Facial Rejuvenation (Non-invasive)

Dr. Keener offers the following non-invasive facial rejuvenation procedures for patients seeking to enhance their appearance quickly and painlessly without the recovery time. All treatments can be combined with each other to yield maximum results and superior skin maintenance. TCA Peels and Microneedling give excellent results when used in combination, as opposed to using alone.

  • Botox Injections
  • Dermal Fillers
  • Lip Enhancement
  • Microneedling (recommended with TCA Peel)
  • TCA Medium Depth Peels


An FDA approved prescription medication used to temporarily improve the appearance of wrinkles of forehead, around and between the eyes. It is gently injected into certain muscles, to cause relaxation of the muscle and subsequent smoothing of the skin. An excellent and safe preventative for "aging gracefully". Typically, the effects last 2-3 months, but sometimes longer. It takes 5-7 days to take effect, downtime: 12 hours after treatment no strenuous activity, alcohol, or excessive rubbing of the areas injected. Pain level: 1-3, depending on the needle and the injector, as well as personal pain tolerance.

Cost: $$$

Dermal Fillers

FDA approved substances, commonly Hyaluronic Acid (naturally found in our bodies), which are injected to smooth "smile lines" around the mouth, plump lips/hands/scars, build cheekbones/chins. Typically, the effects last 9 months to a year, but sometimes longer. It takes effect immediately and will continue to mildly plump for 3-7 days, downtime: 3-7 days of swelling, and light bruising is possible. Pain level 1-7, depending on if numbing agents are used.

Cost: $$$$$

TCA Peels

Trichloracetic Acid (TCA) has been used for many years on the skin. It comes in a variety of strengths, light to deep, and will cause the skin to peel (like a sunburn). In its light concentration it can benefit the skin to improve tone, texture, reduction of acne and clogged pores; medium concentrations can also improve fine lines, wrinkles, firmness, coloring (sun spots, birthmarks, freckles); the deep peels are good for those who have increased effects of age, sun, and skin damage. Medium and deep peels should only be administered by a professional with proper training. Recommended 3-6 times per year (avoid summer months). Effect is immediate, downtime 4-7 days of peeling. Pain: 1-3, depending on the strength and number of layers of acid.

Cost: $


A process that uses multiple needles to painlessly (when used in combination with a numbing agent) puncture the skin repeatedly. This process causes increased production of collagen and elastin, which can reverse the signs of aging: skin discoloration, laxity, wrinkles, scars. Enjoy soft skin that is plump and youthful after one treatment. Monthly treatments are recommended. Downtime: 15 minutes typically, mild bruising or redness may occur. It also is beneficial to decrease acne and improve the appearance of scars. Pain: 1

Cost: $$$

Dr. Keener is available for appointments Monday - Friday from 8 am until 5 pm.

Please call 904.259.7815 to schedule an appointment with Dr. Keener.