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By Dr. Alex Eshaghian, MD, PhD
February 17, 2019
Category: Services

There are many cosmetic treatments available for rejuvenation of the face and neck. Here we will discuss treatments to address specific concerns with the lower face and neck.

What changes occur in the lower face and neck over time?

Liquid Facelift before and afterThe majority of changes associated with aging in the lower face result from loss of collagen and volume loss. Collagen is the protein that keeps the skin firm, tight, and youthful in appearance. Over time and with sun damage, we lose collagen. It is broken down faster and we make less of it. Also, the bone structure in the face changes. For example, the bones in the upper cheeks move downward and inward. At the same time the fat pads in this area move downward. Together this leads to a descent of the lower face. We start to see laugh lines (from the sides of the nose to the corners of the mouth) and sometimes they continue to the jawline as marionette lines. Loose skin and wrinkles are seen in the lower face and neck. The jawline definition is also reduced as we see the formation of jowls.

Restoring Volume in the Mid-Face

Voluma before and afterVoluma is a filler that is used to restore lost volume in the mid-face. Voluma is placed on the upper cheek bones and provides and immediate volumizing and lifting effect. Voluma will restore the youthful apple of the cheeks and pull up on the lower face to address many of these changes seen as we age. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the skin that draws water into the area to provide volume. You will see your results with Voluma right away and enjoy these results for one to two years depending on how much product is used.

Creating More Collagen

There are a number of ways to create more collagen in the skin. First it is important to use good skin care products to protect your skin. This includes daily sunscreen along with products such as retin-A and vitamin C, which stimulate collagen formation and protect your skin from damage. Treatments such as laser skin tightening and Ultra Microneedling will help this even more. These treatments stimulate your body to produce its own natural, new, fresh, and healthy collagen. This helps with wrinkles and loose skin. It will pull the skin from above and below, providing a natural lift.

Treating Wrinkles in the Lower Face

Volbella before and afterMarionette lines and fine lines around the mouth can be treated with fillers. Vollure is an outstanding product that provides natural and long-lasting results for the laugh lines and marionette lines. Vollure can also be used to volumize the lips. Fine lines around the mouth are best treated using Volbella, another filler that works well to fill in the small lines without providing much volume.

Getting Rid of the Double Chin

Kybella before and afterKybellla is a great treatment to get rid of the double chin. Kybellla is the first and thus far only FDA-approved, non-surgical, injectable treatment for the double chin. The active ingredient in Kybellla is a salt found in the body that is used to digest that fat that you eat. When Kybellla is placed in the skin Kybellla will dissolve the fat and it’s naturally eliminated by the body over time. Most people have two to four session Kybellla spaced every three months. A series of laser skin tightening treatments between the first and second Kybellla sessions will give even better results.

Defining the Jawline

Voluma chin before and afterSome people have a weak chin or jaw bone. Fillers such as Voluma can be used to enhance a weak chin and the corner of the jawline. This provides a natural result and can make the face look more balanced. Also, Botox can be used in what is called the Nefertiti Neck Lift to relax the muscle in the neck. This muscle pulls down on the lower face. When relaxed with Botox, it will provide a natural and subtle lift to the lower face to complement the other treatments described here.

Combining Treatments

Rather than simply having one treatment done, most people find that they get the best results when combining many or all of these treatments. These combinations address all of the different aspects associated with aging: volume loss, collagen loss, buildup of fat under the chin, and relaxing muscles.

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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
February 10, 2019
Category: Events
Tags: Real Self   RealSelf   Hall of Fame  

RealSelf Hall of FameWe are excited to announce that Dr. Alex has been inducted into the RealSelf Hall of Fame.

What is RealSelf?

RealSelf is an online community which allows people to share their experiences about surgical and minimally invasive cosmetic procedures. RealSelf allows patient to ask questions which are answered by actual doctors who routinely perform cosmetic treatments. Tens of thousands of doctors from around the world participate on RealSelf, providing a wealth of information for those doing research on treatments they are considering. Doctors and patients can share before and after pictures and RealSelf has thousands of treatment-related videos providing even more information.

How did Dr. Alex get selected for the RealSelf Hall of Fame?

Dr. Alex enjoys engaging with patient both in person and digitally online and on social media platforms such as Facebook, Instagram, and RealSelf. Dr. Alex regularly attends seminars and conferences to learn about what is new in aesthetics. Each time he incorporates something new into his practices and tells his patients about it. On RealSelf, Dr. Alex has answered thousands of patient questions and uploaded hundreds of before and after pictures and treatment-related videos. Additionally, Dr. Alex is honored to have a perfect 5-star rating from actual patients on RealSelf.

Dr. Alex was first distinguished by becoming a RealSelf 100 honoree in 2017. An award launched in 2010, the RealSelf 100 honors “the top-rated and most engaged aesthetic doctors on RealSelf.” This is based on answering patient questions, sharing before and after pictures, and earning reviews with an average of at least four stars. The RealSelf Hall of Fame inductees rank among the top five percent of engagement on the platform, providing over 1.8 million answers to patient questions, uploading nearly 200,000 before and after pictures, and acquiring over 50,000 patient reviews.

Dr. Alex received a plaque honoring him as becoming a member of the RealSelf Hall of Fame, he was mentioned on the RealSelf Hall of Fame web page, and his name was placed on the Times Square jumbotron in New York city. More information is available on the official RealSelf press release.

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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
February 03, 2019
Category: Services
Tags: Vollure   Juvederm Vollure  

Vollure before and after lips IMLip enhancement using fillers has been very popular over the last decade. Initially a significant increase in lip size was most desirable. However, over the past few years women (and men) are desiring more subtle and natural results. Now with Juvederm Vollure we are able to provide an enhanced appearance of the lips without looking like your lips have been done.

What are fillers?

Fillers, or dermal fillers, are products that are placed in the skin to restore volume. There are many different types of products and they can go in different places. The most common fillers are those that use hyaluronic acid as their active ingredient. Theses include the products in the Juvederm collection (Juvederm Voluma, Juvederm Vollure, and Juvederm Volbella), Restylane, Belotero, and Revanesse Versa. Hyaluronic acid is a naturally occurring sugar found in your skin that draws water into the area to fill in wrinkles and folds. These are the safest products because they can be reversed if the results are not what you wanted or if there are any side effects. For this reason, Dr. Alex only uses hyaluronic acid fillers. Other non-hyaluronic acid fillers include Radiesse, Sculptra, and Bellafill.

Vollure before and after lipsDepending on the person, fillers such as Juvederm VolumaJuvederm Vollure, and Juvederm Volbella can be placed in different areas. Common areas of treatment include the temples, eyebrows, nose, under eye area, cheeks, laugh lines, marionette lines, chin, jawline, and hands. And different products work well for different areas. For example, Juvederm Voluma is a very firm product, making it ideal for lifting and filling certain areas such as the temples, nose, cheeks, chin, jawline, and hands. Juvederm Volbella is very soft, making it perfect for fine lines around the lips. Juvederm Vollure is in between and works well for eyebrows, under eyes, and lips.

What is Vycross technology?

Vycross technology is what is used in the newer products in the Juvederm collection: Juvederm VolumaJuvederm Vollure, and Juvederm Volbella. It has to do with the chemistry of the product and how it is made. There are different sized hyaluronic acid molecules in these products and there is more cross-linking. This allows for two different things. First, a lower concentration of the active ingredient (hyaluronic acid) is needed, so there is less swelling after the treatment and the results look more natural. Second, you will enjoy your results longer with these products. These are the reasons that Dr. Alex exclusively uses Juvederm VolumaJuvederm Vollure, and Juvederm Volbella at A E Skin.

What fillers work best for the lips?

When fillers first became available, they were initially used for the laugh lines that go from the sides of the nose to the corners of the mouth and the marionette lines that continue from the corners of the mouth to the jawline. Over time these products have been used in other areas. One of the most popular areas has been the lips. At first everyone wanted larger and larger lips. But after several years, people starting learning more about fillers and Botox and found that it can look like the lips are too big. Nowadays, people still want to enhance the appearance of their lips, but they want it to look more natural. Juvederm Vollure is an outstanding product for just this. The woman shown in the pictures here received one syringe of Juvederm Vollure in her lips. You can see in the before and after photographs shown here, the size and shape of the lips are enhanced without looking like a duck. Also, you can see that the fine vertical lines on the lips are improved. This is because the product hydrates the lips. And because Juvederm Vollure uses Vycross technology, she will enjoy her results for a year or more.

How does a Juvederm Vollure treatment work?

Treatment with a filler such as Juvederm Vollure is very easy. After taking baseline photographs to monitor your progress, we will numb you lips with cream for about 15 minutes. Then the area is cleaned with special cleansers to prevent infection. Juvederm Vollure is placed in different areas in the lips depending on your concerns using a needle. After your Juvederm Vollure treatment, swelling is usually seen and is normal. We will provide you with an ice pack to help reduce any swelling. If you get a bruise from your Juvederm Vollure treatment, we can treat it with a laser as early as the next business day. We also now have the anti-bruise pads to further decrease the risk of bruising. Bruises will go away on their own in about two weeks after a Juvederm Vollure treatment and the laser treatment makes them go away in one to three days. You’ll see your final results in two weeks when you return to the office for your after pictures. At that time, you can receive more Juvederm Vollure if you want further enhancement. After the Juvederm Vollure treatment, please avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours to reduce the risk of bruising. To decrease the swelling after a Juvederm Vollure treatment, apply ice packs on and off for five minutes at a time as much as possible for a few days, try to sleep on an extra pillow, and avoid salty foods for a few days. The best thing about a Juvederm Vollure treatment is that you will see the results right away.

Vollure for the Lips 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
January 27, 2019
Category: Events
Tags: AACD  

Dr. Alex with Dr. Patrick BitterDr. Alex attended the fifth annual Advanced Aesthetic and Cosmetic Dermatology (AACD) conference January 25-27, 2019 at the Marina del Rey Hotel in Marina del Rey, CA. This was the second consecutive year Dr. Alex attended this conference and it was outstanding.

The AACD is a multi-specialty conference bringing together doctors from various fields to discuss what’s new in aesthetics. The course chairman is renowned Los Angeles dermatologist Dr. Lawrence Moy and the program director is Angela O’Mara from the Professional Image and the Aesthetic Insider.

The AACD was another opportunity for Dr. Alex to learn about the newest techniques and technologies available. The program started with a practice marketing summit with speakers from a variety of marketing companies. Dr. Alex learned how to continue and even better provide an outstanding experience for our patients. This was followed by a series of scientific presentations. Dr. Patrick Bitter, Jr., pioneer of IPL technology shared the newest innovations in the use of IPL. These include new settings for wrinkles, skin tightening, treating dark spots, and the use of IPL technology for feminine rejuvenation, male enhancement, and pain management. There were also several talks about the best use of fillers for facial rejuvenation. Fillers are used in many places on the face, some of the most popular areas of treatment include the cheeks and lips. The trend in 2019 is using fillers in the upper face to fill hollow temples and lift the brows and in the lower face in the chin and jawline to enhance jawline definition. One of the unique features of this conference is the live demonstrations that featured filler treatments on the entire face as well as laser treatments to tighten the skin. The exhibit hall featured a number of companies in the aesthetic field such as Alastin, makers of the Skin Nectar, Hydratint sunscreen, and new Transform body treatment. A new product called Defenage was on display. This contains peptides called defensins which aid in wound healing and rejuvenate the skin.

Dr. Alex enjoyed this conference as always and learned a lot. He will use some of the new techniques he learned to better treat his patients. Dr. Alex looks forward to more such events. The next major event is the Los Angeles Multispecialty Cosmetic Academy (LAMCA) in March 2019 at the Four Seasons hotel in Beverly Hills, chaired by Dr. Kian Karimi.

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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
January 20, 2019
Category: Services

happy womanFor many years we have been using laser technology to address a variety of concerns on the face. Now we are able to use laser for feminine rejuvenation.

What is feminine rejuvenation?

Feminine rejuvenation is a new are of focus for many cosmetic physicians. The face is most commonly treated area on the body in the field of aesthetics. Common concerns include undesired wrinkles, uneven color, and loose skin. But the face is not the only area of the body that undergoes changes over time. Age, childbirth, and hormonal changes over time have an effect on feminine health. Changes include looseness of the skin around the vagina and the internal muscles. This leads to an aged appearance as well as other functional changes such as stress urinary incontinence (SUI). SUI is a condition where women leak urine when they laugh, cough, sneeze, exercise, or bear down. It results from loosening of the pelvic floor muscles, especially after childbirth. Additionally, with menopause hormonal changes include dryness, which can lead to itching and pain with intercourse, as well as decreased sensation in the area, resulting in decreased pleasure with intercourse and a decreased desire for intimacy. All of these changes are of course unwanted. Fortunately, we are now able to reverse these changes using laser technology for feminine rejuvenation. The feminine rejuvenation treatment tightens the skin, the internal muscles, and increases lubrication. This results in a more youthful and rejuvenated appearance, improvement in SUI, increased pleasure with intercourse, and an increased self-confidence.

How does feminine rejuvenation work?

The feminine rejuvenation treatment is very simple. Similar to laser skin tightening, gentle micro-pulses of infrared light are used to slowly heat the entire area around the vagina. The treatment is entirely external and there is no penetration. The heat penetrates deep into the skin and tissues, resulting in a number of changes. The skin on the outer surface is stimulated to form new, fresh, and healthy collagen, which tightens the skin and provides a more youthful appearance on both the labia majora (outer lips) and labia minora (inner lips). The muscles on the inside are stimulated. This results an in increase in strength of the pelvic floor muscles which helps with SUI. At the same time the muscles in the vagina are also strengthened, resulting in increased pleasure with intercourse. The other benefit of the deep heating of the tissue is that it draws more blood to the area. This allows for increased lubrication, which decreases itching and pain with intercourse.

What is involved in the feminine rejuvenation treatment?

The feminine rejuvenation treatment is a simple non-surgical treatment that can be done during your lunch break. The feminine rejuvenation treatment itself is fast, safe, and comfortable. The area is first cleaned with a cleansing solution. Then ultrasound gel is applied to the area to allow for the light to be transmitted. The laser is passed over the entire region, one small area at a time, for about 15 minutes total. It feels like a warming sensation and numbing is not required. Dr. Alex recommends that the area is shaved the morning of the treatment or the day before the treatment for best results.

How many feminine rejuvenation treatments will I need?

Dr. Alex recommend an initial series of three feminine rejuvenation treatments at one-month intervals. After that, patients have one maintenance treatment every six to twelve months.

What should I do after a feminine rejuvenation treatment?

There is no recovery after a feminine rejuvenation treatment. You can resume your normal activities right away. The are may be hot, red, and swollen for a few hours. But there is no recovery after that. You can resume intimacy right away.

Am I a good candidate for feminine rejuvenation?

There are many women who are good candidates for the feminine rejuvenation treatment. Some women simply want a more youthful appearance of the external structures to improve wrinkles and loose skin. Others suffer from SUI, dryness, decreased sensation, pain with intercourse, and decreased pleasure. Often times this occurs after childbirth, especially multiple children, and after menopause. All of these women are great candidates for the feminine rejuvenation 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
January 13, 2019
Category: Services
Tags: Botox  

Botox for TMJBotox is one of the most popular treatment in our office. Botox is most commonly used to treat wrinkles on the face. However, Botox can also be used for a number of other purposes that are not cosmetic.

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 your upper forehead when you raise your eyebrows, the vertical lines seen between your eyebrows when you frown (frown lines), and the crow's feet seen around your eyes when your smile.

Botox for TMJ pain

Many people grind or clench their teeth. This can result in pain in the TMJ joint in front of the ear. Botox can be placed in a muscle in the lower face used for biting called the masseter to contour the lower face and address pain associated with TMJ. In this area 20-40 units of Botox are used per side. Depending on the reason for the enlargement of the muscle, permanent results may be achieved using Botox. For example, some people have a habit of grinding, clenching, or biting their teeth subconsciously. Often times this happens in their sleep when they are not aware of it. Botox placed in this muscle will relax the muscle and the grinding, clenching, and/or biting will decrease. This will reduce the size of the muscle. If the brain gets accustomed to this and the person stops grinding, clenching, or biting, then the muscle will not become enlarged or as enlarged again. However, if the habit starts again, the muscle will likely get larger.

To determine if you are a good candidate for this Botox treatment it is necessary to look at your lower face when biting and comparing it to when you are not biting. If a bulge is seen on the outer portion of the jawline, then you are likely a candidate for a Botox treatment. It can also be felt with the fingers when biting.

The picture shown here is that of a patient who had a Botox treatment for her TMJ pain. Botox also slims the lower face, making it look like she has lost weight.

Botox for 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. 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 treatment is recommended. A video demonstration of this treatment is shown below.

Botox for Migraine Headaches Treatment Demonstration

Botox for Enlarged 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.

Botox for Excessive Sweating 

Excessive sweating, a condition known as hyperhidrosis can be a serious concern for some people. Excessive sweating can occur even when it is not hot. It sometimes occurs when a person is nervous. This can become very embarrassing for a person, especially when it happens frequently. The most common areas of concern include the underarms, palms of the hands, and soles of the feet. Fortunately, Botox is an easy and effective treatment for excessive sweating. These areas are more sensitive and therefore numbing cream is usually applied on the area for about 15 minutes prior to the treatment. To determine exactly where the sweat glands are, sometimes a test is performed called the starch iodine test. Iodine is placed on the area of the skin which will be treated. The areas with more sweat glands will appear dark. This allows the provider to know exactly where to place the Botox. Despite this, typically the entire area is treated and the Botox is placed to cover the entire area. Usually 50 units of Botox are used on each side. Some people enjoy their results from a Botox treatment for six months or more. Similar to when Botox is used for cosmetic purposes, periodic maintenance treatments are required.

Botox for the Scrotum

One of the newest and also most controversial uses for Botox is for scrotal enhancement. The scrotal sac needs to be slightly colder than body temperature for sperm production. Normally the sac hangs below the body to provide a slightly colder temperature. There is a muscle in the scrotal sac which is used to pull the scrotum toward the body. This muscle contracts normally in cold weather so that the scrotum is not too cold. When this muscle contracts the sac appears wrinkled. When this muscle is relaxed with Botox these wrinkles are not seen since the muscle does not contract. Therefore, it is not able to function appropriately for temperature regulation and sperm production may be abnormal. This is important for men who are trying to have children. The other benefit of placing Botox in this area is that, similar to the underarms, palms of the hands, and soles of the feet, Botox will reduce sweating in the area.

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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
January 10, 2019
Category: Skin Treatments
Tags: Botox  

Find out how Botox treatment could give your skin the refreshing look you’ve been wanting.

If you’ve been wondering about the many ways in which you can get younger-looking skin in Encino, CA, our med spa doctor Dr. Alex offers simple non-surgical options like Botox to give you the cosmetic spruce you are looking to start the New Year.

Treat Fine Lines and Wrinkles

Botox is designed to treat dynamic wrinkles, or wrinkles that appear when moving your face. Take a look in the mirror and smile for a moment. What do you see? If you find that wrinkles and lines develop on your forehead, around your mouth or your eyes, these are wrinkles that Botox treatment will be able to smooth away. How? Botox relaxes the muscles of the face, reducing contractions to smooth away these lines and wrinkles that form when you make certain facial expressions.

A Fast, Minimally Invasive Treatment

Botox is one of the fastest cosmetic treatments we offer. In fact, in just a few minutes we can administer the Botox treatment through the use of very thin needles. Some patients choose to get this done during their lunch break because it’s that quick. Plus, pain is very minimal. Even without applying a numbing gel to the treatment area, most people don’t feel anything more than a slight pinch or burning sensation. Botox can target lines and wrinkles without surgery.

No Downtime

You can also go right back to your normal routine right after Botox treatment. While there may be some slight redness or swelling at the injection sites, it’s very minimal and will go away within a couple of days. Not having to take time off work is a big deal for many people, and Botox makes it easy to get the cosmetic treatment you want without having to take days off from your normal routine. Botox fits into your busy life!

Results are Temporary

In many cases, people wouldn’t normally see this as a benefit; however, if this is your first time turning to cosmetic dermatology in Encino, CA, you may want to take it a bit slower and ease into these types of treatments. Many of our patients want to improve their appearance but worry about treatment options that offer long-term results. After all, what if you aren’t happy with the results that a treatment gives you? Botox allows you to treat those early signs of aging without the long-term commitment.

Maintain Your Results

Just because results are temporary doesn’t mean that you can’t keep your appearance looking young and fresh for longer than 3-4 months. If you love the way you look with Botox talk to our Encino, CA, medical spa physician to find out how often you should come in for maintenance treatments to keep your results looking their best.

If you are looking for a quick, easy and non-invasive way to cosmetically enhance your appearance while boosting your self-confidence, then Botox may be the right treatment option for you. If you are interested in Botox call A E Skin in Encino, CA, to schedule your consultation.

By Dr. Alex Eshaghian, MD, PhD
January 06, 2019
Category: Services

Ultra Microneedling before and afterMicroneedling has become a very popular treatment. With Ultra Microneedling even better results can be obtained without a shorter recovery.

What is microneedling?

Microneedling is a new technique to achieve better looking skin. Traditionally, some sort of small needle is used to create tiny holes in the skin. This stimulates the healing response in your skin to make more collagen, the protein that keeps the skin tight, firm, and youthful in appearance. Slowly over time with a series of treatments you will notice improvements in the texture, fine lines, wrinkles, uneven color, and even scars.

There are many versions of microneedling treatments. Some are done in the office and some can even be done at home. Some devices are rollers which create holes while moving along the skin. If the needles are small enough they can be used at home. Those with longer needles need to be done by a professional since they go deeper. Sometimes numbing cream is applied before the treatment to make it more comfortable. Some devices look like a pen and the needles go in and out. Sometimes the depth can be adjusted depending on the person.

Microneedling with Radiofrequency

Some devices are even more sophisticated because they add radiofrequency to the needles. With these systems such as Endymed, Venus Viva, Infiny, and Vivace, the tips produce radiofrequency which heats the deeper layers of the skin. The benefit of this is that you get even more collagen stimulation.

What is PRP?

PRP is short for platelet rich plasma. PRP is obtained by first drawing blood and then separating it by spinning it for about ten minutes. This separates the red blood cells, white blood cells, and plasma. The plasma is rich in a certain type of cell called platelets and it contains a high concentration of growth factors. These growth factors help with the healing process. Adding PRP is more involved since your blood needs to be drawn and processed. Then the PRP is placed on the skin either while the needles are penetrating the skin (allowing it to be pushed in the skin) or immediately after once there are holes in the skin where they can penetrate. The main benefit of adding PRP is that the recovery time is shortened and you get a glow for a few weeks.

Some offices use something called PRF, which is short for platelet rich fibrin. This is a slight modification of PRP which some people find to provide even better results.

What is the recovery after a microneedling treatment?

When needles are used to create holes in the skin, bleeding can be seen, especially when the needles are longer. Sometimes when radiofrequency is added, the heat decreases the amount of bleeding seen. When PRP is added on the skin it becomes even more red. Often times the redness and swelling lasts for several days after the treatment. You have to stay out of the sun and you can’t apply makeup.

What is Ultra Microneedling?

Ultra Microneedling is a treatment designed by Dr. Alex to provide even better results than that from traditional microneedling with or without radiofrequency and with or without PRP or PRF. With Ultra Microneedling, Dr. Alex uses a laser technology to create the holes. This has the benefit of more precision and a faster treatment. The Ultra Microneedling treatment usually takes two to three minutes while traditional microneedling usually takes 15 to 30 minutes. The other benefits of Ultra Microneedling are due to the laser itself. The laser produces even more heat than radiofrequency, so there is absolutely no bleeding and the results are even better. At A E Skin we apply a hydrating sheet mask on our patients for about 15 minutes after an Ultra Microneedling treatment. After this you can hardly tell you had a treatment done. You can resume your normal activities right away and apply makeup the next day. v uses conservative settings at your first Ultra Microneedling treatment to make sure your skin reacts appropriately. On the second Ultra Microneedling treatment the settings can be increased depending on the individual person. Dr. Alex recommends a series of six monthly Ultra Microneedling treatments followed by one maintenance Ultra Microneedling treatment every three months after that. In the before and after picture shown here the patient had five Ultra Microneedling treatments. It looks like she has had fillers or even a facelift. These are the additional benefits people enjoy from Ultra Microneedling as compared with traditional microneedling. Dr. Alex often combines the Ultra Microneedling treatment with an IPL photofacial treatment to further address irregular color. This combination is called the #nofilter treatment and is quickly becoming one of our most popular treatments.

Ultra Microneedling 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
December 30, 2018
Category: Services
Tags: Voluma  

Voluma to enhance a weak chinA common concern for many patients is a weak chin. Traditionally, surgery has been performed for correction. We now have non-surgical options that provide outstanding results.

What is a weak chin?

A weak chin described the condition where the chin is not balanced with the rest of the face. This has to do with the anatomy of the face. There are many bones in the face that provide the structural support. In the lower face, there is a bone that provides support for the upper teeth and another that provides support for the lower teeth and chin. In some people the lower bone does not project forward enough, making the position of the tip of the chin behind that of the upper lip. This makes the chin appear out of balance with the rest of the face.

How can a weak chin be treated?

Now with the use of fillers we can treat a weak chin without surgery. Fillers are used to restore lost volume in the face and in other places of the body. The filler that works best in this area is Voluma. Voluma is a filler in the Juvederm family that works well to volumize and restructure the face. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the body. Hyaluronic acid draws water into the area to provide volume and structure. Depending on the person and their individual appearance, different amounts of product can be used. The patient shown here received two syringes of Voluma to enhance her weak chin. Now the chin appears balanced with the rest of her face. Small changes wuch as this can make a big difference in a person’s appearance. The best thing about Voluma is that people will enjoy their results for two years or more in this area.

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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.

December 24, 2018
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Alastin TransFORM Body TreatmentWe are excited to announce our newest product, the Alastin TransFORM Body Treatment. The Alastin TransFORM Body Treatment is an outstanding product that will help tighten the skin and decrease fat in the area.

Non-surgical body contouring has become more and more popular in the last few years. There are many devices and products available to tighten the skin on the body and remove fat. Two of the most common treatments we perform in our office are laser skin tightening and Kybella. Laser skin tightening uses gentle micro-pulses of infrared light to slowly heat the deeper layers of the skin. This stimulates your body to form more collagen and tightens the skin in the area. Kybella is a salt found naturally in the body that is injected into the skin to remove undesired stubborn fat that you can’t get rid of no matter how much you diet or exercise. Common areas of treatment with laser skin tightening include the neck and belly, but just about any area of the body can be treated.

The Alastin TransFORM Body Treatment is a new product that enhances the fat reduction and tightening effects of any of these treatments. The Alastin TransFORM Body Treatment has multiple ingredients to provide these effects. First the Alastin TransFORM Body Treatment contains the proprietary Tri-Hex peptide technology. This stimulates your body to form new collagen and elastin, which serve to tighten the skin and improve the texture of the skin. It also cleans the deeper layers of skin to allow for faster results and more healthy skin. The other active ingredient in the Alastin TransFORM Body Treatment is called Hexapeptide-11. This is a peptide that signals your body to get rid of fat faster. It is designed using a patent pending LipoDRONE delivery system, which allows the Alastin TransFORM Body Treatment to penetrate to the deeper layers where the fat is located.

The Alastin TransFORM Body Treatment is used twice daily. Apply a liberal amount of the Alastin TransFORM Body Treatment on the area of concern and rub it well. It does not have a heavy or oily feeling. The large 6 oz tube will last you three months. You can apply the Alastin TransFORM Body Treatment while getting treatments such as Kybella or laser skin tightening to enhance the results.

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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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