Patient Reviews

Thrive Aesthetic & Anti-Aging Center
Rating: 5 Thrive Aesthetic & Anti-Aging Center - Reviewd By Paitent

I was referred to Dr. Maddox by a friend for testosterone therapy. Dr. Maddox exceeded my expectations. Every time I see him he takes the time to explain and address all my questions and concerns. His staff is super friendly and they make me feel like a person and not just another patient at a doctors office. Highly recommended.

Doctor's Blog

Patients ask, “How does laser tattoo removal work?”


Images of Tattoo Removal, Dr. Adam Maddox, Thrive Aesthetic & Anti-Aging Center

Thousands of individuals would like to be rid of a tattoo. Many have heard of a modern technique but want to know, “How does laser tattoo removal work?” Dr. Adam Maddox of Thrive in Portland explains.

 The science of laser tattoo removal

 There is more to laser tattoo removal than “zapping” your ink. The process requires the right equipment, training, precision, and patience.

 This is how a tattoo is removed:

  • Concentrated light energy is carefully directed at the design.
  • Pigment in the ink absorbs energy, resulting in a thermal reaction.
  • Ink molecules break apart from the heat.
  • Over the course of four to six weeks, the lymphatic system flushes ink from the body.

 Factors that impact results

 Laser tattoo removal is very effective. However, the outcome is largely based on the clinician’s experience and understanding of these aspects of your ink:

  • Location – As the heart pumps blood, it helps to move ink particles to the lymphatic system. Tattoos on hands and feet are typically more of a challenge to remove than those closer to your core.
  • Color – Each pigment in your tattoo reacts to a different wavelength of laser light. The technician must know which settings and handpiece will be most effective. Typically, black color is addressed in initial sessions, then reds and yellows, and finally greens and blues.
  • Age – Fresh ink is more resistant to laser removal than vintage tattoos. Over time, old skin cells infused with ink die and are replaced. The new cells create microscopic dots in the design, creating a faded look. A tattoo with many blank cells requires less laser treatment for resolution.

 Laser tattoo removal is a real medical treatment that should only be performed by or with the oversight of a doctor. For safety and results, schedule laser tattoo removal at Thrive – 503-928-6505.

Multidisciplinary approach to skin care for wrinkle reduction


Skin Care for Wrinkle Reduction, Dr. Adam Maddox, Thrive Aesthetic & Anti-Aging Center

“Multidisciplinary” means using several specialized techniques together, for the best outcome. Because every face, lifestyle, schedule, and budget is unique, a multidisciplinary skin care approach makes sense for effective wrinkle reduction.

 Factors that contribute to wrinkles

 Static wrinkles are folds and lines that are visible when the face is at rest. They are formed by:

  • Loss of facial volume. When fat pads, muscle, and bone diminish with age, skin sags.
  • Loss of elasticity as the body’s production of elastin and collagen slows. These fibrous proteins help keep skin thick and taut.
  • Decreased hydration. Hyaluronic acid binds with water to plump facial contours. That process becomes less efficient as we age.
  • Environmental impact – sun exposure, tanning, smoking, and pollution accelerate visible signs of aging.

 Dynamic wrinkles occur from using facial muscles to form expressions – smiling, pursing the lips, squinting, and frowning. Youthful skin springs back readily, but as we get older these lines, wrinkles, and creases become etched into skin.

 A personalized care plan

 We determine your concerns and goals, and design a plan of action for optimal wrinkle reduction. Your customized program may include:

  • Daily skin care regimen – High quality products for your skin type.
  • Chemical peels – Peels brighten skin tone and refine texture.
  • Microdermabrasion – Gentle exfoliation, especially good for reducing fine lines around the eyes and mouth.
  • Injectables – Botox specifically addresses the underlying cause of dynamic wrinkles. Dermal fillers add volume to smooth static wrinkles.
  • Hi-tech treatments – Thrive invests in the latest equipment, techniques, and training to deliver leading edge anti-aging treatments. We offer laser, light, radiofrequency, microneedling, and other non- and minimally-invasive procedures.
  • Cosmetic surgery – With a plastic surgeon on staff, face lift, eyelid, and many other plastic surgery options are available on site.

 At Thrive, skin care for wrinkle reduction is customized to your needs. Call 503-928-6505.

Postpone the scalpel with laser skin tightening


Best hair removal treatment

According to the American Society of Plastic Surgeons, 127,297 facelift procedures were performed in this country in 2015. The most common age for facelift is mid-50s. Cosmetic surgery effectively addresses sagging skin and wrinkles, and lifts the appearance by tightening underlying muscles. However, it comes with the risks and recovery time of a surgical procedure. A customized “prejuvenation” plan including laser skin tightening can delay the need for surgical intervention indefinitely.

Causes of lax skin

A young person’s complexion is firm and smooth. As we age, we lose facial volume in the form of muscle, hydration, fat, and even bone. This lack of underlying support allows skin to droop. At the same time, our bodies produce less collagen and elastin. These fibrous proteins keep skin thick, taut, and resilient. Smoking, environmental pollutants, and sun exposure accelerate breakdown of skin’s youthful structure.

When is the “right time” for laser skin tightening?

Every patient, complexion, and body ages differently, and lifestyles vary. It is a good idea to prevent signs of aging with treatment beginning in your 30s, rather than trying to correct deeply-set wrinkles later in life.

The procedure uses a laser to heat collagen under the surface, causing skin to tighten. Skin is cleansed and protected with an anesthetic cream, and then the clinician passes a hand piece over it several times, releasing pulses of laser energy. The device has a built-in cooling mechanism for a comfortable treatment experience. Most patients report only a feeling of warmth and slight stinging.

You see immediate tightening, and continued improvement over the course of several months. As collagen rebuilds, skin also becomes smoother, softer, and more youthful looking. Treatment can be repeated, after a month.


Call Thrive at 503-928-6503 if you’d like to schedule a consultation to learn more about laser skin tightening.

Dieting is not the best way to get rid of cellulite


Best hair removal treatment

About 90 percent of women develop cellulite by age 35. Because estrogen is a factor, only ten percent of men experience this dimpled texture on skin. It is common on buttocks, thighs, and above the knees, but cellulite can show up in other areas, as well. For many years, the condition was associated with excess weight, and dieting was believed to be the best way to get rid of cellulite. Today, we have a better understanding of why that is not true, modern technologies do a better job of smoothing cellulite.

The underlying cause of cellulite

A network of fibrous tissues connects skin to muscles. Your body has a layer of subcutaneous fat beneath the skin. Cellulite occurs when the fatty layer pushes through openings in the mesh of connective tissue.

Why dieting doesn’t work

Excess fat can make the appearance of cellulite more noticeable. However, diets are usually intended to get weight off quickly. That may compromise nutrition, leading to thinner skin and skin laxity, which actually accentuates cellulite.

Effective treatment

Cellulaze is a minimally-invasive technique that attacks the source of cellulite in three ways:

  • Laser energy is directed through a thin tube to release fibrous tissue bands under the skin, for immediate improvement. The openings are tiny, so they heal quickly with minimal scarring.
  • Lumpy pockets of fat are broken up during treatment.
  • The laser stimulates collagen production, resulting in thicker, firmer skin that resists dimpling, for continued improvement.

Only local anesthesia is needed, and a Cellulaze session typically takes two hours or less. Results can last a year or more. As a naturopath, Dr. Maddox can recommend nutritional supplements, hormone replacement therapy, and lifestyle adjustments to keep your body looking more youthful.

Call Thrive at 503-928-6503 to discover the best way to get rid of your cellulite.

Laser technology can be the best hair removal treatment for dark skin tones


Best hair removal treatment

Since the mid-1960s, laser technology has emerged as an effective and efficient method of hair removal. However, since laser energy is absorbed by pigmentation, this technique was typically available only for individuals with fair complexions and dark hair. With an unrelenting commitment to service, Thrive has invested in advanced equipment and training to bring the best hair removal treatment to patients with all skin types, even those with richly-pigmented complexions.

 Specialized technique

Many clinicians utilize only one type of laser for permanent hair reduction. Thrive has a suite of lasers to deliver customized care. For those with darker skin tones, we use a Cutera CoolGlide® Excel laser. It has a built-in cooling mechanism for maximum comfort, and minimal risk of burns or skin discoloration. Our clinicians are extremely experienced in choosing the appropriate laser settings to selectively treat hair follicles without damage to surrounding tissues.


Laser treatment destroys hair only in the anagen (active growth) stage, so five to eight treatment sessions, spaced six to 12 weeks apart are usually recommended for full resolution. Hair falls out within two weeks, and regrowth becomes finer with each treatment. Since the body continues to produce some new hair follicles, periodic re-treatment keeps skin silky and hair-free.

 For freedom from daily shaving, or painful depilatory techniques, call Thrive at 503-928-6505.

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