Cosmetic Dermatology

We offer cosmetic dermatology and aesthetic treatments including Botox,
Juvederm/injectable fillers, IPL and advanced skin care services

Cosmetic Dermatology Services at Evolution

Discover the world’s most advanced non-surgical treatments for anti-aging and skin enhancement, including chemical peels, IPL treatments, fillers, botox and other customized aesthetic treatments.

At Evolution Dermatology + Wellness our providers are highly trained and experienced in both medical and cosmetic areas of dermatology. We make it a point to stay at the forefront of current and cutting edge technology and training, maintaining deep and broad experience over our many years in practicing cosmetic procedures.
All of our treatments are performed with privacy, discretion, and personalized care in mind.

Every treatment is individually tailored to produce an enhanced look that appears refreshed, natural and graceful.

Cosmetic Dermatology services available in Boulder CO at Evolution Dermatology

Our Services

We at Evolution Dermatology and Wellness are experts in diagnosing and treating medical skin conditions such as acne, eczema and perform preventative skin exams. We pride ourselves on offering the latest non-surgical cosmetic treatments such as Botox, injectable cosmetic fillers, in-office peels and laser and light procedures to keep your skin looking youthful and fight the signs of aging. Our medical knowledge combined with advanced cosmetic treatments means that with our care you can have your healthiest skin possible.

Cosmetic Consultations offered from Evolution Dermatology in Boulder Colorado

Cosmetic Consults

For a cosmetic consultation, you will meet with one of our experienced Physician Assistants who have been involved with cosmetic dermatology for over 20 years.  They will put together a treatment plan specifically for you and recommend treatments for your skin care needs.  They can also customize a skincare regimen that you can follow at home to help prevent and repair sun damage and fight the signs of aging. 

IPL Photofacial offered from Evolution Dermatology in Boulder Colorado

IPL/Photofacial (Intense Pulsed Light)

This is a non-invasive treatment to remove brown spots, telangiectasia and discoloration on your face, neck, chest, arms or hands. It can improve your skin quality with very little downtime. We have had experience with IPL for over 20 years and are confident in the cosmetic results this treatment has to offer.

Botox injections available from Evolution Dermatology in Boulder Colorado


These treatments only take minutes and result in improvement of dynamic wrinkles – like crows feet, the furrow between your brow or forehead lines. Neurotoxins are injected into dynamic wrinkles to eliminate the wrinkle by relaxing the exaggerated muscle contraction in that area.  The effects of botox will last from 3-6 months, so with only 3-4 injections per year you can maintain a smooth, youthful appearance.  

Injectable fillers available in Boulder CO at Evolution Dermatology and wellness

Fillers (Juvederm/Restylane/ RHA/Volbella/Voluma)

At Evolution, we only use FDA approved safe fillers (including Juvederm, Voluma, Restylane and Radiesse) that create a natural result. These fillers can add volume to areas that have changed over time and resolve facial folds and wrinkles. There is an art to injecting fillers…come and experience our mastery. All of these fillers are made of hyaluronic acid, a gel that is safe and FDA-approved.

Chemical Peels available at Evolution Dermatology in Boulder CO

Chemical Peels

Chemical facial peels are when a specific strength of acid or enzyme solution is placed on your skin.  This actually causes controlled destruction at a specific level of the skin.  By removing the dead and damaged surface skin cells the new regenerated skin is allowed to shine!  Your skin has improved texture, is less wrinkled, has less pigmentation and fewer acne spots than the old damaged skin.  Your skin will be smoother – makeup goes on better.

Microneedling plus PRP available in Boulder, CO with Evolution Dermatology

Microneedling +/- PRP

Microneedling is a procedure where an electric-powered pin device with fine needles is moved across your skin.  The needles puncture the top layer of the skin and create a controlled skin injury (micro wounds) with the goal of improving skin texture and promoting collagen growth. Once a micro-injury is created with the needles, your body is stimulated to produce new collagen to fill them in as part of the healing process. This new collagen can make your skin look smoother, tighter, and more youthful.  It can also help diminish acne scars.

PRP platelet rich plasma offered from Evolution Dermatology in Boulder Colorado

PRP (Platelet Rich Plasma)

PRP for hair loss, injections for fine lines and can be combined with microneedling. Your body has the ability to heal itself. Platelet-rich plasma therapy is a form of regenerative medicine that can harness those abilities and amplify the natural growth factors your body uses to heal and stimulate the growth of new cells. A quick blood draw is done in our office and placed in a centrifuge where your blood is spun down to harvest the platelet rich plasma.  We put this gold serum into a syringe where it can be injected or placed on your skin during microneedling. 

Sclerotherapy vein treatment  from Evolution Dermatology in Boulder Colorado

Sclerotherapy for Leg Veins

Here at Evolution, we inject unwanted spider leg veins with one of a couple different solutions.  The procedure takes about 30 minutes and you will be instructed to keep on Coban wraps or support hose for 3 days.  The veins will look darker and more apparent at first and will fade over the course of a month.  For best results, no strenuous exercise for 3 days following your procedure.  This is a treatment that can take a couple of times before all of the vessels are resolved but it is a great way to get those legs ready for summer or a warm vacation!

KYBELLA from Evolution Dermatology in Boulder Colorado


KYBELLA® is the only FDA-approved injectable treatment that destroys fat cells in the treatment area under the chin to improve your profile.  It is about a 30 min procedure in the office where a Kybella is injected. The exact number of injections will depend on the amount of fat you have under your chin and your desired profile.  For the best outcome you will need anywhere from 1 to 6 treatments, done one month apart.  

Radiesse collagen treatments from Evolution Dermatology in Boulder Colorado

Radiesse Collagen Stimulation

Radiesse has been used as a filler for years. But you may not know that it is also a well-established collagen stimulator. It can be used in hyperdiluted form as a biostimulatory agent rather than a volumizing filler to improve skin quality and firmness in areas like your face, neck, decollete, arms and even above your knees.

Aquagold Fine Touch microfusion device available at Evolution Dermatology in Boulder CO

Aquagold Glow Treatment

These treatments can induce collagen stimulation on the face, neck, chest and hands to improve texture, decrease pore size, reduce excess oil production and help with acne scars. Aquagold is a microfusion device made with hollow bore needles similar to microneedling which can drive products deep into the dermal layers of the skin.

Sofwave from Evolution Dermatology in Boulder CO reduces wrinkles in chin


Sofwave™. Smart Science. Simple Solutions. SUPERB™ Results. Next Generation Wrinkle Reduction and Lifting Treatment Sofwave™ Synchronous Ultrasound Parallel Beam Technology SUPERB™, FDA-cleared to lift the eyebrow, lift lax skin of the submental tissue and lax skin of the neck tissue; as well as improve facial lines and wrinkles of the face.

I have been seeing Kim Guthke as a PA for 15 years for all my medical and cosmetic dermatological needs. Kim Guthke is exceptionally knowledgeable, skilled, compassionate, and forthright. She is determined to get you and your skin the best possible result.

E.K. - Boulder, CO 
E.K. - Boulder, CO

Kim has been our family dermatology PA for 10 yrs.  Skin and doctors, in general, are a sensitive topic for me due to some traumatic past experiences.  Once a year, I happily have a skin check with Kim to care for my 1950’s sunbaked skin.  After my first appointment with Kim, I knew I had found a skilled, trustworthy PA.  I feel at ease no matter what she is helping me with and trust her gentle guidance.  She is kind, calm, sensitive, enthusiastic, compassionate, honest and treats us as family.  Usually I work hard to relax at any doctor’s appointment but am calmed just by her presence.  Kim is loved and appreciated by all her patients.  I have referred many grateful friends who understand how precious it is to find a health practitioner who is skilled, listens and understands people.  Gratefully yours.

C.P. - Boulder, CO Life Coach
C.P. - Boulder, CO

“Kim Guthke is an amazing practitioner.  She is thorough, professional, and attentive.  I have been a patient for over a decade and regularly refer people  to her care  for dermatology.”

A.P. - Boulder, CO Vice President of Strategic Accounts
A.P. - Boulder, CO

“I have been a patient of Kim’s for several years now, and I absolutely LOVE working with her as my dermatology PA.She is thorough, insightful, and so fun and pleasant to see. I trust her implicitly, and know she has a very keen eye. Her professionalism is truly top notch.”

C.E. - Boulder, CO Doctor of Chinese Medicine
C.E. - Boulder, CO

“I have been seeing Kim Guthke as a PA for 15 years for all my medical and cosmetic dermatological needs. Kim Guthke is exceptionally knowledgeable, skilled, compassionate, and forthright. She is determined to get you and your skin the best possible result.”

E.K. - Boulder, CO Speech-Language Therapist
E.K. - Boulder, CO

“Kim allows patients to feel immediately at ease and welcome. Her bedside manner is at the top and she has even helped with our children. I have seen Kim for over 10 years and appreciate her knowledge, experience and professionalism in the dermatology setting. I would highly recommend Kim to any friend, or family member without hesitation. She is the best!!”

L.C. - Boulder, CO Home Staging & Design Business Co-owner
L.C. - Boulder, CO

“Pauli Morrow is a gem of a human being and dermatologist. As an ex-sun worshiper, I really appreciate her thoroughness on skin checks and assistance around sun damage. Pauli is also a true artist with the needle. I walk out of her office knowing I’m going to be super fresh faced in a naturally enhanced way. I owe Pauli so much when it comes to keeping my skin healthy and looking amazing. I am very lucky to be in such amazing knowledgeable hands for the last 10 plus years. I feel beyond cared for – Pauli is simply the best!

J.H. - Boulder, CO 
J.H. - Boulder, CO

“I have seen Pauli for Botox and Facial Filler several times.  She is extremely professional, listens carefully, provides honest objective recommendations and her results are impeccable.  I would highly recommend Pauli to my friends, family and colleagues (in fact I already have!).”

M.M. - Scottsdale, AZ 
M.M. - Scottsdale, AZ

“I have been a patient of Pauli Morrow’s for over 20 years. Words that come to mind when thinking of Pauli are talent, passion, skill, experience and trustworthy. Pauli loves her work and that shows in the way she treats her patients—with an exceptional curiosity, focus, and real interest in caring for others—and in the incredible results I see in my skin after every office visit. It may be slightly over-the-top, but even though I now live several states away, sometimes I still fly across the country for treatments with Pauli because I trust her so much and know her skills are worth the effort and will make a difference every time.”

E.D. - Atlanta, GA Public Health Specialist
E.D. - Atlanta, GA

“Pauli Morrow keeps me looking 10 years younger … oh yeah, and she saved my life. Literally. I’ve been a patient of Pauli Morrow for over 20 years. Cosmetic treatment was my primary goal and she is an ARTIST. She saw me for my general derm checks. She brilliantly zeroed in on a spot on my arm which turned out to be melanoma. Without her seeing this, I would never have had it looked at! I owe her my life. Plus I look fabulous while living it, all thanks to her!!!”

L.D. - Del Ray, FL  Commercial Real Estate Executive
L.D. - Del Ray, FL