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By Dr. Alex Eshaghian, MD, PhD
July 15, 2018
Category: Services
Tags: Botox  

BotoxBotox is one of the most popular treatments we perform and we are now using Botox to treat migraine headaches.

What is Botox?

Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin, Botox will relax muscles and smoothen out the overlying wrinkles. The most common areas of treatment with Botox are in the upper face. These include the horizontal forehead wrinkles seen when raising the eyebrows, the vertical frown lines seen between the eyebrows when frowning, and the crow’s feet seen around the eyes when smiling.

How does Botox work to treat migraine headaches?

Botox works to treat migraine headaches in the same way it works to treat wrinkles: by relaxing muscles. In the case of migraine headaches (and sometimes other headaches such as tension headaches) the muscles in the upper face and head contract. This puts pressure on the bones which can be very painful. Botox will relax the muscles to relieve the pain. The areas treated with Botox for migraine headaches are those treated in the upper face as described above. Sometimes additional muscles are also treated with Botox such as those in the temples and back of the head. The dose of Botox used is in the range of 60 to 70 units. Full results are seen in two weeks and after a Botox treatment. However, many patients feel improvement as early as the next day after a Botox treatment. Botox treatment for migraines will significantly reduce the frequency of migraines and is a great alternative for those for whom oral medications are ineffective. Most people enjoy their results from a Botox treatment for three to four months. At that time a maintenance Botox treatment is recommended.

Botox for Migraine Headaches Treatment Demonstration

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
July 08, 2018
Category: Events
Tags: THE Aesthetic Show  

Dr. Alex at The Aesthetic Show 2018Dr. Alex attended The Aesthetic Show 2018 at the Wynn hotel and casino in Las Vegas, NV from July 6th through July 8th. This was the eight consecutive year that Dr. Alex attended this conference. The Aesthetic Show is an annual conference which brings cosmetic physicians and their staff together to learn about the newest innovations in aesthetics.

Dr. Alex attended seminars on a variety of topics including filler techniques, laser treatments without downtime, combining treatments, skin care products, and recruiting and training outstanding staff. He was also honored to be interviewed on the Aesthetic Show Live in the convention center. The exhibit hall included representatives from laser companies, injectable companies such as Allergan (makers of Botox, Voluma, Vollure, Volbella, and Kybella), skin care lines, and marketing companies. One of the newest technologies featured is the Emsculpt device by BTL aesthetics. This is a novel and revolutionary device that uses electromagnetic waves to produce high intensity rapid muscle contractions to increase muscle size and tone, while at the same time decreasing fat. Dr. Alex had the pleasure of seeing many friends and colleagues such as Dr. Andrew Ordon from the TV show The Doctors, pioneer of light therapy Dr. Patrick Bitter, Dr. Steve Weiner, and Dr. Kian Karimi. The opportunity to connect with a variety of internationally renowned doctors is invaluable. The highlight of the show was The Aesthetic Awards on Saturday night, which honored the best doctors, practices, and companies in the aesthetic industry.

The Aesthetic Show is another outstanding educational opportunity that Dr. Alex takes advantage of regularly. This allows Dr. Alex to be up to date on the newest products and services so that he can provide the best service to his patients. He looks forward to attending future events.


Dr. Alex with Jay and Mara Shorr at The Aesthetic Show Live stage


Dr. Alex at the Real Self booth


Dr. Alex with Dr. Andrew Ordon


Dr. Alex at the Deka booth


Dr. Alex with the Playboy bunnies


Dr. Alex with the showgirls


Dr. Alex at the Light Stim booth


Dr. Alex with the Instagram frame


Dr. Alex at the Sciton booth


Dr. Alex at the Endy Med booth


Dr. Alex at the Coola booth


Dr. Alex at the Allergan booth

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
July 01, 2018
Category: Products
Tags: Hydrating Mask  

A E Skin Hydrating MaskWe are excited to announce the launch of the new A E Skin Hydrating Mask. The A E Skin Hydrating Mask is an outstanding product that can be used at home on a regular basis.

Dry skin is a very common concern. It is important to keep the skin hydrated because about two thirds of the skin is made up of water. If there is not enough water in the skin, it becomes dry and brittle, and it cannot perform its appropriate barrier functions. There are three steps in keeping the skin hydrated. The first is drinking enough water. If there isn’t enough water in the body, then there won’t be enough in the skin. Dr. Alex recommend drinking at least eight glasses of water each day. The second step is bringing the water into the skin. Topical products such as hyaluronic acid, called humectants, draw water into the skin and are outstanding for this purpose. The third and final step is trapping the water in the skin so that it does not evaporate. Since the skin is in constant contact with the air, it is very easy for the water in the skin to evaporate. We use moisturizers or emollients to keep the water in the skin.

The A E Skin Hydrating Mask promotes hydration of the skin, making it feel soft and healthy and providing a radiant glow. It contains two forms of hyaluronic acid to draw water into the skin. It also contains a number of other ingredients with further benefits. The A E Skin Hydrating Mask contains aloe, which serves to calm down sensitive or irritated skin. This makes it perfect for applying after certain laser treatments such as the Forever Young BBL IPL photofacial or Ultra Microneedling. The A E Skin Hydrating Mask also contains arnica, a natural product that decreases inflammation, swelling, and bruising in the skin. In addition, the A E Skin Hydrating Mask contains extracts from a variety of fruits including blueberry, blackberry, raspberry, and apple. This provides high levels of antioxidants to protect the skin. Finally, the A E Skin Hydrating Mask contains niacinamide, a vitamin B2 derivative that decreases redness in the skin and is particularly useful for those with rosacea.

The A E Skin Hydrating Mask is easy to use. First wash the skin and pad it dry. Remove the A E Skin Hydrating Mask from the container and apply it onto the skin. There are two parts, one for the upper face and another for the lower face. The part for the upper face has two holes for the eyes and goes from the forehead down to the tip of the nose, allowing the nostrils to be uncovered. The part for the lower face has a hole for the mouth. Be careful when applying the mask because it is slippery. Adjust the A E Skin Hydrating Mask to gently and smoothly fit the curves of your face. Leave the A E Skin Hydrating Mask on your skin for at least ten minutes. Some people leave A E Skin Hydrating Mask on for 30-60 minutes for further hydration. Dr. Alex recommends applying the A E Skin Hydrating Mask once per week. Some people prefer to apply the A E Skin Hydrating Mask every day, which is even better.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

A E Skin is excited to announce our launch of four new products in our Green Tea Essentials collection. These include the A E Skin Green Tea Rejuvenating CreamA E Skin Green Tea Gentle Facial Cleanser, A E Skin Green Tea Soothing Chamomile Mist, and A E Skin Green Tea Healing Ointment.

A E Skin Green Tea Rejuvenating Cream

A E Skin Green Tea Rejuvenating CreamThe A E Skin Green Tea Rejuvenating Cream is the ultimate moisturizer that is ideal for dry or mature skin. The A E Skin Green Tea Rejuvenating Cream can be used either at night only or twice daily depending on the individual's skin. One of the key ingredients in the A E Skin Green Tea Rejuvenating Cream is apple stem cells. This is a growth factor that stimulates the skin to rejuvenate and promotes a youthful, soft, and radiant appearance. The A E Skin Green Tea Rejuvenating Cream contains the powerful antioxidants green tea extract and resveratrol. Hyaluronic acid and a variety of ceramides combine to hydrate and moisturize the skin. The A E Skin Green Tea Rejuvenating Cream is paraben-free, oil-free, gluten-free, and non-comedogenic and has a very mild hypoallergenic citrus-like fragrance.

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A E Skin Green Tea Gentle Facial Cleanser

A E Skin Green Tea Gentle Facial CleanserThe A E Skin Green Tea Gentle Facial Cleanser is a soothing and purifying cleanser that gently cleans and replenishes the skin, giving you a refreshed and hydrated look. The A E Skin Green Tea Gentle Facial Cleanser is soap-free, alcohol free, and suitable for all skin types, especially for those with sensitive skin. The revitalizing formulation is rich in antioxidants and botanicals; it contains extracts from green tea, chamomile, and cucumber, giving it a unique aroma. The A E Skin Green Tea Gentle Facial Cleanser also contains a variety of antioxidants to nourish the skin. The A E Skin Green Tea Gentle Facial Cleanser has a pearl white color and feels like silk when applied to the skin. The A E Skin Green Tea Gentle Facial Cleanser is paraben-free, fragrance-free, gluten-free, soap-free, alcohol-free, and non-comedogenic.

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A E Skin Green Tea Soothing Chamomile Mist

A E Skin Green Tea Soothing Chamomile MistThe A E Skin Green Tea Soothing Chamomile Mist is a product specifically used for post-procedure skin, but can also be for daily use, and is safe for all skin types, especially sensitive skin. This A E Skin Green Tea Soothing Chamomile Mist is sprayed on the skin to provide moisture to the skin surface, which is particularly important after chemical peels and ablative laser resurfacing treatments. Unlike plain water, the A E Skin Green Tea Soothing Chamomile Mist contains a number of ingredients to help with recovery. The A E Skin Green Tea Soothing Chamomile Mist is alcohol free but contains witch hazel, which calms the skin, removes excess oil, and tightens pores to provide a smooth appearance. The A E Skin Green Tea Soothing Chamomile Mist also contains green tea extract and vitamin C, two powerful antioxidants to calm and protect the skin. Extracts from comfrey, chamomile, and lavender sooth irritated skin and provide a floral scent. The A E Skin Green Tea Soothing Chamomile Mist is paraben-free, gluten-free, and oil-free. It is also free of artificial fragrances.

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A E Skin Green Tea Healing Ointment

A E Skin Green Tea Healing OintmentThe A E Skin Green Tea Healing Ointment provides a strong barrier for compromised or extremely dry skin. The A E Skin Green Tea Healing Ointment is ideal for post-procedure use such as after chemical peels or ablative laser resurfacing treatments. Petrolatum provides and occlusive protective layer to keep water in the skin, which is critical in the healing process. Ceramides and yucca extract further help to moisturize the skin. The A E Skin Green Tea Healing Ointment also contains green tea extract and vitamins B and E. The product is very thick and only a small amount is needed to cover the entire skin surface. A E Skin Green Tea Healing Ointment works best when the skin is damp, especially after application of a few sprays of the A E Skin Green Tea Soothing Chamomile Mist. The A E Skin Green Tea Healing Ointment is paraben-free, fragrance-free, and gluten-free.

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Through the end of July 2018 we are offering 25% off all of these products as an introductory promotion.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
June 19, 2018
Category: Skin Care
Tags: chemical peels  

It’s not always necessary to default to a facelift or other invasive plastic surgery procedure to improve your skin’s appearance. A treatment chemical peelcalled a chemical peel may be all that you need. Find out more about chemical peels and the other ways a specialist at A E Skin in Encino, CA, can make your face look younger, fresher, and smoother.

What Is a Chemical Peel?
As the name suggests, a chemical peel involves peeling a layer of skin off the face so that new cells can emerge. A special acidic solution is applied to the skin that gently removes the damaged layer of skin over the course of about a week. The treatment used at A E Skin is called the A E Skin Red Carpet Peel.

Chemical Peel Benefits
The main benefit of a chemical peel is that you do not have to go under the knife in order to get rid of skin imperfections. It provides benefits for patients who have fine wrinkles, sun damage, smile lines, and scars. It helps smooth out rough patches on the skin. Patients who have stubborn acne scars and skin discolorations may also benefit from this treatment. If you’re interested in an overall facial rejuvenation, this procedure can do wonders.

Your Chemical Peel Appointment
A chemical peel is completed in a 15-minute session with your Encino skin doctor. The skin is gently washed in preparation for the treatment and photos are taken so that you can see the change. Though you may feel a tingling sensation as the acid solution is applied, you should experience minimal discomfort during the appointment because it contains a numbing agent. After the procedure, the skin will peel off and may look red or irritated. It’s important to follow aftercare instructions closely. You may have to come in for about six treatments to get the results you’re looking for. 

Schedule a Skin Session
You can revitalize your skin’s appearance with a chemical peel or another skin treatment at A E Skin in Encino, CA. Schedule a visit with Dr. Alex Eshaghian and his staff today by calling 818-835-1833.

By Dr. Alex Eshaghian, MD, PhD
June 17, 2018
Category: Services
Tags: Botox  

Clear faceBotox is one of the most popular cosmetic treatments available and now we are using it for another indication: to decrease the appearance of pores.

What is Botox?

Botox is a purified protein used for a number of different purposes. Traditionally Botox has been used to address wrinkles associated with facial expressions. These include the horizontal lines seen on the upper forehead when raising the eyebrows, the vertical lines seen between the eyebrows when frowning, and the crow’s feet seen around the eyes when smiling. Botox works by relaxing the muscles and smoothening out the overlying wrinkles.

How does Botox work for pores?

One of the side effects that people notice when they get Botox to treat their wrinkles is an improvement in the appearance of the pores. The Botox can also decrease production of oil in the glands to reduce the size of the pores and to treat oily skin. For such a purpose Botox is used slightly differently. The Botox is diluted more than normal and spread out over the skin surface. Therefore, there are many injection points rather than just a few. Also, the Botox injections are placed in the very surface layers of the skin so that it can best reach the oil glands, in contrast to deeper placement of Botox when used to relax muscles. Usually about 40 units of Botox are used for the entire face. The results of such a Botox treatment are seen in a few days and most people enjoy their results for three to four months.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
June 11, 2018
Category: Events

Dr. Alex at the Vegas Cosmetic Surgery 2018 conferenceDr. Alex attended the 14th annual Vegas Cosmetic Surgery and Aesthetic Dermatology conference from June 6th through 10th, 2018 at the Bellagio hotel and casino in Las Vegas, NV. This was the second consecutive year Dr. Alex attended this conference.

The Vegas Cosmetic Surgery conference is organized by Dr. Randy Waldman of Lexington, KY. It attracts cosmetic physicians from all over the world from multiple specialties including dermatology, plastic surgery, head and neck surgery, and ophthalmology. There are many presentations on a variety of topics in the aesthetic field. Dr. Alex attended lectures on a variety of topics including best techniques for Botox and fillers, new fillers that will be on the market, new cosmetic products, laser technologies for facial rejuvenation, body contouring, and sexual pleasure, treatment of complications, chemical peels, treatments for cellulite, and microneedling. In addition, there was a separate track for practice management which included talks on recruiting and training staff, providing outstanding service to patient, optimizing efficiency, and marketing techniques. The education was outstanding and we will be making a number of changes to improve our practice.

Dr. Alex also had the opportunity to see many colleagues including Drs. Patrick Bitter of Los Gatos, CA, Michael Gold of Nashville, TN, Kian Karimi of Rejuva Aesthetics in Los Angeles, CA, Saul Lahijani of Beverly Hills Institute of Plastic Surgery in Beverly Hills, CA, Vineet Mishra of San Antonio, TX, Paul Nassif of Beverly Hills, CA, Michael Persky of Persky Plastic Surgery in Encino, CA, Alexander Rivkin of Westside Aesthetics in Los Angeles, CA, Chris Robb of Nashville, TN, Peyman Simoni of Simoni Plastic Surgery in Beverly Hills, CA, and Sherly Soleiman of Cosmetic Injectables in Encino, CA. In addition, Dr. Alex visited the exhibit hall which featured booths from many companies such as Sciton Laser, Alastin Skin Care, Elta MD, and Real Self.

This was another outstanding educational opportunity. Dr. Alex is committed to attending many such conferences to stay up to date on the latest techniques and technologies in the field of aesthetics. The next such conference will be The Aesthetic Show in Las Vegas, NV in July.

Dr. Alex at the Elta MD booth with Laurie and TaraDr. Alex at the Elta MD booth with Laurie and Tara

Dr. Alex taking an Instagram picture at the Real Self boothDr. Alex taking an Instagram picture at the Real Self booth

Dr. Alex taping a Real Self videoDr. Alex taping a Real Self video

Dr. Alex with Dr. Patrick BitterDr. Alex with Dr. Patrick Bitter

Dr. Alex with Dr. Sherly SoleimanDr. Alex with Dr. Sherly Soleiman

Dr. Alex at the Alastin boothDr. Alex at the Alastin booth

Dr. Alex at the Real Self boothDr. Alex at the Real Self booth

Dr. Alex with Dr. Alexander RivkinDr. Alex with Dr. Alexander Rivkin

Dr. Alex with Dr. Saul LahijaniDr. Alex with Dr. Saul Lahijani

Dr. Alex at the Vegas Cosmetic Surgery conferenceDr. Alex at the Vegas Cosmetic Surgery conference

 

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
June 03, 2018
Category: Products
Tags: Alastin   Hydratint  

Alastin Hydratint sunscreeThe single most important product recommended for skin health is sunscreen. There are many, many sunscreens available on the market and it is important to find a product that works well. Everyone’s skin is different and not all products are ideal for everyone. But the new Hydratint sunscreen by Alastin is a product that works well for many people.

Why is sunscreen important?

Light from the sun damages the skin in many ways. When light hits the skin, it forms free radicals. These are small molecules that affect the skin at the cellular level, damaging the DNA and proteins. The proteins that maintain the structure of the skin such as collagen and elastin become damaged, leading to fine lines and wrinkles. The amount of hyaluronic acid in the skin decreases, leading to dry and dehydrated skin. Production of melanin is stimulated, leading to the formation of dark spots. The DNA is damaged, which increases the risk of skin cancer. All of these things are undesirable. Therefore, it is critical to protect ourselves from the sun.

What should I look for in a sunscreen?

The American Academy of Dermatology recommends a sunscreen with an SPF of at least 30. Also look for UVA and UVB (broad spectrum) protection. This protects against two kinds of UV (ultraviolet rays): UVA rays which cause aging and UVB rays which cause burns. It is important to apply sunscreen every day, even if it is cold or overcast, because the sun’s rays can penetrate through clouds. There are two types of sunscreen ingredients: physical and chemical. Physical ingredients include zinc oxide and titanium dioxide. These reflect the light from the sun and cause minimal irritation to the skin. They also block both UVA and UVB rays. There are a variety of chemical sunscreen ingredients. These absorb the light from the sun so that is does not damage the skin. These should be applied 30 minutes prior to going outside. Some chemical sunscreens can irritate the skin, especially for those who are sensitive. This is particularly important after laser treatments and chemical peels. Therefore, physical sunscreens are ideal for post-procedure.

May new sunscreens provide a number of additional benefits. For example, some include ingredients to hydrate the skin. This allows the product to work as a moisturizer and sunscreen in one. Others include a tint, allowing for the product to work as a primer or foundation. This makes it easy to apply skin care products for those with busy lifestyles who do not have too much time in the mornings. Some of the physician-dispensed sunscreens also include other products such as antioxidants to provide further protection and to rejuvenate the skin.

What is the Alastin Hydratint sunscreen?

The Alastin Hydratint sunscreen is our newest sunscreen and is quickly becoming one of our most popular products. The Alastin Hydratint sunscreen is a physical sunscreen containing zinc oxide and titanium dioxide, which makes it safe for those with sensitive skin and for those who have recently had a laser treatment. The SPF is 36 and it has UVA and UVB protection. The Alastin Hydratint sunscreen also contains a number of antioxidants which protects the skin from environmental pollution as well as products to hydrate the skin. Finally, the Alastin Hydratint sunscreen has a light tint that is compatible with most skin types to provide coverage and reduce the need for more makeup.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
May 27, 2018
Category: Services
Tags: Botox  

Botox before and afterBotox is one of the most popular cosmetic treatments performed worldwide. As the popularity of Botox has grown over the past decade, the interest has grown significantly. Many people have questions about what Botox is, how Botox works, etc. Here we discuss a specific question about why people see new wrinkles after a Botox treatment.

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 one raises the brows, the vertical lines seen between the brows when one frowns (frown lines), and the crow's feet seen around the eyes when one smiles.

When patients present with concerns about specific wrinkles in the upper face such as the frown lines, it is important to assess and treat the other wrinkles in the upper face including the horizontal forehead wrinkles and crow’s feet. The reason is to maintain a harmonious and natural balance to the appearance of the upper face. The muscles between the brows (glabell) which are responsible for the formation of the frown lines serve to pull down on the inner brows when a person frowns. Similarly, the muscles around the eyes which are responsible for the formation of the crow’s feet seen when smiling (orbicularis oculi) are also responsible for pulling down on the brows, but in this case the outer brows. On the other hand, the muscle in the upper forehead (frontalis) which is responsible for the formation of the horizontal forehead wrinkles when a person raises the brows serves to pull the brows upward. If one of these muscles is relaxed with Botox and the others are not, the other muscles will still be active. This will lead to an unbalanced and unnatural appearance of the upper face where the brow can be elevated, depressed, or uneven in shape or position. Therefore, Dr. Alex recommends that patients take a global approach to the upper face when receiving Botox treatments and treat all three of these areas. Sometimes bunny lines on the bridge of the nose are also treated.

Will the results of my Botox treatment look natural?

Many people are concerned about how their appearance will change after a Botox treatment. This is understandable given the amount of both positive and negative publicity there has been around Botox and other cosmetic treatments. When done properly, Botox will provide a natural appearance that makes a person look more youthful and rested. With the increase in popularity of v treatments many offices now provide such treatments. It is important to find an office where the injector has experience and expertise in Botox injections. Dr. Alex recommends looking for experience, before and after photographs, and testimonials.

Does a Botox treatment hurt?

One of the most common questions regarding v is whether the treatment is painful. We use a painless technique to maximize our patients comfort during the treatment. This starts by reconstituting the Botox with preserved saline, which contains benzyl alcohol, to decrease the discomfort with the injection. We use a tiny needle, similar to the size of the needle used for TB test on the forearm. During the Botox treatment, we provide a relaxing environment by playing a calming video with gentle music. We provide stress balls to our patients to hold during their Botox treatment. We blow cold air on the area which serves to numb the skin. We also use the Beauty Bar, which is a vibration device which distracts the patient from the Botox injection itself. Finally, with experience, Dr. Alex has developed a technique to inject Botox to minimize pain. This includes pinching the area, pushing the skin into the needle (as opposed to pushing the needle into the skin), using a slight rotation, and using gentle pressure. Most patients are surprised at how comfortable the Botox treatment is.

How long does a Botox treatment take?

The Botox treatment is very fast. Depending on the area, only a few injections are required and each injection takes a few seconds. For example, the most common technique for treating the frown lines with Botox uses five injections between the brow, one in the center and two on either side. This is usually accomplished in less than 30 seconds. The most common technique for treating the crow’s feet involves three injection points per side. Most patients are surprised at how fast the treatment is.

Is Botox safe?

The safety record of Botox is well established. Botox has been used for over 20 years for a variety of treatments with minimal side effects. Botox is amongst the safest treatments for treating facial wrinkles.

While Botox is one of the safest treatments offered, there are some situations where it is not appropriate. These include anyone who has an allergy to any of the inactive ingredients or who has had an allergic reaction to any botulinum product including Botox, Dysport, Xeomin, or Myobloc. The safety and efficacy of Botox has not been established in women who are pregnant, trying to become pregnant, or breast feeding. Therefore, women in these categories are advised to wait until breast feeding is completed prior to having a Botox treatment. Botox should not be placed in the skin on the site of an infection. Those who are taking an aminoglycoside antibiotic, an anesthetic, D-penicillamine, antimalarials, or immunosuppressants should not be treated with Botox, nor should those who have undergone chemotherapy within the previous six months. It is important to avoid blood thinners before and after a Botox treatment. These include both prescription and non-prescription medications such as warfarin (coumadin), aspirin, ibuprofen, alcohol, fish oil, vitamin E, and ginko biloba. Those with conditions that affect muscles and nerves such as amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease), myasthenia gravis, or Lambert-Eaton syndrome should not undergo Botox treatments.

What are the risks of a Botox treatment?

With any injection, there are risks such as pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take special precautions to minimize these risks such as using a painless Botox technique. We also treat bruises with a laser as early as the next day. Bruises usually resolve within two weeks if untreated. After a laser treatment bruises usually resolve in 1-3 days, but may still take two weeks for full resolution. In addition to these risks, with Botox there is also a risk that the product spreads or diffuses to nearby structures. Spread to nearby muscles can lead to side effects such as the temporary appearance of droopy eyelids or a temporary asymmetric smile.

What should I do after a Botox treatment?

After a Botox treatment, Dr. Alex recommends that patients avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours and not lie down flat for four hours. This is because all of these activities may possibly lead to the movement of the product and consequent side effects such as droopy eyelids.

Botox Treatment Demonstration

Why am I seeing new wrinkles after a Botox treatment?

A phenomenon seen with Botox is called muscle recruitment and compensation. When a muscle has been relaxed with Botox, sometimes other muscles are recruited and contract when one attempts to make the facial expression. This serves to compensate for the inability of the primary muscle to contract. A common example is the bunny lines (caused by contraction of the nasalis muscle) that are seen on the sides of the upper nose after treatment with Botox in the glabella or for the crow's feet. Since the muscles in the treated area are relaxed, the nasalis muscle contracts in an attempt to compensate for this loss when one frowns or smiles. In such a situation, the bunny lines can be treated with a small amount of Botox (2-4 units per side). In the lower face, compensatory recruitment can occur when the platysma muscle in the neck contracts after muscles in the lower face have been relaxed with Botox. Similarly, this muscle can be relaxed with Botox as well. Dr. Alex usually uses approximately 10 units of Botox per band. If placed properly it does not affect other muscles. Relaxing the platysma muscle may also lead to an improvement of jowls and jawline definition. When such recruitment occurs, Dr. Alex recommends preventive (prophylacitc) treatment of the recruited muscles at the next treatment.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
May 20, 2018
Category: Events
Tags: Voluma   Volbella   Vollure  

Dr. Alex at the Allergan Medical Illumination TourOn Friday May 18, 2018 Dr. Alex attended the Allergan Medical Illumination Tour at the Westin hotel in Pasadena, CA. This is an event held in numerous cities nation wide to teach doctors about the newest technology and techniques in the use of dermal fillers for facial rejuvenation. The speakers with plastic surgeon Dr. Arthur Swift of Montreal, Canada and oculoplastic surgeon Dr. Steve Fagien of Boca Raton, FL.

What are dermal fillers?

Dermal fillers are injectable products used to restore volume in the face. Botox and dermal fillers are two of the most commonly used products for facial rejuvenation. Dermal fillers can be used to fill lines and folds such as the laugh lines (or nasolabial folds), improve hollowing under the eyes, restore the youthful apple of the cheeks, straighten a nose with a hump, enhance a weak chin, rejuvenate the jawline, and restore volume in the temples.

The products covered in the Allergan Medical Illumination tour were the fillers in the Juvederm collection. These include Juvederm Ultra and Juvederm Ultra Plus, the first ones available, as well as the newer products Voluma, Vollure, and Volbella. All of these products use a sugar found naturally in the skin called hyaluronic acid as the active ingredient. This brings water into the skin to restore volume and fill in wrinkles and folds. The newer products (VolumaVollure, and Volbella) use a new technology which allows you to enjoy your results longer than Juvederm Ultra and Juvederm Ultra Plus. These products are also softer, which allows them to move when you make facial expressions, providing a natural appearance.

What are the new techniques for using VolumaVollure, and Volbella?

The theme of the talk was light and shadows. These are two important things to understand when thinking about beauty. Makeup artists think about light and shadow all the time. The reflection of the light to highlight certain areas of the face is very important for beauty. At the same time, shadows formed on the skin provide a three-dimensional appearance of a contoured face. Using these ideas, the products are placed strategically in certain areas to maximize the effects of light and shadows. This allows for outstanding results without the requirement for a large amount of product. For example, certain points on the cheek should have maximum projection and more product is place there. Additionally, understanding anatomy allows injectors to place the products at the appropriate depth for safety as well as ideal results.

Dr. Alex attends numerous educational events to learn about the newest advances in the field of cosmetic medicine. He uses this knowledge to provide the best care for his patients in order to exceed their expectations. Dr. Alex also educates patients by writing a weekly blog and answering thousands of questions on Real Self. He also wrote a book, Everything You Ever Wanted to Know about Botox.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.





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