A FEW FACTS ABOUT ACNE - LEVULAN (PHOTO DYNAMIC), ZENO
Studies indicate that most people experience acne in some form at some time in their life. Acne usually begins during adolescence but often continues into adulthood. Hormonal changes cause the enlargement and blocking of oil-producing sebaceous glands near the hair follicle within the skin.
Acne usually begins with an abnormal amount of bacteria, mainly propionibacterium acnes (P.acnes). This typically causes painful pimples - known as inflamed pustules of acne or inflammatory acne that can appear on the face, chest, back, limbs and virtually any other part of the body. Acne can produce life-long scares, both physically and emotionally.
CLEAR LIGHT (ClearLight) ACNE TREATMENT SYSTEM
What is the Clearlight system? - The Clear Light system is a unique new therapeutic light that treats moderate inflammatory acne. ClearLight uses the innovative Acne PhotoClearing (APC) technology to destroy the most common bacteria that causes acne - quickly and easily.
How effective is Clear Light? - Clear Light effectively clears most moderate inflammatory acne in four weeks.
Is it Clear Light safe? Are there any side effects? - Clear Light is one of the safest acne treatments available. Its APC technology uses light that is UV-safe. With ClearLight there are no known side effects. Traditional acne treatments can have a variety of side effects. Topical therapies like creams and lotions often cause redness, irritation, and/or peeling. Oral therapies, like antibiotics, may have other side effects. Both may require at least 3 months of continuous treatment; conditions often become worse before they improve, and scarring remains an issue.
Who can be treated by ClearLight? - Almost anyone. ClearLight has proven to be very effective on moderate inflammatory acne. Pregnant women and people with photosensitivity should consult with their physician. Since most people can benefit from treatment, talk to your doctor about ClearLight.
What You Can Expect? How Clearlight works... ClearLight's unique APC technology destroys P. acnes bacteria safely and effectively within the skin.
Before - APC technology uses high-intensity, 405-420nm wavelength light that permeates the tissue to reach the P. acnes target safely and effectively
During - This unique spectrum of high-intensity light triggers the proliferation of endogenic porphyrins, which attack and destroy P. acnes bacteria within the skin.
After - ClearLight creates a destruction rate that surpasses the normal proliferation rate of the P. acnes bacteria, assuring a significant decrease in P. acnes bacteria.
What happens during Clearlight treatment? Does it hurt? - With ClearLight, a typical treatment session takes only 15 minutes. You lie comfortably while the therapeutic light is applied; sometimes there is a slight warm sensation. ClearLight treatments are described as easy, even relaxing, but most importantly - painless and safe. Patients often listen to music while being treated.
How many treatments are required? - Your doctor can tell you about the treatment plan that is right for you. It will involve a series of ClearLight treatment sessions, typically twice a week for 4 weeks. It is important to keep the treatment appointments recommended by your doctor. By following the treatment plan, you'll see maximum results and enjoy clearer skin with ClearLight.
LEVULAN PHOTODYNAMIC TREATMENT (PDT) FOR ACNE AND AGING SKIN
Photodynamic therapy was originally developed for the treatment of cancer. We now know there are a number of other clinical conditions which can respond effectively to this exciting procedure. The cause of acne is multifactorial. The bacterium P. acnes are responsible for the majority of cases of acne, which is also aggravated by excessive sebum production by sebaceous glands. Levulan® is absorbed in sebaceous glands, which also play a role in the cause of acne. Recent studies have shown that treatments using topically applied Levulan® followed by light activation have resulted in dramatic improvement in the severity of patients' acne.
There were no serious adverse events noted with the topical use of Levulan®, however patients do experience some mild redness and fine crusting after treatment.
While the use of Levulan® photodynamic therapy to treat acne is a new modality, it clearly shows great promise in producing long term remission and clearance in this troublesome disease.
Another promising area for Levulan® use appears to be in the treatment of photo-aged skin. Patients with sun-damaged skin have been treated with topically applied Levulan® followed by light treatment. Patients noted the appearance of reduced pore size and an improvement in pigment abnormalities and textural quality.
Questions and Answers About Photodynamic Therapy (PDT):
How does Photodynamic Therapy (PDT) Work? - In photodynamic therapy a photosensitizer (Levulan®) is applied to the skin. This is absorbed preferentially by certain structures in the skin, such as hair follicles, oil glands, bacteria, or rapidly growing cells. Illumination with a high-intensity light or lasers causes a reaction in the skin, resulting in destruction of the targeted tissue.
What Types of Conditions can be Treated with PDT? - Photodynamic therapy has been effective in the treatment of actinic keratoses (pre-cancerous spots), sun damaged skin, acne, warts, and many other diseases.
How Does PDT Treat Acne? - Photodynamic therapy seems to treat acne by decreasing the bacteria on the skin and by shrinking the oil-producing sebaceous glands.
Is PDT Uncomfortable? - During PDT the skin is washed several times and the activated substance is applied. Either of these may cause stinging. Following treatment there may be some transient itching and a mild sunburn sensation.
Information About Zeno
What is Zeno?- Zeno is a handheld, portable electronic medical device that is clinically proven to make pimples disappear fast. In fact, for treating acne pimples, it's the most scientifically advanced and effective device available without a prescription.
What does it do? Zeno applies a precisely controlled heat dose directly to the pimple through a metal pad. One treatmen lasts 2 ½ minutes. Two to three treatments spread over 24 hours clear up most pimples quickly. It's that simple.
How does it work? Pimples occur when excess skin oil and flaking skin plug the opening of a hair follicle and create the ideal environment for acne bacteria to grow. Precisely controlled heat applied for a specific period of time causes the bacteria to self-destruct. When the bacteria die, the pimple goes away.
How many treatments does it take? Two to three 2 ½ minute treatments spread over 24 hours are sufficient for most pimples. Often, only one treatment is needed.
Who should use Zeno? Zeno is for people with mild to moderate acne. If in doubt, ask your doctor.
When should Zeno be used? Use Zeno at the first sign of a pimple. It works best when used on a pimple in the early stages of development. Also, the sooner pimples are cleared up, the less chance they have to leave scars.
How does Zeno compare with topical or oral treatments? Zeno can clear up a pimple in just hours. Most other medications take days or even weeks to work. What's more , other than slight, temporary skin redness, Zeno has none of the side effects described by most topical or oral medications.
BOTOX
Frown lines and crow's feet - The lines we know as frown lines and crow's feet are lines of facial expression. They are created by the repeated action of very specific facial muscles and the lines become more apparent over time. The muscles creating the frown lines are called the corrugator muscles and the procerus muscles and they are located above the eyebrows and in the middle of the bridge of the nose. The orbicularis oculi muscles create the crow's feet at the corners of the eyes. These muscles are easily identified and their movements can be minimized with the technique of Botox injection.
What is Botox? - Botox is a purified protein toxin produced by the clostridium botulinum bacteria. Although Botox is technically a toxin, there have been no serious side effects. This is because, for the treatment described, it is used in extremely small amounts and does not spread throughout the body.
How is Botox used? - First, the muscles to be treated are identified by observing the patient making different facial expressions. Botox, which comes frozen and dried, is reconstituted and diluted to a very specific strength. A few drops of Botox are injected with a tiny needle into the muscle that creates the wrinkle. When Botox is injected into a muscle, it blocks the nerve impulse from reaching that area, and as a result, the muscle weakens. As the muscle weakens, the skin overlying the muscle relaxes and the wrinkle in the skin gradually softens and often disappears.
Does a Botox injection hurt? - When Botox is injected there is an initial minor sting for a few seconds. Once the injection is complete, there is usually no discomfort.
Where can Botox be Injected? - The most common areas for the use of Botox are the frown lines between the eyebrows, the horizontal forehead lines, and the crow's feet. On occasion, some other areas may be treated as well.
How fast does Botox work? - There is no immediate response to the Botox injection. It takes several days for the muscles to be affected, at which time, one will notice the gradual loss of ability to frown or to create the lines affected by the treated muscles.
Does Botox affect other facial expressions or create numbness? Botox doesn't affect the sensory nerves, so there is no numbness in the area of the injection. Also, the effect of the Botox is only in the immediate area of the injection. Therefore, the muscles related to other expressions are unaffected.
How long does a Botox treatment last? - The effects of Botox usually last three to five months, at which time another injection is required. After several treatments, the effects of Botox may begin to last longer, sometimes up to six to eight months. We recommend treatment every three months for the first year, then repeat treatment as needed.
How safe is Botox? - Botox has been used safely and successfully in ophthalmology for over 20 years and for wrinkle therapy for over 10 years. In the amounts used for wrinkle therapy, the only possible side effects are temporary and localized to the area of injection. In rare cases this may cause a droopy eyelid or eyebrow. This seems to occur because some of the material injected finds its way into those muscles unknowingly. The problem usually goes away in two or three weeks and may be expedited by taking eye drops. Allergic reactions to Botox are extremely rare.
Is the treatment for everyone? - There are very few restrictions regarding Botox treatments. Patients who are pregnant, have a neurological disease, or are taking antibiotics should not be treated.
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FACIAL REJUVINATION AND ENHANCEMENT
CHEMICAL PEELS
Chemical Peels - Have been used for over 100 years to create an even and controlled shedding of damaged skin cells. Every day thousands of skin cells die, flake off and are replaced by new cells. As we age, this process slows down and skin can become dull, uneven and discolored. Fine lines, sun damage and other signs of aging begin to be noticeable. Fortunately, there are ways to rejuvenate the skin and restore a more youthful appearance. Chemical peels are a very popular and successful treatment for achieving these results in a short period of time without undergoing cosmetic surgery. During a chemical peel a solution is applied to the skin to remove dead skin cells and stimulate the production of new skin cells. It tightens the skin, reduces wrinkling and leaves you with healthier, younger-looking skin.
Chemical peels are not a substitute for a facelift, but they can produce very satisfactory results for many different types of skin conditions, including:
- Sun damage
- Mild scarring
- Wrinkles and lines
- Skin discolorations - age spots, freckling, uneven pigmentation
- Oily skin
- Rough, dry skin
- Acne
- Loose, sagging skin
There are many different types of chemical peels. - The chemical solutions used vary depending on the type of skin condition being treated and the desired depth of the chemical peel. If the skin problem is primarily superficial, then a milder, less caustic ingredient is used. If the problem is deeper, involving multiple layers of skin, then far stronger products are required. Active agents used in peels may include:
- Glycolic acid (AHA)
- Salicylic acid (BHA)
- Fruit Acids
- Lactic Acid
- Resorcinol TCA (Trichloracetic Acid)
- Jessner's Peel (a combination of salicylic acid,resorcinol and lactic acid mixed in ethanol)
Basically, there are three levels of peels. - The depth of the chemical peel can be superficial, moderate or deep, depending on the skin condition, active ingredient used and desired result.
- Light - These types of peel exfoliate and refresh the skin. These peels affect a portion or all of the epidermal skin layer. They are used to smooth out thickened, rough areas; help reduce the appearance of very mild blotchy skin discoloration and remnant acne discoloration; help cleanse the pores: and provide smoother, brighter-looking skin. These types of peels may need to be repeated on a regular basis to maintain the results.
- Medium - This type of peel goes through the epidermis, down into the upper most portion of the dermis. These peels are used to treat fine surface wrinkles, superficial blemishes and pigment problems. These also may need to be repeated to ensure continued results.
- Deep - This peel goes through the epidermis and into the deeper portion of the dermis. These peels are used to treat patients with coarse facial wrinkles, areas of blotchy or damaged skin caused by sun exposure, or pre-cancerous growths. Deep chemical peels are not simple procedures, and should only be administered by a qualified, experienced physician. In some cases, anesthesia may be required. Two to three weeks is the normal healing time after this type of peel.
Chemical peels are normally safe and produce excellent results when performed by a qualified, experienced physician or skin care professional. Light and medium chemical peels are performed in the facial treatment room, and usually take less than one hour. Deeper peels may take as long as two hours to complete. During a peel, most patients experience a warm or hot sensation which may last as long as ten minutes, followed by a stinging sensation.
Reactions to chemical peels are similar to a sunburn and range from mild to more pronounced. Generally, the deeper the peel, the longer the recovery. A light peel usually results in some redness and possible some scaling for a few days. Medium and deep peels can result in swelling and blisters that break open, followed by peeling which can last up to two weeks. These peels may require dressings on some or all of the treated skin, which are usually removed after a day or two. Ointments and creams will be applied to keep the skin moist and prevent infections. At first, the new skin will have the color of a significant sunburn. This will gradually fade to pink over the next several weeks. Cosmetics can be applied after about two to three weeks, according to your doctor's instructions.
Your new skin will be tighter, smoother and lighter than it was before the peel. A proper home skin care treatment program will be recommended to ensure proper healing and maintenance of your results.
Following any skin peel, it is important to avoid any exposure to the sun. The new skin is very sensitive and susceptible to sun damage. Always apply a wide spectrum (UVA and UVB blocking) sunblock of at least SPF 15 approximately 20 minutes before you go outside.
A GLOSSARY FOR COSMETIC AND PLASTIC SURGERY - PLUS A GLOSSARY OF COSMETIC PRODUCTS, ENHANCEMENTS, AND PROCEDURES
DERMOSONIC ABRASION
What is Dermosonic? - Dermosonic combines ultrasound and Non-invasive Subdermal Therapy (N.I.S.T.), for exceptional cellulite reduction, localized fat reduction, body contouring and skin smoothing treatments.
How does Dermosonic work to reduce cellulite?
Step 1: Ultrasound improves local blood circulation, promotes the breakdown of fibrous tissue to release cellulite nodules, increases reabsorption of local edema (swelling), enhances the disintegration of fats and prepares tissue for the next step.
Step 2: N.I.S.T. helps mobilize and eliminate fatty deposits, stimulates circulation, promotes the reabsorption and drainage of retained fluids and toxins and improves the overall elasticity and quality of skin.
What kind of results can be expected after Dermosonic? - Clinical results show improved circulation evident from the first treatment, and a significant improvement in the quality and appearance of the treatment area. Patients can expect to see a 1-4 cm change in fat reduction with a single session.
How many Dermosonic treatments are needed? - Depending on your needs, age and lifestyle, treatments are recommended one to two times per week for a total of 8-12 treatments with follow-up treatments every 6 to 8 weeks.
How do the treatments feel?- Dermosonic treatments do not pinch, roll, or bruise the skin so treatments are not only pain free, they feel good.
FAT INJECTION
Although most people consider fat "the enemy" in their lives, it can often times become an advantage when harvested and re-injected in the face to improve various cosmetic problems. Fat injection has been around for years, but has re-emerged due to new technologies and research. There are advantages to using a patient's own fat for an implant material. It is readily available, is a living tissue, will not be rejected, feels natural and can be replenished.
Fat transfer is used to:
- Increase lip size
- Correct facial folds, laugh lines and wrinkles
- Increase cheekbone size and contour
- Fill in acne or traumatic scars
- Fill in facial defects
The procedure for fat transfer is simple and is performed in the office environment with local anesthesia. Fat is harvested by liposuction from the abdomen, thigh, or buttock area. The fat is then washed and treated and injected into the face to correct the specific problems. Since fat is a living tissue, it will become part of the body's natural tissue. Some of the fat is digested by the body, and often times several injections are performed in the same area before the results are permanent.
FILLERS
ArteFill®
Discover ArteFill®, the first and only FDA-approved non-resorbable injectable wrinkle filler for the correction of facial wrinkles known as smile lines.
Finally, there's a simple, in-office procedure that answers the demand for immediate, enduring wrinkle correction.
If you have previously used temporary dermal fillers such as Restylane®, Juvederm®, Radiesse® and Sculptra®, then you know they are eventually absorbed by the body and require frequent repeat injections to maintain correction.
ArteFill is different. The unique PMMA microspheres in ArteFill are not absorbed by the body and provide the permanent support your skin needs for long-lasting wrinkle correction.
Why ArteFill?
ArteFill is the first and only FDA-approved non-resorbable wrinkle filler for the correction of smile lines.
- Immediate, visible results with no down time
- A simple, in-office procedure
- Excellent safety profile1
- Results improve over the course of several months
- Usually requires only 1 or 2 treatments
- Personalized ArteFill Progressive Enhancement (gradual wrinkle correction) helps ensure the look you desire
Restylane - The Natural Beauty Lift
Today, many people are showing increasing interest in correcting wrinkles and folds, shaping facial contours and augmenting the lips. With RESTYLANE, you can offer your patients a complete solution for tissue-tailored facial augmentation - a natural beauty lift using the body's own material.
RESTYLANE is a crystal-clear, biodegradable NASHA (Non-Animal Stabilized Hyaluronic Acid) gel, which is injected into the dermis in tiny amounts with a very fine needle. The result is instantaneous, producing a long-lasting, natural enhancement, gentle and safe to the skin.
Since it was launched in 1996, RESTYLANE has undergone extensive histological and clinical studies with an increasing body of evidence relating to its ease of use, tolerability and effectiveness. Today, more than 1,500,000 treatments have been successfully carried out worldwide.
Natural Beauty - Made in Sweden.
RESTYLANE is a Swedish innovation dedicated to natural beauty. After decades of extensive research, Dr Bengt �erup and the company Q-Med in Uppsala, Sweden, succeeded in developing a method to stabilize non-animal, hyaluronic acid and forming a gel called NASHA. The first application of the NASHA gel, RESTYLANE, was introduced in 1996.
CosmoDerm® and CosmoPlast®
The Breakthrough Collagen Replacement Therapy - Refines your lip line and smoothes wrinkles. No down time, no multiple appointments. Just instant gratification and immediate results.
- Say Goodbye To Frown Lines.- Cosmo Derm can fill in the worry lines on your forehead and the frown lines between your eyebrows.
- The Eyes Have It. - Crow's feet and fine lines can be smoothed with Cosmo Derm.
- Go Ahead, Smile. - Cosmo Derm and Cosmo Plast can reduce the lines that appear between your nose and mouth when you smile.
- Kissable Lips. - CosmoPlast will add definition to your lip border and fill in those annoying vertical lip lines.
- Let's face it - lines and wrinkles happen. Why not get a little help in smoothing away the telltale signs of aging by replenishing your skin's lost collagen, restoring your skin's structure.
Juvederm®
Juvederm is a next generation, smooth dermal filler, from the makers of Botox.
Hylaform®
A new FDA-approved dermal (skin) filler made from a highly purified form of hyaluronic acid that mimics the effects of natural hyaluronic acid. When injected just below the surface of the skin, Hylaform adds volume to the skin, smoothing unwanted lines and wrinkles. Just think, in less than an hour, you can say goodbye to unwanted lines and wrinkles like the smile lines that appear between your nose and mouth, or the marionette lines that turn down the corners of your mouth.
Benefits of Hylaform:
- Immediate treatment - no pre-treatment skin test required
- Immediate results
- Proven safety - used in international markets for nearly a decade
- Mild adverse post-treatment responses (such as redness, bruising and swelling)
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Captique Injectable
The newest FDA-approved non-animal stabilized hyaluronic acid dermal filler.
The way your skin looks is directly related to the way your skin is supported. As we age, the natural support layers in the skin break down resulting in the formation of wrinkles. Captique, a clear gel containing a purified form of hyaluronic acid, adds volume lost during the aging process by temporarily smoothing out facial lines and wrinkles. Captique is injected just under the skin's surface in order to temporarily correct wrinkles.
HAIR REMOVAL
How does LightSheer laser hair removal work? - The laser beam passes through the skin and is absorbed in the hair follicle residing underneath the skin's surface. The laser energy destroys the follicle with the heat that it generates. Destroyed hairs are then either dissolved within the skin or rejected by the body within two to three weeks.
How many laser hair removal procedures will be needed? - Laser hair removal procedures impair the growth of hair follicles when they are in the growth cycle at the time of the procedure. There are three phases in a person's hair growth cycle: Anagen, Catagen, and Telogen. This is why you need more than one procedure. Most people require approximately four to six procedures to have desired results. This is standard practice with most type of laser hair removal system.
Does skin type or tanned skin make a difference for laser hair removal? - With Lightsheer all body parts and any skin type, including tanned skin, can be treated. Unlike other hair removal lasers on the market, Lightsheer's extended 100ms and 400ms pulse widths make it an ideal and safe procedure, achieving outstanding results while maintaining the normal appearance of the skin. However, for individuals with very light hair, red hair, or gray hair the laser is not always as effective. To improve the laser's ability to target the hair follicle, a product called Meladine can be applied to enhance the hair pigment.
Is the laser hair removal procedure painful? - Our laser utilizes a special patented cooling system that lowers the temperature of the skin at the procedure site before, during, and after laser exposure. It is almost painless. No local anesthesia or pain medication is required, but for more sensitive areas, topical anesthetic gel is available at our Center.
What should I do before the laser hair removal procedure begins? Prior to laser hair removal avoid indoor or outdoor tanning and using self tanning products for approximately four weeks. You must thoroughly shave your hair preferably one day prior to the procedure. Do not wax, tweeze dye hair or have electrolysis two weeks prior to the procedure. Avoid skin care products with irritants such as Glycolic Acid or Retin-A in the procedure area for about a week.
What should I expect following the laser hair removal procedure? Once the laser hair removal procedure is complete you are free to return to your normal activities immediately. Some clients may experience a slight reddening around the hair follicles immediately following the procedure. This reaction typically disappears within a few hours. The use of sun screen at or above 25 SPF is recommended on all skin areas exposed to the sun for the next four weeks following the laser procedure. It is also recommended that the client avoid heavy sun exposure for the next four weeks. Application of ice or aloe gel after the procedure will generally facilitate healing. Within two to three weeks after the laser hair removal procedure the body will be exfoliating the dead hairs.
Are there any side effects with laser hair removal? - Most clients experience a mild stinging or burning sensation when the laser pulse is delivered and some may experience a slight reddening of the skin or local swelling. This typically disappears within a short period of time from anywhere between a couple of hours to a couple of days.
Are the results of laser hair removal permanent? - The FDA has cleared the Lightsheer laser for permanent hair reduction. Since lasers have only been used for hair removal for several years, it is difficult to predict the effects of the procedure and how long it will last. However, studies have shown that clients are usually hair free and satisfied with the results.
How is our laser different from other lasers? - The combination of the wave-length, long pulses and high energies makes the Lightsheer laser unique when compared with most other laser systems. The principal reason for this design was to produce a system that would be safe and effective on all skin tones, including tanned clients. Our Lightsheer laser features the latest technology with energy output of up to 60 joules and extended pulse widths of 100ms and 400ms .
Is Lightsheer widely recognized? - Lightsheer is the preferred laser for hair reduction and has won the Editor's Choice Award for Most Diverse Hair Removal for All Skin Types. Though the Lightsheer model has been around for several years, upgrades are constantly made in energy output and pulse duration, thereby maximizing the efficiency of laser hair reduction. Lightsheer has been cleared by the FDA for permanent hair reduction. LightSheer system has emerged as the gold standard in laser hair removal.
LASER SKIN RESURFACING (LASER SKIN RESURFACING)
The goal of laser skin resurfacing is simple: replace damaged skin with new, fresh skin. Techniques for skin resurfacing have made enormous advances, allowing consumers to achieve nearly flawless complexions. Many systems allow for light, moderate or deep laser resurfacing. The primary targets of laser skin resurfacing include:
- Fine lines and wrinkles of the face, especially around the upper lip, cheeks and forehead
- Loose eyelid skin
- Crow's feet around the eyes
- Pucker marks (smoker's lines) and frown lines
- Brown spots and splotchy, uneven skin tone
- Scars, especially acne scars
- Loose skin around the neck and jowls
How it Works - The gold standard of laser resurfacing systems, the UltraPulse CO2 laser delivers thousands of tiny laser pulses in a pattern over the skin. Each pulse heats a column of tissue eliminating pigment discolorations at the surface and creating a zone of heating deep in the tissue. Unique to the UltraPulse Encore, these zones of heating shrink collagen and tighten the skin immediately. The CO2 laser also offers the benefits of heating deeper layers of skin tissue, thereby stimulating collagen remodeling, tightening the skin. Patients can select from a range of treatments depending on the needs of their skin and lifestyle.
What is ActiveFX "fractional" laser resurfacing?
ActiveFX is a fractional laser procedure performed in a single treatment with minimal patient downtime. During the procedure, a high-energy beam of laser light is used to smooth out lines, wrinkles and scars, remove brown spots and other irregularities, and tighten the skin. It also stimulates formation of new underlying collagen to continue improvement over time. With fractional laser treatment, only a fraction of the skin's surface is treated by the laser, leaving small "bridges" of untouched skin. This technique makes the healing process much faster and enables you to get back to normal activities sooner. Download the informational ActiveFX brochure [pdf]
Is ActiveFX right for you? - ActiveFX is ideal for you if you:
- Have a busy lifestyle or cannot be away from work for a long time
- Want noticeable results with minimal downtime
- Want to treat dyschromia, fine lines, wrinkles and skin laxity
What you can expect from ActiveFX - Most physicians perform the procedure in the office with a topical anesthetic cream that is applied 30-40 minutes before the ActiveFX procedure begins. There is little to no pain associated with the procedure - most patients say they feel warmth similar to sunburn. You can drive yourself home after the procedure. With a gentle washing and moisturizing regimen, your photodamaged skin will begin to flake off within 2 days. After about 3-5 days, your doctor will probably let you wear make-up. Pinkness should be gone in about a week.
ActiveFX benefits
- ActiveFX treatment produces a dramatic effect on the skin:
- Causes immediate skin tightening
- Reduces wrinkles and fine lines, and softens deeper frown lines
- Noticeably improves skin tone and texture
- Stimulates new collagen formation and plumps the skin
The results of ActiveFX laser treatment are long-term and, with proper sun protection, can persist for many years. Most effects of treatment become visible right away, whereas others - such as new collagen formation, which leads to continued inner tightening - build up gradually and become more evident over time. Therefore, most people look even better 3-5 months after the procedure.
LEG VEIN TREATMENTS
What types of leg veins can be treated? - Varicose veins, usually deeper blue veins, need different treatment from discolored clusters (known as spider veins) that are near the skin surface. For this reason, the VascuLight system is equipped with two different light technologies. Your doctor may use either one or both, depending on your veins. Fortunately, there is now an effective non-invasive treatment for most cases.
What technology is used for deeper blue veins? The laser component of the Vascu Light system is used to treat larger, deeper veins (i.e. reticular veins). These veins respond to the precise energy level and wavelength of light that is used. A small spot of laser light travels through the skin and is absorbed by the blood within the vein, on the basis of its color. The resulting heat coagulates or clots the blood and destroys the function of the vein. This process does not affect any of the surrounding tissue. Over time, the vein will be absorbed by the body and will disappear from sight.
Are surface veins and spider veins treated the same way? - These smaller, superficial structures require a different technology for successful treatment, not technically a laser at all. Smaller surface veins are treated using light energy. The light energy is absorbed by the blood, changed to heat, and the vein is destroyed. This Intense Pulsed Light ("IPL" technology is exclusive to the VascuLight system. With both technologies, your doctor has the ability to use exactly what is needed for the best result.
DURING TREATMENT - Non-invasive laser energy is absorbed by hemoglobin, and converted to heat energy.
IMMEDIATELY AFTER TREATMENT - Blood coagulates and the vessel wall collapses.
AFTER TREATMENT - Over time the vessel is reabsorbed by the body and disappears.
How many treatments are needed? - Many leg veins need multiple treatments, often over a few months before the effect is complete. Even small vessels often require time to resolve. Sometimes a bit of 'matting' or 'staining" surrounds the treated vessel. By using both technologies in the VascuLight system, your doctor can treat the vein and this minor temporary discoloration and offer a complete, excellent outcome.
What is a treatment like? Is it painful? - A pulse of laser or Intense Pulsed Light energy may feel like a pinch similar to a snapped rubber band. Chilled gel on the skin and other techniques prevent discomfort. The entire procedure is brief and non-invasive - no needles are used at any time.
What preparations must I make? - You do not have to make changes to your normal activities, before or after treatment. Prior to and following any type of laser or FL treatment, you must limit your expo sure to the sun. Treatment should not be performed on tanned skin.
Is it right for you? - Your doctor will be happy to discuss this treatment with you and decide whether you are a candidate for this procedure. For more information on IPL solutions visit www.skinandhealth.com.
RESULTS - Unsightly leg veins can be a problem for millions of men and women, the world over. This problem affects a wide range of age groups, skin types and lifestyles. It is estimated that in many areas over 60of the adult population suffers from varicose veins and spider veins. Varicose veins are enlarged vessels that have widened as a result of weakness in the vein wall, which stretches and bulges. Spider veins are the small superficial purple or red veins stretching like a web under the skin.
Imagine beautiful legs free of unsightly veins... Until now, treating varicose and spider veins was a lengthy and painful process with needles or other invasive treatments. Now, using the new combined technologies of the VascuLight system, unsightly leg veins of all types can be treated - simply, non-invasively, and successfully.
Intense Pulsed Light (IPL Facial Rejuvenation)
What is Intense Pulsed Light? - Intense Pulsed Light (IPL) technology is a treatment breakthrough that can correct a variety of benign skin conditions, such as facial skin imperfections, the signs of photo-aging, birthmarks, unwanted hair, unsightly small veins, and other blemishes. It offers a safe, non-invasive solution that can be tailored to your individual condition and skin type, providing superior cosmetic results and outstanding satisfaction, through a new process called photorejuvenation.
How is Photorejuvenation performed? - A cold gel is usually applied to the area to be treated, and you may be given dark glasses to protect your eyes from the bright light. The smooth glass surface of the IPL handpiece is gently applied to your skin and pulses of light are applied. You may feel a slight sting, like the snapping of a small rubber band. An anesthetic cream may be used, but is seldom required. Treatment is generally administered in a series of 4 to 6 sessions that provide excellent long-term results, minimally adverse effects and high satisfaction. Each treatment takes about twenty minutes. Red blemishes from broken blood vessels and brown spots of pigment from sun damage respond to Intense Pulsed Light. The light is changed to heat energy as it reaches to the level of the collagen beneath the skin surface.
How do other treatments compare to Photorejuvenation? - While there are lasers that treat telangiectasia and broken capillaries, other lasers that treat benign brown pigments and others yet that are used for resurfacing facial skin, no technology provides the long-term improvement of complexion and texture of the IPL" Skin Treatments using Photorejuvenation program - all without the slightest interruption in your busy lifestyle.
What conditions can Photorejuvenation treat? - Imperfections from Sun Damage and Photo-aging. Facial imperfections or abnormalities can detract from your well being and appearance, no matter how healthy and young you feel. IPL technology helps create smoother-looking skin. After a series of treatments, you can see a significant reduction of unwanted pigmentation. The same treatment can be used effectively on the neck, chest, arms and hands.
Benign Vascular Lesions - Broken Veins and Capillaries - The face has an extensive network of veins and tiny blood vessels called capillaries. - Over time, aging, trauma, sun exposure, and certain lifestyle factors cause a number of them to break appearing as red streaks or blotches on the face. IPL therapy can eliminate damaged veins and capillaries by removing virtually all traces of these unsightly blemishes.
Redness Caused by Broken Capillaries - Many people suffer from broken capillaries and diffuse erythema, that cause them social embarrassment. For both women and men, IPL can successfully treat dilated blood vessels without injuring the surrounding healthy skin.
RESULTS - Both the pleasures and stresses of life, along with the simple passage of time, tend to cause our skin to appear older. And the signs of photoaging and sun damage are typically most visible on a person's face and body. While numerous treatments from simple creams to major surgeries exist to improve various facial flaws, skin specialists have always sought dramatic improvement with low risk and no "down time' Additionally, many conventional treatment options can only address one condition at a time, while they entail a prolonged recovery time, considerable pain, and potential side effects.
Imagine reducing the effects of sun damage. - Photorejuvenation using IPL is a non-invasive treatment that treats skin damage without disruption of the skin's surface, hence, no "down time': Intense Pulsed Light (IPL) can simultane ously treat a wide range of facial concerns safely and effectively, such as broken capillaries, benign brown pigment, age spots (sun-induced freckles), mottled pigmentation and poikiloderma.
WANT TO FINE TUNE YOUR LOOK...AND LOOK YOUNGER? INJECTIONS MAY BE YOUR ALTERNATIVE.
You may think these beauty shots called mesotherapy are worth a shot. Move over lasers and lipo. The hottest technique to fight father time and mother nature is called Mesotherapy. Mesotherapy is becoming an increasing "cocktail" of drugs, vitamins and supplements - they have been successful with it for many years in Europe and now a handful of doctors are certified in the United States - one being - where else? Laser Cosmetic Solutions headed by Dr. Melanie Carreon.
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MESOTHERAPY (LIPO DISSOLVE)
What is Mesotherapy (Lipo Dissolve) - Mesotherapy (Lipo Dissolve), pioneered in the 1950s by French physician Dr. Michel Pistor, is the painless injection of vitamins, minerals, medications, and amino acids placed just under the surface of the skin. Mesotherapy has a variety of applications including weight loss, cellulite reduction, face and neck rejuvenation, and hair re-growth.
How Does Mesotherapy Work? - "We inject nutrients into the skin right where the cells need it." says Dr. Carreon. The medications that are used in Mesotherapy melt the fat beneath the skin and shrink the fat cells in the scarpus fascia layer. The fat dissolves and, as occurs when fat is broken down during typical weight loss, is carried through the bloodstream and excreted by kidneys and bowel.
For cellulite:
Mesotherapy is a permanent solution that eliminates dimpling and misshapen fat under the skin. Cellulite is an accumulation of fat, fluid, and toxins trapped in a hardened network of connective tissue fibers in the Mesoderm layer. The fat cells inflate, causing a rippling and puckering of the skin, commonly referred to as orange peel skin. Lymphatic and venous circulation is poor in these areas. Mesotherapy is used to cause an increase in venous and lymphatic flow, as well as the elimination of fat and dimpling in the area. In four weeks, a patient's skin appears significantly smoother. Most patients lose anywhere from two to four inches where their cellulite is treated.
For spot weight reduction:
Mesotherapy is a painless alternative to liposuction. Fat and cellulite are eliminated from targeted sites using the same techniques as above. Unlike liposuction, only the fat (not the fat cells) is removed. After ten sessions, patients can lose two to six inches in their saddle bags, hips, thighs, waist, love handles, back fat and chin when medicine is placed in those areas. Mesotherapy is not used to reduce fatty tumors or breast tissue in women.
A GLOSSARY FOR COSMETIC AND PLASTIC SURGERY - PLUS A GLOSSARY OF COSMETIC PRODUCTS, ENHANCEMENTS, AND PROCEDURES
Microdermabrasion
Microdermabrasion - A Treatment Program to Fit Your Needs
Most people see dramatic results after one DERMAGLOW treatment. - However, for optimal results, your skin care professional may recommend a series for your specific needs that will include a designated number of treatments and the time intervals between each treatment.
Post Treatment - Immediately following the DERMAGLOW treatment, residual microcrystals are brushe off and the area is cleansed and rinsed. A soothing moisturizing agent with sunscreen is then applied, which helps protect the skin. A slight windburn sensation may be experienced. You can return to your daily activities immediately after treatment.
What is the operational mechanism behind microdermabrasion? - A closed vacuum system delivers aluminum oxide crystals through a tube and handpiece creating a vacuum when the handpiece is against the skin. The particle flow begins when the handpiece is sealed against the skin; particles flow out of the accelerator impacting the skin and, combined with skin debris, are suctioned back through the handpiece and tubing into the waste canister. The particle flow and suctioning stops once the seal is broken.
Is aluminum oxide safe? - Yes. It is the material recognized as the appropriate abradant for the microdermabrasion procedure. Also, the Material Safety Data Sheet indicates that AI2O3, (in various forms known as Corundum, White Fused Alumina or Bauxite), is non-toxic for ingestion, is not associated with adverse skin contact reactions and is not a known carcinogen. The aluminum oxide used in the SkinScape system has been melted and recrystallized for 99purity (e.g. silica-free) but otherwise remains identical in chemical and physical properties to the native corundum ore. Inhalation of aluminum oxide is considered a low health risk. Aluminum is the third most abundant element on earth and is present in innumerable products of daily living. It is, however, prudent to adhere to the standard precaution of wearing a facial mask because cumulative exposure to large amounts of any type of fine particulate (e.g., nail dust) may cause irritation, coughing or shortness of breath. In addition, the SkinScape equipment is a "closed system" designed to minimize exposure to ambient dust: the design of the handpiece ensures that recovery of the crystals from the skin is quite thorough; the media comes in prepackaged and sealed containers; and both the crystal and waste canisters are disposable.
Are there any contraindications for microdermabrasion? - It is up to each physician to determine what he or she considers to be a contraindication for microdermabrasion. However, the following situations are reported in the medical literature: Patients are asked to cease use of certain topical agents such as glycolic acids, alpha-hydroxy acids and Retin-A for a few days before microdermabrasion treatment. Patients who present with certain facial skin disorders may be advised not to pursue treatment, e.g. acne rosacea or even facial telangiectasia. If a patient experiences red streaking from the treatment because of over intense strokes or very sensitive skin, the patient should cease further treatments until the erythema has fully subsided. Patients with any signs of a sunburn should not be treated.
PERMANENT MAKE-UP OR MICRO PIGMENTATION
Permanent Make-up or Micropigmentation is the implantation of pigment into the middle layer of the skin or dermis. The procedure is used to improve thin or absent eyebrows, thin lips, surgical scars, vitiligo and uneven hair lines. The procedure is also great for people who desire permanent eyeliner to avoid daily application of eyeliner, and eyelash enhancement to avoid daily use of mascara.
You may wish to consider micropigmentation if you have...
- no eye brows
- no eye lashes
- thin, pale or poorly defined lips
- an uneven hair line
- make-up allergies
- excessively oily skin which causes make-up to smear
- to wear contact lenses
- cataracts or arthritis
- breast reconstruction
- surgical scars or burn scars
- vitiligo (uneven pigmentation)
- alopecia (hair loss)
NOTE: These procedures are done under the supervision of a physician, Dr. Melanie Carreon
Common Questions about Micropigmentation
What is permanent make-up made of? - Permanent make-up consists of fine particles of iron oxide based pigment compounds which are placed precisely within the middle skin layer to provide color. The most advanced pigments are used which are fully dermatologist approved. The pigments are individually mixed to provide customized results.
Is implantation of pigment safe? - Yes, the pigment used is made from iron oxide, a safe, non-reactive substance approved for use. The procedure does not harm the skin or damage existing hair. Remember that this is an extended wear permanent procedure, which is designed to look natural. It is intended to enhance the lash lines, brows and lips without replacing the ability to use make-up.
How many treatments are required? - Typically 2 treatment sessions are required and these are placed one or more weeks apart. Truly professional artistic implantation takes time and several steps to achieve the final results. Pigments are mixed to closely match the natural skin tone or hair color. Darker color can always be increased during subsequent visits. The creation of a natural hair pattern such as in the eyebrows requires the expertise of an experienced pigment specialist.
What happens after treatment? - The treated area should be kept clean but not scrubbed. Excess pigment on the skin surface will be shed without disturbing the implanted pigment. The skin returns to normal the next day.
SKIN CARE PRODUCTS
The Obagi Nu-Derm System
The Obagi Nu-Derm System, a physician-prescribed skin care system, accelerates the cellular turnover. This System penetrates deep to improve damage in layers of the skin. It boosts functions of the skin at the cellular level to improve skin's cellular function to help it look and act younger and healthier. The System triggers our Therapeutic Cascade of actions that:
- Pushes fresher cells to the surface faster, for smoother skin, reduced wrinkles and increased tolerance.
- Reduces mottled pigmentation (freckles and age spots) and helps prevent the appearance of new pigmentation.
- Promotes more uniform cells at the deepest layer for better skin structure and balanced, more even skin tone.
- Helps increase collagen and elastin for firmer, more resilient looking skin
- Increases nutrients natural hydration and circulation for supple, healthy-looking skin.
The Obagi-C Rx System combines the proven benefits of Physician-strength Vitamin C with a patented formula of prescription-strength ingredients. This specially formulated combination works to:
- Reduce the appearance of freckles and age spots caused by sun damage.
- Regulate the production of melanin-producing cells, for radiant skin.
- Enhance collagen production, promoting smoother, brighter skin with fewer fine lines and wrinkles.
- Promote radiance, resulting in Photolumines skin.
SPRAY ON TAN
Spray On Tan - A very safe alternative to tanning booths and similar systems.
TEETH WHITENING
Speaks for itself
TATTOO REMOVAL
Frequently Asked Questions About Tattoo Removal
For specific information about your tattoo(s), a consultation would be required. During the consultation the tattoo(s) can be evaluated, all questions can be answered, risks and benefits covered, as well as establishing a price per treatment and approximate number of treatments needed.
Free consultations are available by appointment only.
How are tattoos removed? - The Nd: Q-switched 1064 nm YAG laser is the newest and one of the most effective ways to remove tattoos. We are very proud to have the first Q-switch made by Lumenis, here in the United States at Laser Cosmetic Solutions. Earlier methods in tattoo removal involved the use of dermabrasion, salabrasion, surgery and CO2 lasers, but these procedures left behind scars or lighter skin in place of the tattoo.
Is the process painful?
The laser emits light in very short flashes of light called pulses. The impact of the energy from the powerful pulse of light is similar to the snap of a thin rubberband on the skin. The majority of patients do not require anesthesia.
How many treatment sessions will it take to remove the tattoo?
Homemade tattoos usually require 1-4 treatments. All treatments are spaced about two months apart or longer. The number of treatments depends on the amount, type of ink used, and the depth of the ink in the skin, location of tattoo, along with individual health considerations.
Will the tattoo completely disappear? - In many cases, yes. However, it is very important to know that over 100 tattoo inks are in use worldwide today, none of which are regulated by the FDA. Not knowing which tattoo ink, how deep or how much was used, makes it difficult to predict the degree of removal on any given tattoo.
What type of post-treatment care is necessary? - A healing ointment and a dressing will be applied to the area. The treated area should be kept clean with continued application of ointment given to you by Dr. Melanie Carreon. A shower can be taken the next day, although the treated area should not be scrubbed.
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TUMESCENT LIPOSUCTION (POWER ASSISTED LIPOSUCTION)
What is Tumescent Liposuction (Power Assisted Liposuction)? - Tumescent liposuction (power assisted liposuction) refers to a technique that removes fat under the skin using local anesthesia. Local anesthesia is widely regarded as the safest form of anesthesia available. Because the local anesthesia persists for many hours after surgery there is usually no need for narcotic pain medications.
Why is tumescent liposuction safe? - The tumescent technique for liposuction is unquestionably the safest form of liposuction. For example, there have been no reported deaths associated with tumescent liposuction done totally by local anesthesia. This technique virtually eliminates the surgical blood loss problem that occurs after conventional liposuction performed in the hospital setting.
Why choose tumescent liposuction over conventional liposuction? - Tumescent liposuction is performed in the office and does not require a hospital admission or the additional costs associated with a hospital stay. Most patients can safely return to work within 2 to 4 days after the surgery. Most patients only need Tylenol after surgery to control the pain.
How do the results compare to conventional liposuction? - When undergoing tumescent liposuction, patients usually get more cosmetically pleasing results because Dr. Carreon uses smaller cannulas. These smaller cannulas allows Dr. Carreon to accomplish smoother more even fat removal which leads to more esthetically pleasing results. This form of liposuction is commonly called body sculpting. It subtly reshapes the body and gives you back a more youthful appearance.
What body areas can be done using this technique? - This technique can be safely used on the abdomen, inner thighs, outer thighs, knees, neck, buttocks, arms, back, waist, and love handles. One or two areas can be safely combined if multiple areas require treatment. The exact surgical plan and time frame will be determined after consultation and discussion with Dr. Melanie Carreon.
Are there limitations to what Tumescent Liposuction can do for me? - Although liposuction results can be quite spectacular, it will not tone or tighten your body. You should not expect perfection, if there are pre-existing issues with muscle tone or skin laxity. It is not a weight loss program or a cure for obesity. Liposuction makes only a minimal change in body weight and won't prevent weight gain. It is not a substitute for healthy eating habits and regular exercise.
Am I a good candidate for Liposuction? - A good candidate for liposuction has distinct areas that are disproportionate to the rest of the body. He or she is in good health and maintains a stable weight. He or she is well informed, and understands what tumescent liposuction can achieve to meet their expectations. It is our sincere desire to understand your expectations. We will explain the results you can expect. If tumescent liposuction is not the right choice, we will share other options you might consider.
How much will Tumescent Liposuction cost? Outpatient surgery with local anesthesia is a lot less expensive than surgery performed under general anesthesia. You will not have the cost of an anesthesiologist or hospital fees. In addition to lower cost, local anesthesia tumescent liposuction is gentler on your body, so less recovery time is needed. You can return to regular activities in just a few days.
Why is tumescent liposuction safer at Dr. Melanie Carreon's clinic? Dr. Carreon performs all tumescent liposuctions using only local anesthesia.
Many surgeons use general anesthesia or IV sedation to perform the same surgeries she performs using just local anesthesia. Yet, general anesthesia is the riskiest factor of most cosmetic procedures. When under general anesthesia, your brain is literally shut down and a machine is used to keep your lungs functioning. There is no benefit to being under general anesthesia. It is an unnecessary risk and simply reflects a philosophical difference between surgeons.
Your safety is Dr. Carreon's first concern so she performs all liposuction surgeries using the "Tumescent Technique" with local anesthesia. You are awake and this dramatically changes her approach to your comfort during surgery. Surgery is performed at a very slow and comfortable pace for you. If you are a little nervous, some light medications can be given to help you relax. Patients comment that the compassion and sensitivity of Dr. Carreon and her staff put them at ease. Their surgery was a pleasant and rewarding experience.
Remember, if you can't carry on a conversation during surgery, then your surgeon is not using the safest method.
You will learn more about safety during your consultation.
Acne Treatments, Activefx, , Botox, Chemical Peels, Cosmoderm®, Cosmoplast®, Clear Light, Dermosonic Abrasion, Facial Rejuvination And Enhancement, Fat Injection, Fat Removal, Fat Transfer , Fillers, Hair Removal, Hylaform, Intense Pulsed Light, Laser Skin Resurfacing, Leg Vein Treatments, Levulan, Light Sheer , Mesotherapy, Micro Pigmentation, Microdermabrasion, Obagi Nu-derm System, Permanent Make-up, Photodynamic Therapy (PDT), Photorejuvenation, Restylane, Skin Care Products, Smart Lipo , Tattoo Removal, Tumescent Liposuction, Zeno |
