A common concern for patients is redness on the skin. Often times the redness is caused by rosacea. Fortunately, we have an outstanding treatment to control rosacea.
What is rosacea?
Rosacea is a condition characterized by the appearance of redness on the face. This usually occurs in the central face on the nose and cheeks, but for some people it can spread to the entire face and even down to the neck. Sometimes you see generalized redness on the skin and in some people, you can see broken capillaries, particularly on the nose and cheeks. In some cases, bumps appear, making it look like acne; and sometimes rosacea is confused with acne. People with rosacea tend to have sensitive skin. With rosacea there are triggers that lead to the redness. Everyone is different, but common triggers include sun exposure, heat, cold, eating spicy food, drinking alcohol, and emotional stress.
How is rosacea treated?
Rosacea is a chronic condition that is controlled, not cured. The first thing to do is to identify the triggers for the individual and avoid them. Sunscreen is important for all patients with rosacea because the radiation from the sun can make everything worse, even if it is not a trigger. Dr. Alex recommends a sunscreen with SPF at least 30 every day. Rosacea patients love the Elta MD UV Clear sunscreen because it contains an ingredient called niacinamide. This is a vitamin B derivative which helps to reduce redness. Treatment for rosacea involves targeting the blood vessels in the skin. This can be done with lasers. Dr. Alex combines the Forever Young BBL IPL photofacial with a laser skin tightening treatment. This combination is called the Tight and Bright Rejuvenation. The light from this treatment is absorbed by the blood in the skin and destroys the blood vessels in the skin. Overall patients see a significant reduction in redness and broken capillaries. Dr. Alex recommends an initial series of six monthly treatments followed by a single maintenance treatment every three months after that.
Tight and Bright Rejuvenation Demonstration
Tight and Bright Rejuvenation Patient Testimonial
One of the most commonly neglected areas for facial rejuvenation is the hollowing in the temples. Voluma is a filler that can be used to correct hollow temples.
Over time there are many changes that occur in the face. These include wrinkle formation, loosening of the skin, and dark spots. Additionally, bony structures change and fat is lost. These changes are very prominent and common in the temples. The bones move inward and the fat pad in the area is lost. This occurs more frequently in thin people who exercise a lot, leading to an appearance of a skeleton in the upper face.
These changes can easily be corrected with filler treatments. Fillers are products that are used to restore lost volume in the face and other areas on the body. Dr. Alex finds that Voluma is the best product in this area. Voluma is a dermal filler in the Juvederm family, the most popular family of fillers in the United States. The active ingredient in Voluma is hyaluronic acid, a sugar that’s found in the skin naturally. Hyaluronic acid binds a thousand times its weight in water so it draws water into the skin providing volume. This helps fill the hollows and provide a natural and healthy appearance.
In contrast to other hyaluronic acid products, Voluma has a high level of hyaluronic acid. This is perfect for placement on bones such as in the temples or upper cheeks. The treatment for the temples is very easy because there is only a single injection point on each side as is seen in the video demonstration shown here. An immediately lift is seen in the area.
Voluma Treatment for Hollow Temples Demonstration
An important advantage of Voluma is that it is safe in the event of side effects. The most concerning side effects occur when a filler is inadvertently placed into an artery, which blocks blood supply to the area. Hyaluronic acid products can be dissolved which allows us to easily treat these types of side effects. On the other hand, non-hyaluronic acid fillers such as Radiesse, Sculptra, and Bellafil cannot be reversed and therefore such side effects are much more dangerous.
Swelling is normal after a Voluma treatment to treat hollow temples. It may also be difficult to chew for a few days because the swelling puts pressure on a muscle in the area that we use to bite. Dr. Alex recommend avoiding heat exposure, alcohol consumption, and strenuous exercise for 24 hours after a Voluma treatment. To reduce swelling after a Voluma treatment Dr. Alex recommends applying ice packs on and off for five minutes at a time as much as possible for the first few days. Sleeping on an extra pillow will reduce the amount of blood brought to the skin overnight and decreases the swelling. Also, avoiding salty foods will prevent your body from retaining water and therefore decrease swelling. Most people require two syringes of Voluma per side. Full results are seen two weeks after the Voluma treatment once the swelling has gone down. The best thing about a Voluma treatment for hollow temples is that you can enjoy the results for two years or more.
On November 29, 2018 we celebrated the Grand Opening of our new office and our Holiday Party.
A E Skin moved to our new office in September 2018. The new office is all our own and not shared with other doctors. This decreases confusion for patients visiting our office and allows for more opportunities us to accommodate our patients. Our reception area is comfortable and spacious with refreshments including fresh fruit, sparkling water, and hot coffee. Our consultation room is large with a view of the Santa Monica mountains. The treatment suite is significantly larger than that in the previous office and the ventilation is improved. We have a dedicated room for photography, allowing photographs to be taken quickly and efficiently. We also have a relaxation room with a massage chair, dimmed lighting, a television playing relaxing videos, and aroma therapy where patients can enjoy a relaxing massage while numbing for their treatments. Televisions are placed in all the rooms allowing our guests to be comfortable; some even provide information about treatments including testimonials and before and after pictures.
Grand Opening and Holiday Party
We went all out at our Grand Opening party. The furniture was rearranged to accommodate our guests. Our consultation room was converted into a photography suite with a red carpet, step and repeat backdrop, and special lighting. The relaxation room was converted into a suite with multiple chairs where guests could learn about our products and treatments. Multiple patients took advantage of an opportunity to provide video testimonials. We had balloons in the building hallway to guide our patients and more balloons in the photography area. A professional photographer and videographer were in attendance to document everything.
The highlights of the party were the live demonstrations of some of our most popular treatments. First Dr. Alex performed a liquid facelift using Botox and a variety of fillers. Botox was used in the upper face to relax wrinkles on the forehead and around the eyes. Then Dr. Alex used Voluma in the cheeks to lift the lower face, Vollure in the laugh lines to smoothen them out, and Volbella to correct fine lines in the lower cheek. After the treatment, Dr. Alex demonstrated the use of our new anti-bruise patch. The second live demonstration was an Ultra Microneedling treatment. This is an outstanding treatment designed by Dr. Alex to address fine lines, wrinkles, uneven color, and irregular texture with minimal recovery time. It works by creating thousands of tiny holes and generating heat to stimulate your body to form its own natural, new, fresh, and healthy collagen. This provide a radiant glow to the skin and corrects irregularities. After this treatment our staff demonstrated the use of our Hydrating mask, applied on the skin immediately after an Ultra Microneedling treatment, which quickly calms down the skin.
We thank our partners from Allergan (makers of Botox, Voluma, Vollure, Volbella, and Kybella), Alastin Skin Care (makers of the Skin Nectar and Hydratint sunscreen), and Topix (maker of the A E Skin Green Tea Essentials products) for their support. Catering was provided by Street Café by Aroma. To celebrate we served wine and champagne. Patients had an opportunity to take advantage of promotions on all products and services. At the end of the night we had a raffle for a variety of skin care products and treatments. Our guests always love our best dressed contest; the winners each received a prize.
Everyone had such a wonderful time at our party. To continue the celebration, we are honoring all promotions through the end of the year in the holiday spirit. We look forward to continued success and celebrations in the future.
Dr. Alex with his family
Celebrating with a toast
Liquid Facelift demonstration
Ultra Microneedling demonstration
Dr. Alex with Roman from Allergan
Dr. Alex with Julie and Nai'a from Alastin
Some of the most common concerns for our patients include uneven color such as dark spots or redness and irregular texture such as fine lines, wrinkles, enlarged pores, rough skin, and acne scars. The #nofilter treatment is an easy treatment to address all of these concerns.
The #nofilter treatment is a combination treatment designed by Dr. Alex to address multiple concerns at the same time with minimal down time. The name #nofilter treatment comes from the popular filters used on cellular telephones when taking pictures. Many people use these filters to make themselves look better in the picture. The idea is that you will no longer need to use these filters after your series of #nofilter treatments.
A number of factors contribute to the changes we see in our skin. The most important is sun damage, which leads to sun spots, redness, and broken capillaries. The sun also damages collagen in the skin. Collagen is the protein that keeps the skin firm, smooth, and youthful in appearance. Over time collagen is lost, leading to wrinkles and saggy skin. Also, collagen can be damaged from acne breakouts, especially if you pick at them. This causes acne scars.
The first step in the #nofilter treatment is a Forever Young BBL IPL photofacial. This step uses bright light to target and get rid of dark spots and redness. This helps with sun spots, age spots, melasma, redness, and broken capillaries. The second step in the #nofilter treatment is an Ultra Microneedling treatment. This step creates thousands of tiny holes in the skin and generates heat. This stimulates your skin to form its own natural, new, fresh, and healthy collagen. The new collagen will tighten the skin, helping with fine lines, wrinkles, enlarged pores, and acne scars.
The #nofilter treatment is very easy. After taking pictures to monitor your progress, we numb the skin for 15 minutes. This makes the #nofilter treatment virtually pain-free. Then the skin is cleansed with water and special cleansing solutions to remove all dirt, makeup, and oil. Eye protection stickers are placed on your eyes for the first step in the #nofilter treatment. You will see bright light; just keep your eyes closed and your eyes will be safe. We apply cold gel on the skin to transmit the light and we blow cold air to keep you comfortable during the first step of the #nofilter treatment. The first step takes just a few minutes and feels like a hot rubber band. After that we remove your eye protection and the gel from your skin. Before the second step in the #nofilter treatment we provide a different eye protection; this is a metal eye shield. During the second step of the #nofilter treatment gel is not needed but we continune to blos the cold air on your skin to keep you comfortable. The second step of the #nofilter treatment feels like a pins-and-needles sensation and also takes only a few minutes. After the #nofilter treatment we remove your eye protection and clean the skin. Your skin will feel hot for a few hours. We apply a hydrating mask immediately after the #nofilter treatment to calm down your skin and keep you comfortable. You can apply ice packs to your skin at home after your #nofilter treatment.
The best thing about the #nofilter treatment is that there is minimal down time. You can apply makeup and go to work the next day. Dr. Alex recommends a series of six #nofilter treatment done about once a month. After that Dr. Alex recommends a single #nofilter treatment every three months to keep your skin looking great. The patient shown here got significant improvement in the redness, uneven color, and acne scars after four #nofilter treatments. She also had a decrease in the swelling in her skin, which makes her look like she lost weight.
#nofilter Treatment Demonstration
Dr. Alex attended The Aesthetic Academy 2018 from Saturday November 17, 2018 to Sunday November 18, 2018 at the Park Hyatt Aviana Hotel in Carlsbad California. This is a small version of The Aesthetic Show, an annual conference for doctors and their staff to learn about what’s new in the field of cosmetic medicine.
This year multiple tracks were offered on both days, allowing Dr. Alex to take advantage of multiple courses. On the first day Dr. Alex attended the Certified Aesthetic Consultant course. This is a full day course designed to teach doctors and their staff how to best run their practice. Dr. Alex learned so many things such as how to hire and train outstanding staff, how to measure success, and how to provide outstanding service to patients. On the second day Dr. Alex attended the Advance Injectable Training course. This course featured a variety of lectures by world renown doctors on Botox and fillers. After the lectures, the participants had an opportunity to observe live demonstration of injectable treatments. It is always useful to observe how others perform treatments to learn new techniques.
The exhibit hall featured a variety of vendors including marketing experts, skin care lines, and various devices. One of the most exciting new products is called the Emsculpt by BTL Aesthetics. This is an energy-based device that stimulated your muscles to contract to provide tone. This first of its kind device is currently approved for the belly and buttocks.
The Aesthetic Academy was another outstanding educational opportunity for Dr. Alex and he looks forward to attending more events in the future.
Dr. Alex with Dr. Ordon
Dr. Alex at the Coola booth
Dr. Alex with Jay and Mara Shorr
Dr. Alex at the Insparation booth
Dr. Alex at the BTL Aesthetics booth
Dr. Alex in the Exhibit Hall
Dr. Alex at the Restylane booth
Dr. Alex at the Galderma booth
We are excited to announce the launch of our newest product, the A E Skin Illuminating Cream.
The A E Skin Illuminating Cream is an outstanding product that can be added to any skin care regimen. It contains a number of active ingredients to help brighten and even out your skin tone. All of the ingredients are non-prescription strength and the A E Skin Illuminating Cream is safe to use if you are pregnant or breast feeding. Hexylresorcinol is an ingredient found in many skin care products and is included in the A E Skin Illuminating Cream. Found naturally in rye and in whole grain wheat, hexylresorcinol brightens the skin and also works as an anti-oxidant. This provides anti-aging properties such as preventing fine lines and wrinkles. Another ingredient in the A E Skin Illuminating Cream is arbutin, which works to brighten the skin. Arbutin is found in fruits such as bearberry, cranberry, and pears and is less irritating than hydroquinone, which is found in the A E Skin Brightening Cream and many brightening products. To complement these ingredients, the A E Skin Illuminating Cream also contains a peptide called hexanoyl dipeptide-3. This allows the surface layers of the skin to exfoliate and enhances the exfoliation from products with salicylic acid such as the A E Skin Exfoliating Serum and A E Skin Acne Max Solution. The A E Skin Illuminating Cream also contains glycerin, an ingredient found in many moisturizers. Like hyaluronic acid which is found in the A E Skin Hydrating Serum, glycerin bring water into the skin to help the skin health and function. Glycerin also keeps the water in the skin. Together, these ingredients correct visible discoloration, prevent sun damage and aging, and improve hydration and the health of the skin.
The A E Skin Illuminating Cream can be added to your daily regimen. It is used twice daily before moisturization and after prescription strength products such as the A E Skin Brightening Cream, Acne Max Solution, Exfoliating Serum, and Triple Antioxidant Serum.
A slim face is a feature of youth and beauty. Over time the structures of the face change. Fortunately, we can reverse some of these changes with Botox.
What is Botox?
Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment with Botox are in the upper face. These include the horizontal lines seen on the upper forehead when you raise your eyebrows, the vertical lines seen between the brows when you frown (frown lines), and the crow's feet seen around your eyes when you smile. Full results are seen two weeks after a Botox treatment and most people enjoy their results for three to four months.
What is the ideal facial shape?
The ideal shape of a face depends on a number of things. First it is different between men and women. And second, there are some differences from culture to culture. In the United States, the ideal shape for a female is that of a heart. In a heart-shaped face the mid-face is widest where the cheeks project outward near the ears and the lower face tapers down to a point at the chin. In men, on the other hand, a square lower face with a well-defined jawline is more desirable.
What changes the shape of the face over time?
There are many things that affect the shape and appearance of the face which change over time. As mentioned, the cheeks should be prominent. Over time the fat pads in the cheek get smaller and the cheek bones move downward and inward. These make you lose the projection in the cheeks. At the same time, we lose collagen in the skin. Collagen is the protein that keeps the skin tight, firm, and youthful in appearance. Over time we stop making as much collagen and it is lost. This leads to loose skin, wrinkles, and sagging, making the face look like it is sinking down. In some people, especially those who clench or grind the teeth, a bulge can appear in the lower face, making the lower face appear wider. This is a result of using the muscle that sits in the lower face which is used to bite.
What can I do to slim my lower face?
There are a number of things you can do to slim the lower face. First fillers such as Voluma can be placed in the upper cheeks, restoring the projection and lifting the lower face. Also, laser skin tightening treatments can be done to stimulate the formation of collagen. This will tighten the skin and lift the face. Another simple treatment for those with a bulge in the lower face is with Botox. Botox works by relaxing muscles. In the upper face, when you make facial expressions you are using the muscles. Over time this leads to the formation of wrinkles such as frown lines and crow’s feet. When the muscles in the upper face are relaxed with Botox these wrinkles smoothen out. In the same way, Botox can relax the muscle that is used for biting. When relaxed it becomes smaller, making the bulge less visible. This slims the lower face. This is the treatment the patient shown here did. She got a slim lower face and she looks like she has lost weight. At the same time she no longer has pain associated with grinding of the teeth.
Botox Demonstration to Contour the Lower Face
Do you want longer, thicker, and fuller eyelashes? If so, our newest product, Grolash, is what you are looking for.
The eyes are central features of the face and often time the first thing someone sees when looking at you. Therefore, it is no surprise why the eyes and the area around them are so important to many people. One part that provides beauty is the lash. Having long and glamorous eyelashes is considered to be a characteristic of a beautiful and attractive face. Some people genetically have short or thin lashes while others lose them naturally over time. There are many products available to address such concerns.
Eyelash extensions have been available for many years. These can provide outstanding results. But the can be tedious and time consuming to apply and are temporary. Latisse is a prescription-strength product designed to treat the lashes. It makes the lashes longer, fuller, and darker. Although not reported in the clinical trials, the biggest concern with Latisse is the possibility of changing blue eye color in to brown.
The new A E Skin Grolash product is a non-prescription product that provides longer and thicker lashes without such risks. The active ingredients in the A E Skin Grolash are peptides, silk amino acids, and hyaluronic acid. Peptides are short pieces of proteins that have multiple effects. When used on the skin, they lead to healthier appearing skin. For the lashes, peptides promote lengthening and thickening. Silk amino acids condition and fortify the hair, promoting growth. Hyaluronic acid is a naturally occurring sugar found in the skin and is an ingredient in many skin care products. Hyaluronic acid significantly provides hydration by drawing water into the area. For the lashes, this leads to shine and suppleness.
Apply a thin line of the A E Skin Grolash twice daily to the upper lash. Allow one to two minutes for the A E Skin Grolash serum to dry. You may feel a temporary tingling sensation after applying the A E Skin Grolash. As early as 30 days after beginning use of the A E Skin Grolash 70 % of patients noticed longer lashes, 73% noticed thicker lashes, and 80% found the lashed to be more nourished.
The A E Skin Growlash will be available soon.
Time and sun change how our skin looks and feels. Loss of elasticity, fine lines, lack of youthful volume--they add up to a look that's less than pleasing. In Encino, CA you can trust your skin care to A E Skin. Dr. Alex Eshaghian and his team are well-versed in all things aesthetic and will treat your skin to rejuvenating treatments that are scientifically based and effective. Learn more about our wide range of services and how great care plus outstanding products can enhance your personal appearance.
Skin care in Encino
At A E Skin, you'll see Dr. Eshaghian every time you visit the office. He'll examine your skin and listen to your goals for smoother, tighter and more line and spot-free skin. Plus, he'll make recommendations for skin care regimens tailor-made for your activity level, age, wellness and personal preferences. What would you like to change?
We're all going through it, and it makes the skin, especially on the face, neck, upper chest and hands, look wrinkled, papery, loose and just plain old. Skin naturally loses its elasticity as collagen production decreases. Dr. Eshaghian has several in-office treatments and at-home skin care products which can change those signs of aging for the better.
Anti-aging treatments include:
- Dermal fillers, an injectable form of hyaluronic acid to smooth fine lines and wrinkles
- Chemical peels to reveal a more radiant skin tone (alpha-hydroxy acid is the typical active ingredient, says the American Society for Dermatologic Surgery)
- Cellulite treatments to smooth dimpling on the thighs, abdomen and buttocks
- Fractional CO2 laser resurfacing, a safe and comfortable way to remove skin spots and acne scarring
- BOTOX Cosmetic, an injectable medication which limits the movement of selected facial muscles and reduces dynamic wrinkling between the brows, across the forehead and at the sides of the mouth
- Laser leg vein treatments to reduce the appearance of spider veins and rosacea
We need the sun for strong bones and great mental health. However, too much sun advances skin aging and threatens both young and old with skin cancer. As such, Dr. Eshaghian recommends Elta MD skin products, including SPF 40 sunscreen, to protect exposed skin from harmful UV rays.
These board spectrum products provide daily moisture and the continual protection you need regardless of the time of year.
How can we help your skin?
Please call A E Skin in Encino, CA to arrange a personal consultation with Dr. Alex Eshaghian. Feel great and look radiant with your healthiest skin ever. Phone the office at (818) 835-1833.
Do you have loose skin or wrinkles on your neck that concern you? With laser skin tightening you can get rid of those wrinkles to have a youthful and smooth neck.
How to wrinkles form on the neck?
As we age there are many changes that occur in our body and on the skin. The body slowly decreases the amount of collagen that it produces. Collagen is the protein in the skin that keeps it firm, tight, and youthful in appearance. When collagen levels decrease the skin becomes loose and wrinkles are seen. There are other factors that can contribute to this appearance as well. Sunlight damages the skin and destroys the collagen. Therefore, it is important to protect the skin on the face, neck, and entire body with sunscreen every day. Dr. Alex recommends using a sunscreen with an SPF of at least 30 with UVA and UVB protection. Smoking also affects the skin in the same way, leading to wrinkles. It is also important to maintain a healthy lifestyle by drinking enough water every day, getting enough sleep, and exercising regularly. These activities will prevent wrinkle formation.
How can I treat wrinkles on my neck?
Laser skin tightening is an easy, non-invasive, and no down-time way to significantly reduce the appearance of wrinkles on the neck (and in other places) without surgery, incisions, or anesthesia. Laser skin tightening works by using gentle micro-pulses of infrared light to slowly warm up the deeper layers of the skin. This tells your body to form its own natural, new, fresh, and healthy collagen. As a result, the skin will appear smoother and more youthful. The laser skin tightening treatment is very easy. You don’t even need any numbing cream. The skin is first cleaned and gel is applied to transmit the light. You will be given protective goggles or glasses for your eyes. The laser skin tightening treatment takes about ten minutes and is very comfortable. Dr. Alex recommends an initial series of six to eight laser skin tightening treatments. The laser skin tightening are performed every one to two weeks.
When will I see results and how long will they last?
The laser skin tightening leads to the formation of collagen. But collagen does not grow overnight. Just like the wrinkles did not appear right away, they will not go away right away. Results are seen slowly over the course of the laser skin tightening sessions. You will see full results approximately three months after you last laser skin tightening treatment. After the initial series of six to eight laser skin tightening sessions, Dr. Alex recommends a single laser skin tightening treatment every three months to maintain your results and to protect your investment. The patient shown here had five laser skin tightening treatment sessions.
Laser Skin Tightening Demonstration
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