. All images have been authorized for use via a signed Media Release Form. Individual results vary; actual outcomes are determined through in-person consultation.


Case 1 · Perioral Lines / Smoker's Lines — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concern
- Perioral Lines / Smoker's Lines (Comprehensive Multimodal Combination Protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
- Improved outcomes
- Perioral lines / smoker's lines visibly improved · Overall result looks natural
- PIH risk
- No PIH
- Maintenance
- 9-12 months later for a filler touch-up
Case 01: Perioral Lines / Smoker's Lines — Before & After · Asian Female · Fitzpatrick IV · Multi-modal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Neck Rejuvenation Cases
The following are real cases personally assessed and treated by Dr. Xu at our Markham/Toronto clinic, shared with written consent via Media Release Form. Individual results vary significantly; actual outcomes are determined through consultation.


Case 6 · Neck Lines — Documented Results
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Comprehensive Neck Line Treatment (multi-modality combination approach)
- Treatment Plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona™ 4D® lifting, and 15 additional treatments (multiple sessions within 3 months)
- Improvement outcomes
- Significant improvement in neck lines · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessments
Case 06: Neck Line Rejuvenation — Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Combination Protocol, led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham, Toronto


Case 7 · Neck Line Treatment — Real Clinical Record
- Client profile
- Asian female · Fitzpatrick I · Sustained results for nearly 2–3 years
- Areas of Concern
- Comprehensive Neck Line Treatment (multi-modality combination approach)
- Treatment Plan
- Hyaluronic acid filler + under-eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement outcomes
- Significant improvement in neck lines · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 6–12 month review · top-up injections as needed + at-home neck cream maintenance
Case 07: Neck Lines — Before & After · Asian Female · Fitzpatrick I · Results Sustained ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 8 · Neck Line Rejuvenation — Real Patient Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Comprehensive Neck Line Treatment (multi-modality combination approach)
- Treatment Plan
- Dual picosecond combination therapy + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® — 5 treatments total (multiple sessions within 3 months)
- Improvement outcomes
- Significant improvement in neck lines · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- PRP Quarterly maintenance × 1 + Ultherapy® at 18-month intervals + strict sun protection
Case 08: Neck Lines — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 11 · Neck Lines — Documented Results
- Client profile
- Asian female · Fitzpatrick I · Sustained results for nearly 2–3 years
- Areas of Concern
- Comprehensive Neck Line Treatment (multi-modality combination approach)
- Treatment Plan
- Hyaluronic acid filler + under-eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement outcomes
- Significant improvement in neck lines · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 6–12 month review · top-up injections as needed + at-home neck cream maintenance
Case 11: Neck Lines — Before & After · Asian Female · Fitzpatrick I · Results Sustained ~2–3 Years · Multimodal Combination Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Nasolabial Fold Treatment Cases
The following are authentic clinical records of nasolabial fold treatments performed by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form consenting to public use. All images are unretouched clinical photographs; individual results vary based on mid-face structure, skin thickness, and skeletal support.


Case 1 · Nasolabial Fold — Documented Results
- Client profile
- Asian female · Fitzpatrick IV
- Primary concerns
- Nasolabial Folds (Comprehensive multi-modal combination approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 other modalities (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in nasolabial folds · natural-looking overall result
- Post-treatment hyperpigmentation
- No PIH
- Maintenance
- 9-12 months later — hyaluronic acid touch-up
Case 01: Nasolabial Folds — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Nasolabial Fold Clinical Record
- Client profile
- Asian female · Fitzpatrick IV
- Primary concerns
- Nasolabial Folds (Comprehensive multi-modal combination approach)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + thread-lift double eyelid surgery, and 16 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in nasolabial folds · natural-looking overall result
- Post-treatment hyperpigmentation
- No PIH
- Maintenance
- Botox Micro-touch-up at 4 months + hyaluronic acid lip border refinement
Case 14: Nasolabial Fold Treatment — Before & After · Asian Female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto
Dr. Xu's Real Patient Cases — Cheek Volume Loss & Midface Hollowing Restoration
The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. Midface Volume Loss requiresMulti-layer assessment: bone structure + retaining ligaments + fat compartments + skin, Single-layer volume replacement commonly leads to"Mask-like appearance". All photographs are unretouched clinical documentation.


Case 2 · Midface Volume Loss & Flat Apple Cheeks — Clinical Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- Thread double eyelid + Botox® + neuromodulator wrinkle treatment + hyaluronic acid fillers, and 14 other procedures (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Botox Micro-touch-up at 4 months + HA lip border refinement
Case 02: Hollow Cheeks & Midface Volume Loss — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Hollow Cheeks & Midface Volume Loss — Real Patient Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- Sculptra® (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Sculptra 12-18 months of maintenance + Radiesse® supplementation
Case 05: Cheek Volume Loss & Midface Hollowing — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 6 · Hollow Cheeks & Midface Volume Loss — Real Patient Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting, and 15 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly home skincare + quarterly in-clinic review
Case 06: Midface Volume Loss & Flat Apple Cheeks — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 17 · Hollow Cheeks & Midface Volume Loss — Real Patient Documentation
- Patient profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Hollow Cheeks & Midface Volume Loss (Comprehensive Improvement with a Multimodal Combination Protocol)
- Treatment plan
- HA Chin Augmentation + Filler Chin Augmentation + Filler Lip Augmentation + Filler Temple Augmentation and 10 additional procedures (multiple sessions within 3 months)
- Treatment outcomes
- Midface volume loss and flat apple cheeks visibly improved · overall result appears natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly home skincare + quarterly in-clinic review
Case 17: Hollow Cheeks & Midface Volume Loss — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Double Chin Treatment Cases
The following four cases were personally assessed and treatment-planned by Dr. Dan Xu at our Toronto Markham clinic, and are shared with patient authorization via signed Media Release Forms. The causes of submental fullness are multifactorial — including excess fat, skin laxity, platysmal banding, and skeletal retrusion — and results vary significantly between individuals. Outcomes should be assessed through an in-person consultation.


Case 4 · Double Chin — Real-World Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Submental Fullness (Comprehensive Multimodal Combination Protocol)
- Treatment Plan
- Chin augmentation with hyaluronic acid + dermal fillers + Stylage® + perioral rejuvenation and 5 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant double chin improvement · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later: filler touch-up
Case 04: Double Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Submental Fullness — Real Patient Documentation
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Submental Fullness (Comprehensive Multimodal Combination Protocol)
- Treatment Plan
- Botox® + masseter reduction / facial slimming + Dysport® + neurotoxin, and 7 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant double chin improvement · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later: filler touch-up
Case 06: Submental fullness — Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Submental Fullness — Real Patient Documentation
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Submental Fullness (Comprehensive Multimodal Combination Protocol)
- Treatment Plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona™ 4D® + Fotona™ 4D® lifting, and 14 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant double chin improvement · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Daily sun protection + monthly home care routine + quarterly clinical assessment
Case 06: Submental fullness — Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Double Chin — Real Patient Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Submental Fullness (Comprehensive Multimodal Combination Protocol)
- Treatment Plan
- Chin filler + dermal filler + Juvéderm® + Stylage®, and 3 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant double chin improvement · Natural-looking overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later: filler touch-up
Case 08: Double Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Cases: Masseter Hypertrophy Treatment
The following four cases were personally assessed and treated by Dr. Dan Xu at our Toronto Markham clinic and are shared with written Media Release Form authorization. Because masseter hypertrophy has varied underlying causes — habitual clenching, bruxism, genetics, or prior over-injection — individual responses differ significantly. Actual results depend on your personal assessment at consultation.


Case 1 · Real Masseter Hypertrophy Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Masseter Hypertrophy (Comprehensive Improvement with a Multimodal Combination Approach)
- treatment plan
- BTL Exilis Ultra 360 + neurotoxin jaw slimming / masseter reduction + dermal filler + jawline lifting (multiple sessions within 3 months)
- treatment improvement
- Masseter hypertrophy significantly improved · Overall result looks natural
- post-inflammatory hyperpigmentation (PIH) / rebound pigmentation
- No PIH
- maintenance
- 9-12 months later for filler top-up
Case 01: Masseter hypertrophy — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Real Masseter Hypertrophy Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Masseter Hypertrophy (Comprehensive Improvement with a Multimodal Combination Approach)
- treatment plan
- Botox® + masseter reduction / face-slimming injections + Dysport® + Xeomin® and 6 additional items (multiple sessions within 3 months) — 9 items total
- treatment improvement
- Masseter hypertrophy significantly improved · Overall result looks natural
- post-inflammatory hyperpigmentation (PIH) / rebound pigmentation
- No PIH
- maintenance
- Botox Masseter + buccal fat pad management
Case 01: Masseter hypertrophy — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Masseter Hypertrophy — Real Patient Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Masseter Hypertrophy (Comprehensive Improvement with a Multimodal Combination Approach)
- treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting + 15 additional treatments (multiple sessions within 3 months) — 17 items total
- treatment improvement
- Masseter hypertrophy significantly improved · Overall result looks natural
- post-inflammatory hyperpigmentation (PIH) / rebound pigmentation
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly clinical assessment
Case 06: Masseter Hypertrophy Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol · Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Eye Bags & Dark Circles Real Cases
The following four cases were personally evaluated and treated by Dr. Dan Xu at our Toronto-Markham clinic, with Media Release Form authorization on file. In Asian faces, under-eye bags and dark circles most commonly present as a "mixed type" with complex etiology, requiring subtype-specific treatment. Results below reflect individual variability; the actual treatment plan is determined at consultation.


Case 1 · Authentic eye bag and dark circle record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 01: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Eye Bags & Dark Circles Real Record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 02: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 3 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 03: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick I · Present for nearly 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Authentic eye bag and dark circle record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 04: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 07: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 8 · Authentic eye bag and dark circle record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 08: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick I · Present for nearly 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Eye Bags & Dark Circles Real Record
- Client Profile
- Asian male · Fitzpatrick I · Duration approx. 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 09: Eye bags and dark circles, before treatment · Asian male · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Authentic eye bag and dark circle record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 10: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 11 · Eye Bags & Dark Circles Real Record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 11: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick I · Present for nearly 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 13 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 13: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Authentic eye bag and dark circle record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid filler + Eye Brightening Cocktail injections (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Follow-up every 6–12 months · Re-treatment when needed + at-home eye cream maintenance
Case 14: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 101 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian Female · Fitzpatrick IV · Duration ~2-3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid fillers + Juvéderm® + Teosyal® + collagen and 5 other products (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Botox Low-dose maintenance every 4 months + HA lip-line reinforcement
Case 101: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick IV · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 104 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV · Duration ~2-3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Filler Chin Augmentation + Filler Temple Augmentation + Collagen (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 104: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick IV · Duration ~2-3 years · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 106 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian Female · Fitzpatrick IV · Duration ~2-3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Juvéderm® + Teosyal® + collagen (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 106: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick IV · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 108 · Authentic eye bag and dark circle record
- Client Profile
- Asian female · Fitzpatrick I · Present for nearly 2–3 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- PicoSure® + IPL Photofacial (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 108: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick I · Present for nearly 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 other treatments (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- 9-12 HA top-up after [X] months
Case 01: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Eye Bags & Dark Circles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Suture double-eyelid + Botox® + neuromodulator wrinkle treatment + HA fillers and 14 other products (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Botox Low-dose maintenance every 4 months + HA lip-line reinforcement
Case 02: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick IV · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Dual Pico Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + PicoSure Pro®, 8 procedures in total (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 04: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Eye Bags & Dark Circles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Dual picosecond combination therapy + Pico® brightening + PicoSure® + PicoSure Pro® and 9 other treatments (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 05: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian female · Fitzpatrick I
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- HA chin augmentation + HA fillers + Juvéderm® + HA rhinoplasty and 10 other products (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 07: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick I · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 8 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- PDOPDO thread lift + Botox® + HArmonyCa™ hybrid filler + collagen therapy and 6 other treatments (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 08: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Filler Chin Augmentation + Filler Temple Augmentation + Juvéderm® + Teosyal® hyaluronic acid fillers and 5 other treatments (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 08: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 13 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Suture double-eyelid + HA fillers + Teosyal® + collagen (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 13: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- PicoSure® + PicoSure Pro® + PicoWay® + Thread Double Eyelid, 16 procedures in total (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Botox Low-dose maintenance every 4 months + HA lip-line reinforcement
Case 14: Eye Bags & Dark Circles Before · Asian Female · Fitzpatrick IV · Multi-modal Combination Protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 15 · Eye Bags & Dark Circles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Hyaluronic acid fillers + Juvéderm® + Stylage® + Teosyal® and 8 other products (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Botox Low-dose maintenance every 4 months + HA lip-line reinforcement
Case 15: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Real Patient Record: Under-Eye Bags & Dark Circles
- Client Profile
- Asian female · Fitzpatrick IV · Visibly present for approx. 1–2 years
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- Pico® Brightening rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 16: Under-Eye Bags & Dark Circles, Before · Asian female · Fitzpatrick IV · Visible for nearly 1–2 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 17 · Authentic eye bag and dark circle record
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Under-Eye Bags & Dark Circles (Multimodal Combination Approach)
- Treatment Plan
- HA Chin Augmentation + Filler Chin Augmentation + Filler Lip Augmentation + Filler Temple Augmentation, 10 procedures in total (multiple sessions within 3 months)
- Improvement Outcomes
- Eye bags and dark circles significantly improved · Natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly review
Case 17: Eye bags and dark circles, before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Tear Trough Treatment Cases
The following four cases were personally injected by Dr. Dan Xu at ID Cosmetic Clinic in Toronto/Markham and are shared with written Media Release Form authorization. The causes of tear troughs are multifactorial — including ligament-related hollowing, mid-face volume loss, under-eye bags, and pigmentation — and individual outcomes vary. Results should be assessed through an in-person consultation.


Case 1 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 01: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 2 · Tear Trough — Real Patient Record
- Client profile
- Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 02: Tear Trough — Before & After · Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Tear Trough Real Patient Record
- Client profile
- Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 07: Tear Trough Before & After · Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 11 · Tear Trough — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 11: Tear Trough — Before & After · Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 13 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 13: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Tear Trough Real Patient Record
- Client profile
- Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 14: Tear Trough Before & After · Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 15 · Tear Trough — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Belotero® HA + HA fillers (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 10-14 months later for a maintenance session · supplemented with skin booster treatments in between
Case 15: Tear Trough — Before & After · Asian Male · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 16 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years
- primary concern
- Tear trough hollowing + superficial subcutaneous edema
- Treatment Plan
- Pico® Skin brightening + PicoSure® + PicoSure Pro® + PicoWay® and 9 other treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 16: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I · Visible for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + periocular rejuvenation/bright eye injections (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed · maintain with at-home eye cream
Case 01: Tear Trough — Before & After · Asian Female · Fitzpatrick I · Visible for approximately 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 other treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 9-12 months later for HA top-up
Case 01: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Double eyelid suture technique + Botox® + neurotoxin wrinkle treatment + HA fillers and 14 related treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + HA lip border reinforcement
Case 02: Tear Trough Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 2 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I · Visible for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + periocular rejuvenation/bright eye injections (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed · maintain with at-home eye cream
Case 02: Tear Trough Before & After · Asian Female · Fitzpatrick I · Present for approximately 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 4 · Tear Trough Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I · Visible for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + periocular rejuvenation/bright eye injections (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed · maintain with at-home eye cream
Case 04: Tear Trough — Before & After · Asian Female · Fitzpatrick I · Present for approximately 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 4 · Tear Trough Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Dual picosecond combination + Pico® skin brightening + PicoSure® + PicoSure Pro® and 4 other treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 04: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 5 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® and 9 related treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 05: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid nose filler (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 12-18 months later for HA top-up
Case 05: Tear Trough — Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Double eyelid suture technique (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 06: Tear Trough Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Tear Trough Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- HA chin augmentation + Juvéderm® and HA nose augmentation and 10 related treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 07: Tear Trough Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 8 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- PDO Thread lift + Botox® + HArmonyCa™ + collagen and 6 other procedures (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 08: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Filler Chin Augmentation + Filler Temple Augmentation + Juvéderm® + Teosyal® and 3 other treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 08: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Tear Trough — Real Patient Record
- Client profile
- Asian Male · Fitzpatrick I · Present for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + periocular rejuvenation/bright eye injections (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed · maintain with at-home eye cream
Case 09: Tear Trough Before & After · Asian Male · Fitzpatrick I · Present for approximately 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I · Visible for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + periocular rejuvenation/bright eye injections (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed · maintain with at-home eye cream
Case 09: Tear Trough — Before & After · Asian Female · Fitzpatrick I · Visible for approximately 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I · Visible for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + periocular rejuvenation/bright eye injections (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed · maintain with at-home eye cream
Case 11: Tear Trough — Before & After · Asian Female · Fitzpatrick I · Present for approximately 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 13 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Thread double eyelid + hyaluronic acid filler + Teosyal® + collagen (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 13: Tear Trough Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 14 · Tear Trough Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- PicoSure® + PicoSure Pro® + PicoWay® + thread double eyelid and 16 other procedures (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + HA lip border reinforcement
Case 14: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 15 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- HA fillers including Juvéderm®, Stylage®, Teosyal® and 8 related treatments (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + HA lip border reinforcement
Case 15: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 17 · Tear Trough Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Filler Chin Augmentation + Filler Lip Augmentation + Filler Temple Augmentation and 10 other procedures (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 17: Tear Trough Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 101 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Present for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Hyaluronic acid filler + Juvéderm® + Teosyal® + collagen and 5 other procedures (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + HA lip border reinforcement
Case 101: Tear Trough Before & After · Asian Female · Fitzpatrick IV · Present for approximately 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 104 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV · Present for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Filler Chin Augmentation + Filler Temple Augmentation + collagen (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 104: Tear Trough — Before & After · Asian Female · Fitzpatrick IV · Present for approximately 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 106 · Tear Trough — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Present for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- Juvéderm® + Teosyal® + collagen (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 106: Tear Trough Before & After · Asian Female · Fitzpatrick IV · Present for approximately 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 108 · Tear Trough — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I · Visible for approximately 2–3 years
- primary concern
- Tear Trough (Comprehensive Improvement with Multimodal Combination Treatment)
- Treatment Plan
- PicoSure® + M22® IPL Photofacial (multiple sessions within 3 months)
- treatment outcome
- Significant tear trough improvement · natural overall result
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 108: Tear Trough — Before & After · Asian Female · Fitzpatrick I · Present for approximately 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham
Real Cases: Upper Eyelid Ptosis Improvement by Dr. Xu
The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. Upper eyelid ptosis (Blepharoptosis · ICD-10 H02.4) requires rigorous differential diagnosis.True Ptosis vs. Skin Laxity vs. Compensatory Brow Ptosis, The treatment approach differs entirely. All photographs are unretouched clinical records; individual outcomes vary based on diagnosis subtype and anatomical differences.


Case 6 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Suture double eyelid (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 06: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PDOPDO thread lift + Botox® + HArmonyCa™ + collagen stimulators and 6 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 01: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 9-12 months later for repeat filler treatment
Case 01: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Thread double eyelid + Botox® + wrinkle relaxers + dermal fillers and 14 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + lip border definition with filler
Case 02: Upper Eyelid Ptosis — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 2 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 02: Upper Eyelid Ptosis — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 4 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 04: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick I · Present for ~2–3 Years · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Male · Fitzpatrick I
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Thread double eyelid procedure + filler chin augmentation + Filler Chin Augmentation + dermal filler and 7 additional treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 04: Upper Eyelid Ptosis — Before & After · Asian Male · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Hyaluronic acid nose augmentation (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 12-18 months later for repeat filler treatment
Case 05: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 07: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Chin filler + dermal fillers + Juvéderm® + non-surgical rhinoplasty and 10 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 07: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Filler Chin Augmentation + Filler Temple Augmentation + Juvéderm® + Teosyal® and 5 other filler treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 08: Before & After — Upper Eyelid Ptosis · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Male · Fitzpatrick I · Duration approx. 2–3 years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 09: Upper Eyelid Ptosis — Before & After · Asian Male · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Thread double eyelid procedure + dermal filler + Teosyal® + collagen stimulator (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 13: Upper Eyelid Ptosis — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Upper Eyelid Ptosis — Clinical Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 13: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick I · Present for ~2–3 Years · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Suture double-eyelid procedure + dermal fillers + Juvéderm® + Stylage®, and 5 additional modalities (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 14: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + suture double-eyelid procedure, and 13 additional modalities (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + lip border definition with filler
Case 14: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Upper Eyelid Ptosis Real Patient Documentation
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + periorbital rejuvenation / eye brightening injections (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- 6–12 month follow-up · touch-up as needed + home eye cream maintenance
Case 14: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 15 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Dermal filler + Juvéderm® + Stylage® + Teosyal® and 4 additional treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Botox Micro-dose maintenance at 4 months + lip border definition with filler
Case 15: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick IV · Noticeable for approx. 1–2 years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- Pico® Skin brightening & rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 16: Ptosis (Upper Eyelid Droop) Before & After · Asian Female · Fitzpatrick IV · Visible for ~1–2 Years · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 108 · Upper Eyelid Ptosis — Real Patient Record
- client profile
- Asian Female · Fitzpatrick I · Present for ~2–3 Years
- key concerns
- Upper eyelid ptosis (comprehensive improvement through multimodal combination approach)
- treatment plan
- PicoSure® + M22® IPL Photofacial (multiple sessions within 3 months)
- treatment outcomes
- Significant improvement in upper eyelid ptosis · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 108: Upper Eyelid Ptosis Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Cases: Thin Lips & Lip Asymmetry
Real-world cases for this condition are currently being compiled and updated. All cases are clinical records of actual ID Cosmetic Clinic clients who have signed a written Media Release Form. Complete case materials are available for review with Dr. Xu in person during your consultation.
Dr. Xu's Real-Patient Facial Overfill Correction Cases
The following four cases were personally assessed and managed by Dr. Dan Xu at the Toronto Markham clinic, with authorization obtained via signed Media Release Forms. The causes, depth, and tissue-layer distribution of Filler Overfill Syndrome (FOS) vary significantly between patients; every correction plan is fully individualized. Actual outcomes are determined by in-person consultation and assessment.


Case 2 · Real FOS Documentation
- Client Profile
- Asian female · Fitzpatrick IV
- Areas of concern
- Filler Overfill Syndrome (Comprehensive multimodal combination approach)
- Treatment plan
- Hyaluronic acid filler + jawline enhancement (multiple sessions within 3 months)
- Improvement outcome
- Significant improvement in FOS · Overall result looks natural
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 9-12 months later to resume hyaluronic acid filler
Case 02: Facial Overfill Correction — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination therapy led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu — Real Temple Hollowing Cases
The following are real cases personally assessed and treated by Dr. Dan Xu at our Markham, Toronto clinic. All images are used with signed Media Release Form authorization. Individual results vary significantly; actual outcomes are determined through in-person consultation.


Case 2 · Temple Hollowing — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration approx. 3–5 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Fotona® redness-reduction laser + laser vascular clearance + Vbeam Perfecta intense pulsed dye laser + Vbeam® diffuse redness treatment, and 12 additional modalities (single session)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Sofwave/Ultherapy 18-24 months of maintained results + at-home care
Case 02: Temple Hollowing — Before & After · Asian Female · Fitzpatrick IV · Duration approx. 3–5 years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Markham/Toronto


Case 2 · Temple Hollowing — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Juvéderm® + lip filler + non-surgical nose filler + Restylane® and 7 additional treatments (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 02: Temple Hollowing Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Temple Hollowing — Documented Result
- Client profile
- Asian Female · Fitzpatrick I · Duration approx. 2–3 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Hyaluronic acid filler + periorbital rejuvenation injections (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Follow-up at 6–12 months · Touch-up as needed + at-home eye cream for maintenance
Case 07: Temple Hollowing — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Temple Hollowing — Documented Result
- Client profile
- Asian Female · Fitzpatrick I · Duration approx. 2–3 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Hyaluronic acid filler + periorbital rejuvenation injections (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Follow-up at 6–12 months · Touch-up as needed + at-home eye cream for maintenance
Case 07: Temple Hollowing — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Temple Hollowing — Real Patient Documentation
- Client profile
- Asian Female · Fitzpatrick I · Duration approx. 2–3 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Hyaluronic acid filler + periorbital rejuvenation injections (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Follow-up at 6–12 months · Touch-up as needed + at-home eye cream for maintenance
Case 09: Temple Hollowing — Before & After · Asian Female · Fitzpatrick I · Results Sustained ~2–3 Years · Multimodal Combination Treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham, Toronto


Case 10 · Temple Hollowing — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I · Duration approx. 2–3 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Hyaluronic acid filler + periorbital rejuvenation injections (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Follow-up at 6–12 months · Touch-up as needed + at-home eye cream for maintenance
Case 10: Temple Hollowing — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Markham/Toronto


Case 11 · Temple Hollowing — Documented Result
- Client profile
- Asian Female · Fitzpatrick I · Duration approx. 2–3 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Hyaluronic acid filler + periorbital rejuvenation injections (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Follow-up at 6–12 months · Touch-up as needed + at-home eye cream for maintenance
Case 11: Temple Hollowing Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 17 · Temple Hollowing — Real Patient Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- Filler Chin Augmentation + Filler Lip Augmentation + Filler Temple Augmentation and 10 additional procedures (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 17: Temple Hollowing — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham, Toronto


Case 108 · Temple Hollowing: Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I · Duration approx. 2–3 years
- area of concern
- Temple Hollowing (Comprehensive Improvement with Multimodal Combined Protocol)
- treatment plan
- PicoSure Pro + IPL Photofacial (multiple sessions within 3 months)
- improvement in results
- Significant improvement in temple hollowing · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly clinical assessment
Case 108: Temple Hollowing Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination treatment led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Documented Chin Recession Cases
The following are actual chin aesthetic cases performed by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form. All photos are unretouched clinical records; individual results vary based on bone structure, soft tissue thickness, and occlusal relationship.


Case 1 · Receding Chin — Documented Results
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- HA filler + jawline lifting (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 01: Receding Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Chin Retrusion — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- HA filler + jawline lifting (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 02: Chin Recession – Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 3 · Receding Chin — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Chin augmentation with hyaluronic acid + HA filler + Juvéderm® + Stylage®, and 1 additional filler (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 03: Receding Chin Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment performed by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Documented Chin Recession Case
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Chin augmentation with hyaluronic acid + HA filler + Stylage® + perioral rejuvenation, and 1 additional filler (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 04: Chin retrusion — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 5 · Receding Chin — Documented Results
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Botox® + masseter slimming / neurotoxin facial contouring + Dysport® + neurotoxin, and 7 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 05: Receding Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Chin Retrusion — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Botox® + masseter slimming / neurotoxin facial contouring + Dysport® + neurotoxin, and 7 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 06: Chin Recession – Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 7 · Receding Chin — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Filler Chin Augmentation + Juvéderm® + Stylage® and 4 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 07: Receding Chin Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment performed by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Documented Chin Recession Case
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Filler Chin Augmentation + Juvéderm® + Stylage® and 4 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 08: Chin retrusion — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Receding Chin — Documented Results
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Chin augmentation with hyaluronic acid + HA filler + Stylage® + perioral rejuvenation, and 1 additional filler (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 09: Receding Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Receding Chin — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Chin Filler Augmentation + Filler Chin Augmentation + Dermal Filler + Juvéderm® and 6 related treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Botox Low-dose 4-month maintenance + lip line filler reinforcement
Case 14: Chin Recession – Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 15 · Documented Chin Recession Case
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Receding chin · insufficient chin volume
- Treatment plan
- Forehead Filler + Dermal Filler + Juvéderm® (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Daily sun protection + monthly at-home skincare + quarterly clinical review
Case 15: Receding Chin Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment performed by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 26 · Receding Chin — Documented Results
- Client profile
- Asian Female · Fitzpatrick I
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Filler Chin Augmentation + Juvéderm® + Collagen Stimulator (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Daily sun protection + monthly at-home skincare + quarterly clinical review
Case 26: Receding Chin — Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 28 · Chin Retrusion — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Dermal filler rhinoplasty (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 12-18 months later — filler top-up
Case 28: Chin Recession – Before & After · Asian Female · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Receding Chin — Documented Results
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Botox® + masseter slimming / neurotoxin facial contouring + Dysport® + Xeomin®, and 6 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Botox Masseter + buccal fat pad management
Case 01: Receding Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Chin Retrusion — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Thread double eyelid + Botox® + neuromodulator wrinkle treatment + dermal filler — 14 procedures in total (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Botox Low-dose 4-month maintenance + lip line filler reinforcement
Case 02: Chin Recession – Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 4 · Documented Chin Recession Case
- Client profile
- Asian male · Fitzpatrick I
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Thread double eyelid + dermal filler chin augmentation + Filler Chin Augmentation + dermal filler — 11 procedures in total (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Daily sun protection + monthly at-home skincare + quarterly clinical review
Case 04: Receding Chin Before & After · Asian Male · Fitzpatrick I · Multimodal combination treatment performed by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Chin Retrusion — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting, and 15 additional modalities (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Daily sun protection + monthly at-home skincare + quarterly clinical review
Case 06: Chin Recession – Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 7 · Receding Chin — Real Patient Record
- Client profile
- Asian Female · Fitzpatrick I
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Chin Filler Augmentation + Dermal Filler + Juvéderm® + Non-surgical Rhinoplasty and 10 related treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Daily sun protection + monthly at-home skincare + quarterly clinical review
Case 07: Chin retrusion — before & after comparison · Asian female · Fitzpatrick I · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 8 · Documented Chin Recession Case
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Filler Chin Augmentation + Filler Temple Augmentation + Juvéderm® + Teosyal® and 3 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- Daily sun protection + monthly at-home skincare + quarterly clinical review
Case 08: Chin retrusion — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 42 · Receding Chin — Real Patient Record
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Botox® + Dysport® + Xeomin® + Chin Filler Augmentation and 9 related treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 42: Chin retrusion — before & after comparison · Asian female · Fitzpatrick IV · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 43 · Documented Chin Recession Case
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Dermal filler chin augmentation + dermal filler + Juvéderm® + Stylage® — 7 procedures in total (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 43: Receding Chin — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 48 · Receding Chin — Documented Results
- Client profile
- Asian female · Fitzpatrick IV
- Key concern
- Chin retrusion (comprehensive improvement via multimodal combination approach)
- Treatment plan
- Filler Chin Augmentation + Stylage® + Collagen Stimulator and 2 additional treatments (multiple sessions within 3 months)
- Treatment outcome
- Visible improvement in chin projection · overall result looks natural
- Post-inflammatory hyperpigmentation (PIH) risk
- No PIH
- Longevity
- 9-12 months later — filler top-up
Case 48: Chin Recession – Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Patient Cases: Flat Nose / Low Nasal Bridge
The following are real cases personally assessed and planned by Dr. Dan Xu at our Toronto · Markham clinic. All images are used with signed Media Release Form authorization. Individual results vary significantly; actual outcomes depend on your in-person consultation assessment.


Case 1 · Flat Nose / Low Nasal Bridge — Real Patient Record
- Ideal candidate profile
- Asian Female · Fitzpatrick I
- Area of concern
- Flat Nose / Low Nasal Bridge (Comprehensive Improvement via Multimodal Combination Approach)
- Treatment plan
- Filler nose reshaping (multiple sessions within 3 months)
- Improvement outcomes
- Flat nose / low nasal bridge visibly improved · overall result looks natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 12-18 months later for filler top-up
Case 01: Flat Nose / Low Nasal Bridge — Before & After · Asian Female · Fitzpatrick I · Multi-modal combination approach led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Flat Nose / Low Nasal Bridge — Real Clinical Record
- Ideal candidate profile
- Asian Male · Fitzpatrick I
- Area of concern
- Flat Nose / Low Nasal Bridge (Comprehensive Improvement via Multimodal Combination Approach)
- Treatment plan
- Thread double eyelid lift + chin filler augmentation + Filler Chin Augmentation + dermal fillers — 11 procedures in total (multiple sessions within 3 months)
- Improvement outcomes
- Flat nose / low nasal bridge visibly improved · overall result looks natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical review
Case 04: Flat Nose / Low Nasal Bridge — Before & After · Asian Male · Fitzpatrick I · Multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Flat Nose / Low Nasal Bridge — Clinical Documentation
- Ideal candidate profile
- Asian Female · Fitzpatrick I
- Area of concern
- Flat Nose / Low Nasal Bridge (Comprehensive Improvement via Multimodal Combination Approach)
- Treatment plan
- Filler nose reshaping (multiple sessions within 3 months)
- Improvement outcomes
- Flat nose / low nasal bridge visibly improved · overall result looks natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- 12-18 months later for filler top-up
Case 05: Flat Nose / Low Nasal Bridge — Before & After · Asian Female · Fitzpatrick I · Multimodal combination approach performed by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Flat Nose / Low Nasal Bridge — Real Patient Documentation
- Ideal candidate profile
- Asian Female · Fitzpatrick I
- Area of concern
- Flat Nose / Low Nasal Bridge (Comprehensive Improvement via Multimodal Combination Approach)
- Treatment plan
- Chin augmentation with dermal filler + dermal fillers + Juvéderm® + non-surgical rhinoplasty with filler — 10 procedures in total (multiple sessions within 3 months)
- Improvement outcomes
- Flat nose / low nasal bridge visibly improved · overall result looks natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- Maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical review
Case 07: Flat Nose / Low Nasal Bridge — Before & After · Asian Female · Fitzpatrick I · Multimodal combination approach led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto
Facial Laxity
View All ›Dr. Xu's Real Patient Results: Facial & Neck Laxity
The following four cases were personally assessed and treated by Dr. Dan Xu at our Toronto Markham clinic, and are reproduced with signed Media Release Form authorization. Laxity involves multiple layers — SMAS fascia, platysma, skeletal support, and skin elasticity — and individual results vary significantly. Actual outcomes are determined through in-person consultation.


Case 1 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination treatment + Pico® brightening & skin refinement + PicoSure® + PicoSure Pro® — 5 treatments in total (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 01: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 01: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Suture double eyelid + Botox® + neurotoxin wrinkle treatment + dermal fillers and 14 related treatments (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- Botox micro-dose 4-month maintenance + hyaluronic acid lip line refinement
Case 02: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 02: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained ~3–5 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Fotona® redness-reduction laser + laser vascular clearance + Vbeam® and 12 related treatments (single session)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- Sofwave/Ultherapy 18-24 -month maintenance + at-home care
Case 02: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Duration ~3–5 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 03: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- HArmonyCa™ hyaluronic acid collagen stimulator + collagen therapy (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 03: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 04: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® and 8 related treatments (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 04: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination treatment + Pico® brightening & skin refinement + PicoSure® + PicoSure Pro® — 9 treatments in total (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 05: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 08: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 08: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination treatment + Pico® brightening & skin refinement + PicoSure® + PicoSure Pro® — 5 treatments in total (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- PRP Quarterly × 1 + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 10: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 10: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 11: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 14 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick I · Results Maintained ~2–3 Years
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dermal fillers + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- 6–12 month follow-up · touch-up injections as needed + daily eye cream for home maintenance
Case 14: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick I · Duration ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Facial & Neck Laxity — Real Patient Results
- Client Profile
- Asian Male · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination therapy + Pico® brightening and skin rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 38: Facial & Neck Laxity — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Male · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination therapy + Pico® brightening and skin rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 40: Facial & Neck Laxity — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 41 · Facial & Neck Laxity — Documented Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Concerns
- Facial & Neck Laxity (Comprehensive Multimodal Combination Protocol)
- treatment plan
- Dual picosecond combination therapy + Pico® brightening and skin rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- treatment outcome
- Facial & Neck Laxity — Visible Improvement · Natural-Looking Results
- post-inflammatory hyperpigmentation (PIH)
- no PIH
- Maintenance
- routine sun protection + monthly at-home care + quarterly clinical review
Case 41: Facial & Neck Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's real skin sagging treatment cases
The following four cases were personally assessed and treated by Dr. Dan Xu at our Markham (Greater Toronto) clinic, and are shown with signed Media Release Form authorization. Treatment plans are determined by the tissue layers involved in skin laxity. Individual responses vary; actual outcomes depend on in-person consultation.


Case 1 · Real skin sagging record
- Client profile
- Asian female · Fitzpatrick I · ongoing for nearly 3–5 years
- Concerns
- 3D Imaging-Based Assessment · Sagging Skin · Collagen Loss + SMAS Laxity
- Treatment plan
- Sofwave™Sofwave™ + Thermage® CPT™ + Ultherapy® (first-generation) (1 session)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + at-home care
Case 01: Skin Laxity Before & After · Asian female · Fitzpatrick I · 3–5 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian female · Fitzpatrick I · ongoing for nearly 3–5 years
- Concerns
- 3D Imaging-Based Assessment · Sagging Skin · Collagen Loss + SMAS Laxity
- Treatment plan
- Sofwave™Sofwave™ + Thermage® CPT™ + Ultherapy® (first-generation) (1 session)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + at-home care
Case 02: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 3–5 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Sagging Skin Real Record
- Client profile
- Asian female · Fitzpatrick I · ongoing for nearly 3–5 years
- Concerns
- 3D Imaging-Based Assessment · Sagging Skin · Collagen Loss + SMAS Laxity
- Treatment plan
- Sofwave™Sofwave™ + Thermage® CPT™ + Ultherapy® (first-generation) (1 session)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + at-home care
Case 03: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 3–5 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 08: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 10: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® Honeycomb + PicoSure Pro® — 5 modalities total (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 01: Skin sagging before-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 01: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 9-12 Top up HA filler after a few months
Case 01: Skin sagging before-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Thread double-eyelid + Botox® + neuromodulator wrinkle reduction + HA fillers and 14 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Botox Low-dose 4-month maintenance + HA reinforcement along the lip border
Case 02: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 02: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Juvéderm® + HA lip augmentation + HA non-surgical rhinoplasty + Restylane® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 02: Sagging Skin Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 03: Skin Laxity Before & After · Asian female · Fitzpatrick I · 2–3 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 3 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- HArmonyCa™ hyaluronic acid–collagen stimulator + collagen (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 03: Sagging Skin Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 04: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual PicoLaser combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 8 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 04: Skin sagging before-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® Honeycomb + PicoSure Pro® — 9 modalities total (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 05: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 6 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona® 4D Lift and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 06: Sagging Skin Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 07: Skin Laxity Before & After · Asian female · Fitzpatrick I · 2–3 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 8 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 08: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® Honeycomb + PicoSure Pro® — 5 modalities total (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- PRP quarterly × 1 + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 10 · Real skin sagging record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 10: Skin sagging before-treatment comparison · Asian female · Fitzpatrick I · ongoing for nearly 2–3 years · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Real Skin Laxity Documentation
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 11: Skin Laxity Before & After · Asian female · Fitzpatrick I · 2–3 year duration · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 14 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick I · 2–3 Year Duration
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Hyaluronic acid filler + eye rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- 6–12 month follow-up · re-treatment if needed + home eye-cream maintenance
Case 14: Sagging Skin Before & After · Asian Female · Fitzpatrick I · 2–3 Year Duration · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Real skin sagging record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Picosecond Combination Therapy + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 38: Sagging Skin Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Real Skin Laxity Documentation
- Client profile
- Asian male · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Picosecond Combination Therapy + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 40: Skin sagging before-treatment comparison · Asian male · Fitzpatrick IV · multimodal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 41 · Sagging Skin Real Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Skin sagging (comprehensive improvement via multimodal combination plan)
- Treatment plan
- Dual Picosecond Combination Therapy + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Visible improvement in sagging · natural overall result
- PIH occurrence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly assessment
Case 41: Skin Laxity Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Dr. Xu's Real Cases — Turkey Neck / Neck Laxity
Before & after cases for this condition are currently being compiled and updated. All cases are clinical records of real ID Cosmetic Clinic clients who have signed a written Media Release Form. Complete case materials can be presented in person by Dr. Xu during your consultation.
Body Shaping
View All ›Dr. Xu's Real Clinical Cases — Abdominal Fat Treatment
The following cases were personally assessed and supervised by Dr. Dan Xu at our Markham, Toronto clinic, and are used with signed Media Release Form authorization. Abdominal fat distribution varies significantly by body constitution, age, and post-partum status. Individual results vary; actual outcomes are determined by in-person consultation and assessment.


Case 1 · Abdominal Fat — Real Clinical Documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concerns
- Abdominal Fat (Comprehensive Improvement via Multi-Modal Combination Protocol)
- Treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + InMode BodyFX + Fat-dissolving injections (multiple sessions within 3 months)
- treatment outcome
- Significant improvement in abdominal fat · natural overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 01: Abdominal Fat Reduction — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 2 · Abdominal Fat — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concerns
- Abdominal Fat (Comprehensive Improvement via Multi-Modal Combination Protocol)
- Treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + Fat-dissolving injections + weight-loss injections (multiple sessions within 3 months)
- treatment outcome
- Significant improvement in abdominal fat · natural overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 02: Abdominal Fat Treatment — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Abdominal Fat — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Primary concerns
- Abdominal Fat (Comprehensive Improvement via Multi-Modal Combination Protocol)
- Treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + fat-dissolving injections + medical weight management programs and 5 other modalities (multiple sessions within 3 months)
- treatment outcome
- Significant improvement in abdominal fat · natural overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 03: Abdominal Fat Reduction — Before & After · Asian Female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Abdominal Fat — Real Clinical Documentation
- Client profile
- Asian Male · Fitzpatrick IV
- Primary concerns
- Abdominal Fat (Comprehensive Improvement via Multi-Modal Combination Protocol)
- Treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + fat-dissolving injections + medical weight management programs and 5 other modalities (multiple sessions within 3 months)
- treatment outcome
- Significant improvement in abdominal fat · natural overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 05: Abdominal Fat Reduction — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Abdominal Fat — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Primary concerns
- Abdominal Fat (Comprehensive Improvement via Multi-Modal Combination Protocol)
- Treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + fat-dissolving injections + medical weight management programs and 5 other modalities (multiple sessions within 3 months)
- treatment outcome
- Significant improvement in abdominal fat · natural overall result
- Post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Daily sun protection + monthly at-home care + quarterly clinical assessment
Case 06: Abdominal Fat Treatment — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Bat Wing Cases
Before & After cases for this condition are currently being compiled. All cases are clinical records of real ID Cosmetic Clinic clients who have signed a written Media Release Form. Dr. Xu will walk you through the full case portfolio during your consultation.
Dr. Xu's Real Leg Contouring Cases
The following four cases were personally assessed and led by Dr. Dan Xu at our Toronto Markham clinic, and are used with signed Media Release Form authorization. Lower-limb presentations among Asian women vary considerably — including prominent calf muscles, lateral thigh fat deposits, and laxity above the knee. Individual responses differ; actual results are subject to in-person consultation and assessment.


Case 1 · Real Leg Slimming Results
- Client profile
- Asian Female · Fitzpatrick IV
- Key concern
- Leg Slimming (Comprehensive Multi-Modal Combination Protocol)
- Treatment plan
- Botox® + leg-slimming injections + Dysport® + neurotoxin and 5 related treatments (multiple sessions within 3 months)
- Treatment outcomes
- Noticeably slimmer legs · Natural overall result
- PIH risk
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly clinical assessment
Case 01: Leg Slimming — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Before & After Cases: Stretch Marks / Growth Marks
The following four cases were personally assessed and treatment-planned by Dr. Dan Xu at our Toronto Markham clinic, and are shared with written Media Release Form authorization. Striae Rubrae (red/active stretch marks) and Striae Albae (white/mature stretch marks) respond very differently to treatment; subtype and skin type determine the appropriate energy modality and device. Actual outcomes are subject to in-person consultation and assessment.


Case 1 · Stretch Marks / Growth Marks — Real Clinical Record
- Ideal Candidate Profile
- Asian female · Fitzpatrick IV
- primary concern
- Stretch Marks / Striae · Dermal Rupture
- Treatment Plan
- Lutronic Genius®Intelligent RF microneedling + Lutronic INFINI® gold RF microneedling + Lutronic RF microneedling + Morpheus8® and 5 other modalities (multiple sessions within 3 months)
- Improvement outcome
- Significant Improvement in Stretch Marks · Natural-Looking Overall Results
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly at-home care + quarterly clinical assessment
Case 01: Stretch Mark Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol · Performed by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Cases: Postpartum Abdominal Laxity Treatment
The following before-and-after images are from actual postpartum clients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing use of their images. All photos are unretouched clinical records. Individual results vary based on degree of diastasis recti, skin elasticity, BMI, and treatment adherence.


Case 1 · Postpartum Abdominal Laxity — Real Results
- Client profile
- Asian Female · Fitzpatrick IV
- areas of concern
- Postpartum abdominal laxity (comprehensive improvement through a multi-modal combination protocol)
- Treatment plan
- Lutronic Genius®Intelligent RF microneedling + Lutronic INFINI® gold RF microneedling + Lutronic RF microneedling + Morpheus8® and 5 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in postpartum belly laxity · Natural overall result
- Post-inflammatory hyperpigmentation (PIH)
- no PIH
- maintenance
- Routine sun protection + monthly home care + quarterly assessments
Case 01: Postpartum Abdominal Laxity — Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Authentic Medical Weight Management Cases
The following are authentic clinical records from Dr. Dan Xu's Obesity & Overweight Medical Management program at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. All data are unaltered clinical records; individual results vary based on baseline BMI, metabolic profile, and adherence. Medical weight management isA true medical program, Assessed, supervised, and followed up by a family medicine specialist physician.


Case 1 · Authentic Obesity/Overweight Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Obesity/Overweight (comprehensive improvement through a multimodal combination program)
- treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + InMode BodyFX + Belkyra® (multiple sessions within 3 months)
- Improvement outcomes
- Obesity/Overweight Significantly Improved · Natural Overall Results
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care routine + quarterly assessment
Case 01: Obesity/Overweight Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Obesity/Overweight — Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Obesity/Overweight (comprehensive improvement through a multimodal combination program)
- treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + Belkyra® + weight loss injections (multiple sessions within 3 months)
- Improvement outcomes
- Obesity/Overweight Significantly Improved · Natural Overall Results
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care routine + quarterly assessment
Case 02: Obesity/Overweight Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Obesity/Overweight — Documented Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Areas of Concern
- Obesity/Overweight (comprehensive improvement through a multimodal combination program)
- treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + Belkyra® + medical weight management program — 5 items (multiple sessions within 3 months)
- Improvement outcomes
- Obesity/Overweight Significantly Improved · Natural Overall Results
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care routine + quarterly assessment
Case 03: Obesity/Overweight Before & After · Asian Female · Fitzpatrick IV · Multimodal combination program led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Obesity/Overweight Clinical Record
- Client Profile
- Asian Male · Fitzpatrick IV
- Areas of Concern
- Obesity/Overweight (comprehensive improvement through a multimodal combination program)
- treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + Belkyra® + medical weight management program — 5 items (multiple sessions within 3 months)
- Improvement outcomes
- Obesity/Overweight Significantly Improved · Natural Overall Results
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care routine + quarterly assessment
Case 05: Obesity/Overweight — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination program led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham, Toronto


Case 6 · Authentic Obesity/Overweight Record
- Client Profile
- Asian Male · Fitzpatrick IV
- Areas of Concern
- Obesity/Overweight (comprehensive improvement through a multimodal combination program)
- treatment plan
- BTL Vanquish ME™ + Emsculpt NEO + Belkyra® + medical weight management program — 5 items (multiple sessions within 3 months)
- Improvement outcomes
- Obesity/Overweight Significantly Improved · Natural Overall Results
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care routine + quarterly assessment
Case 06: Obesity/Overweight Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Hair & Sweat
View All ›Dr. Xu's Real Patient Cases — Unwanted Hair Treatment
The following four cases were personally assessed by Dr. Dan Xu at our Toronto / Markham clinic. All treatments were carried out by the medical team under a physician-directed protocol, and each client has authorized use of their images via a Media Release Form. Treatment areas, hair color, and hormonal backgrounds vary significantly between individuals; individual results differ. Actual outcomes are determined at consultation.


Case 1 · Unwanted Hair — Real Results
- Client profile
- Asian female · Fitzpatrick IV
- Primary concern
- Unwanted Hair (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Fotona® Nd-YAGLaser Hair Removal + Soprano XL SHR + Titanium Hair Removal (multiple sessions within 3 months)
- improvement in results
- Significant reduction in unwanted hair · Natural-looking overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly clinical review
Case 01: Unwanted Hair — Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol · Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 2 · Unwanted Hair — Real Patient Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Primary concern
- Excessive hair density · Multi-area hair removal needs
- treatment plan
- Ellansé Ellansé® + CaHA collagen-stimulating filler + Fotona® Nd:YAG laser hair removal (multiple sessions within 3 months)
- improvement in results
- Reduced unwanted hair · Brighter, more even skin tone · Overall more youthful appearance
- Post-treatment darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly clinical review
Case 02: Before & After — Unwanted Hair Treatment · Asian Female · Fitzpatrick IV · Single-modality treatment led by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Unwanted Hair — Real Clinical Record
- Client profile
- Asian female · Fitzpatrick IV
- Primary concern
- Unwanted Hair (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Fotona® Nd-YAGLaser Hair Removal + Titanium Lift (multiple sessions within 3 months)
- improvement in results
- Significant reduction in unwanted hair · Natural-looking overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly clinical review
Case 03: Unwanted Hair — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol performed by Dr. Dan Xu, M.D., CCFP, at ID Cosmetic Clinic, Toronto / Markham
Dr. Xu's Real Cases: Axillary Hyperhidrosis
Before & after cases for this condition are currently being compiled and will be updated shortly. All cases represent actual clients of ID Cosmetic Clinic with signed written Media Release Forms. The complete case portfolio is available for review during your consultation with Dr. Xu.
Real skin tag cases by Dr. Xu
The following four cases were personally treated by Dr. Dan Xu at our Markham, Toronto clinic and are shared with signed Media Release Form authorization. Skin tags (acrochordon) vary in location, size, and stalk thickness, so treatment methods and recovery responses also differ. Actual results are determined by in-person consultation.


Case 1 · Real Skin Tag Record
- Client profile
- Asian female · Fitzpatrick IV
- Focus area
- Skin tag · Friction/aging type
- Treatment plan
- Dual Pico combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Improvement outcome
- Marked improvement in skin tags · Natural overall result
- rebound hyperpigmentation
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 01: Skin Tag Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham, Toronto
Intimate Health
View All ›Dr. Xu's Real Patient Cases: Vaginal Laxity & Vaginal Dryness
Before & After cases for this condition are currently being compiled and will be updated shortly. All cases are drawn from the clinical records of real ID Cosmetic Clinic patients who have signed a written Media Release Form. Dr. Xu will personally walk you through the full case documentation during your consultation.
Dr. Xu's Real Patient Cases: Urinary Leakage & Incontinence
Real patient cases for this condition are currently being compiled and will be updated shortly. All cases are clinical records of actual clients at ID Cosmetic Clinic and have been documented with a signed Media Release Form. Dr. Xu will personally present the complete case materials during your consultation.
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