Exhibit 10.54 ------------- Advanced Aesthetics, Inc. 501 Madison Avenue New York, NY 10022 January 3, 2006 The Johns Hopkins Health System Corporation The Johns Hopkins University 901 South Bend Street, Suite 550 Baltimore, MD 21231 Re: Services and...

                                                                   Exhibit 10.54
                                                                   -------------

                            Advanced Aesthetics, Inc.
                               000 Xxxxxxx Xxxxxx
                               Xxx Xxxx, XX 00000


                                                        January 3, 2006

The Xxxxx Xxxxxxx Health System Corporation
The Xxxxx Xxxxxxx University
000 Xxxxx Xxxx Xxxxxx, Xxxxx 000
Xxxxxxxxx, XX 00000

               Re:   Services and Licensing Agreement

Gentlemen:

     This letter will confirm our agreement to extend the period by which we are
required to satisfy the "Conditions  Precedent"  pursuant to Section 5(b) of our
Services and Licensing  Agreement (the "Agreement") dated December 8, 2004, from
December 31, 2005 until March 31, 2006.  All other terms and  provisions  of the
Agreement remain unchanged and in full force and effect.

     Please indicate your agreement by signing this letter below and returning a
copy to us.

                                       Very truly yours,

                                       ADVANCED AESTHETICS, INC.


                                       By: /s/ Xxxxx Xxxxxx
                                          ---------------------------
                                          Name:  Xxxxx Xxxxxx
                                          Title: Director


AGREED:
-------

THE XXXXX XXXXXXX HEALTH SYSTEM CORPORATION.


By: /s/ Xxxxxxx X. Xxxxx
   ------------------------
   Name:  Xxxxxxx X. Xxxxx
   Title: VP/CFO, JHM



THE XXXXX XXXXXXX UNIVERSITY


By: /s/ Xxxxxxx X. Xxxxx
   ------------------------
   Name:  Xxxxxxx X. Xxxxx
   Title: VP/CFO, JHM