Aesthetic and Cosmetic Dermatology in White Salmon


Debra Short

If your Italian is rusty….it means…to live without regrets!

When I was young, without a wrinkle or a line, I remember thinking to myself I WILL age gracefully. I will accept my lines and wrinkles that slowly appear on my face over time as marks of a life well lived, of decades spent laughing, sobbing, and everything in between.

But here I am, years later with every overhead light that shines down and spotlights a newly formed line or deepening crevice on my face, helping to remind me of my age. And instead of seeing these “age reminders” as I thought I would when I was much younger, I feel like they make me look old and tired rather than happy to see a map of my life staring back at me. It’s not that I want to look younger, but my visible lines annoy me now as much as blemishes did when I was an angsty teen. I am suddenly reminded that I’m caught somewhere in between old age and young. But unlike a blemish that disappears in a few days hopefully without a mark left, my lines just get worse over time.

Now, I’m sure I notice my lines and wrinkles more than anyone else does. In fact, I’m positive because the man I see most, Larry, my husband, barely notices them {or he’s just being nice}. My frustrations led me to investigate using Botox, fillers, and other facial rejuvenation products and procedures as an answer to my lines and new wrinkles. And for me, and many of my clients it has become an important part of our regular beauty routines.

But just as with any other beauty products, one thing doesn’t work for everyone. I think there’s a trial and error component to all products and if it works for you, then do it and if it doesn’t, try something else. My goal is to empower you to feel good about yourself and live a healthy life and most of all “Vivere Senza Rimpianti”.
If our aesthetic medicine options can help you do that then we’ve reached our goal!


doctor consulting


At White Salmon Aesthetics, SAFETY AND RESULTS are our two top goals! You will find a full range of INTEGRATED non-surgical aesthetic and cosmetic treatments and procedures at White Salmon Aesthetics. Debra is a skilled and gifted artisan in performing facial enhancements. Her long history serving as a medical provider was a perfect platform for her transition to becoming an expert Aesthetic Injector. Safety and Results – are the two key components to the success of her work as an Aesthetic Injector. Our practice focuses on providing INTEGRATED services to enhance facial features (eyes, brows, nose, lips and skin texture).

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Before & Afters

All real clients, photos no photo re-touching



Smooths frown lines, forehead wrinkles, crow’s feet, smoker’s lines and sagging eyebrows. Treatments are FDA approved, safe, and the entire appointment takes less than 30 minutes. Botox is an injectable made of purified proteins that temporarily relaxe the underlying muscles. Results last between 3 to 4 months, but can vary patient by patient.

dermal fillers


DERMAL FILLERS offer a great way to smooth wrinkles, plump lips, fill scars and soften facial folds caused by loss of collagen and bone shrinkage. With the addition of lidocaine, patients receive natural-looking results with minimal discomfort and downtime. At White Salmon Family Practice, we use the ALLERGAN JUVEDERM line of products. All of these fillers contain Hyaluronic acid. HA is a glycosaminoglycan, a vital natural substance that’s a youth-supporting part of skin. As the chief glycosaminoglycan in skin, hyaluronic acid works to keep every aspect of skin stable, safeguarded, and constantly renewed. It also has the stunning capacity to attract and hold vast amounts of moisture and stimulate the formation of collagen in your skin. Treatments last generally 8 months to 2 years depending on areas treated and the density of Juvederm filler that is used.


Receiving facial enhancements and or rejuvenation is only part of the equation to achieving a rested, healthy appearance. Hands down our favorite products for EXCELLENT routine skin care are SKINMEDICA products. We love that they are MEDICAL GRADE, scientifically tested and proven to work. We personally use these products and can attest to their effectiveness. One bonus of using the SKINMEDICA line is our clients earn BRILLIANT DISTINCTION POINTS with all purchases.

skin medica


What is PRF?

PRF (platelet-rich fibrin) is the next generation of PRPT (platelet rich plasma therapy) that is used to treat hair loss and rejuvenate skin texture. It has been used for decades in dentistry and orthopedics. Human blood contains red blood cells, white blood cells, platelets, and plasma. When blood is centrifuged (or spun in a special way), it will produce PRF.

PRF contains platelets, white blood cells, fibrin and stem cells. Platelets in our blood contain proteins, or “growth factors”, that increase collagen production, regenerate tissue, tighten skin, rejuvenate texture of the skin, and stimulate hair regrowth. White blood cells aid in tissue regeneration, and FIBRIN acts as a scaffolding on which the growth factors attach to allow a longer release of their growth factors. Stem cells are undifferentiated cells that can turn into specialized cells or become more stem cells. They act as a repair system for the body to replenish tissues.


In addition to skin peels, we recommend routine treatments of MICRONEEDLING combined with PLATELET-RICH FIBRIN. (PRF) It is highly effective for reduction of fine lines, acne scars, and rosacea. Platelets and white blood cells are two important producers of growth factors which are essential for the skin rejuvenation process. The process involves the use of a device that contains fine needles that puncture the skin. Once we have collected your blood, we spin it in a special centrifuge. Once the Fibrin is separated from your blood, we combine it with the Microneedling process. Microneedling plus PRF is COMPLETELY NATURAL…NO ADDITIVES! Microneedling has little to no downtime. The day of the procedure you will experience redness of the skin. By day 2 you will simply have a fresh, beautiful new face!

chemical peel


hair loss man and woman

STOP HAIR LOSS! You don’t have to live with thinning hair! Hair loss affects both men and women and is a completely normal part of the aging process. However, some factors can influence the rate that hair loss occurs, such as genetic predispositions, alopecia areata, and even severe stress. Hair restoration with platelet-rich fibrin PRF is a virtually painless, and is a cutting-edge procedure that is used for patients who do not want surgery. The results are amazing.

Platelet-Rich-Fibrin (PRF) hair restoration is a new, non-surgical treatment that uses cell growth factors to regenerate and restore the inactive hair follicle through wound-healing technology.

PRF is obtained by drawing your blood, just like it is done during a routine blood test. It is then separated using a centrifuge. While the blood is being prepared, we will numb your scalp with a topical anesthetic cream to make the treatment virtually painless. Once the serum is isolated, it will be strategically injected into the scalp where hair loss or hair thinning has occurred. It may also be combined with microneedling therapy. When the procedure is over, you can immediately go back to your normal daily activities.

The hair follicles treated with PRF will be reinvigorated and begin to grow new hair. The hair will strengthen and become thicker. Hair growth is a slow process, and results can be seen within three to six months.

Debra works with her clients over multiple visits to achieve these natural results. Typically clients will need at least 3 treatments, 6 weeks apart and then annually thereafter.

non surgical face lift


The PDO Thread Lift is a treatment which lifts and tightens sagging skin tissue, using threads made of Polydioxanone (PDO) Aesthetic treatments are an art as much as a science. Our goal is to help you look your natural best, not necessarily different. My philosophy is that a little goes a long way, more is not always better, and prevention is key. The NovaThread Lift is one of the most effective non-surgical treatments to correct loose facial skin. Age and the effects of gravity over time causes the skin to become lax and droop, creating unwanted lines, wrinkles, and creases. These effects can add years to a person’s appearance and negatively affect their confidence. NovaThreads were created to answer an unmet need in aesthetics, which is to provide a visibly lifted result without a surgical procedure.

The procedure requires NO CUTS OR INCISIONS; it simply involves injections using sutures that will be safely absorbed into the skin. NovaThreads are dissolvable PDO sutures that come in a variety of textures and can be used on the face, neck, or anywhere else on the body that requires subtle lifting. Wherever the threads are placed, you will be able to see immediate results.
The most common treatment areas for NovaThread Lifts include:
• Neck
• Jaw
• Marionette lines
• Jowls

skin medica chemical peel


Skinmedica Peels are some of our most requested peels and deliver great results. The Vitalize Peel, Illuminize Peel or Rejuvenize Peel by Skinmedica may be the cosmetic treatment you are seeking to help you achieve a clearer, brighter and more youthful glow to your skin.

Chemical peels are a safe and easy way to heighten skin health by removing damaged outer layers. New skin cells emerge naturally and with a glowing appearance. Although the idea of chemical peels sometimes makes people cringe, it is important to realize how new scientific breakthroughs have altered the way these procedures work.

Any of the peels take roughly 20 minutes to apply, and patients should expect some facial redness that will completely resolve after the skin stops peeling. Patients should only use skin care products provided for post-procedure care and should not resume their regular skin care regimen until after peeling is complete.
SkinMedica Peel Benefits:
• Improvement of acneic skin
• Improvement of pigmentation irregularities and melasma
• Treats Post-inflammatory hyperpigmentation
• Treats Melasma pigmentation
• Improvement of hyperpigmentation and sun spots