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By Dr. Alex Eshaghian, MD, PhD
December 10, 2017
Category: Services
Tags: Juvederm   Voluma   Volbella   Vollure  

Dermal filler before and afterDermal fillers such as Juvederm and Vollure are some of the most common products we use for facial enhancement. New products become available regularly. Here we discuss the difference between Juvederm and Vollure, as well as other dermal filler products.

What are dermal fillers?

Dermal fillers such as JuvedermVolumaVollure, and Volbella are products that are used to restore lost volume in the skin. They have been used for many years for the smile lines, also called the laugh lines, parentheses lines, or nasolabial folds, the wrinkles that go from the sides of the nose to the corners of the mouth. Sometimes these wrinkles continue all the way down to the jawline, what are called the marionette lines. Fillers are also used to restore the apple of the cheeks, fill in hollowing in the temples, provide volume to the lips, and enhance the chin. The can also be used off the face, most commonly to restore lost volume to the backs of the hands.

What are dermal fillers made of?

Dermal fillers can be made of many different substances. The most popular are those with hyaluronic acid as the active ingredient. These include JuvedermVolumaVollureVolbella, the Restylane family of products, Belotero, and Revanesse. Hyaluronic acid is a naturally occurring sugar found in the skin that binds 1,000 times its weight in water, allowing it to draw water into the skin to fill in wrinkles. The great things about hyaluronic acid is that is can be dissolved if the results are not as desired or if there is an adverse effect. No other product has this safety feature. Radiesse is another dermal filler whose active ingredient is calcium hydroxyappetite, which works well to restore bony structures such as the cheeks. Sculptra is made of poly-L-lactic acid. This does not volumize by itself; rather it stimulates the skin to form collagen. Bellafill is another dermal filler; it’s active ingredient is poly-methylmethacrlate. Bellafill lasts many years. There are also many other products available overseas but not in the United States. Unlike the hyaluronic acid products, RadiesseSculptra, and Bellafill are not reversible.

Why are VolumaVollure, and Volbella better than other fillers?

VolumaVollure, and Volbella have some distinct advantages over other fillers. First, they are all made of hyaluronic acid, meaning they are reversible, providing a high degree of safety. Second, unlike some of the other hyaluronic acid fillers, they contain lidocaine, which numbs the skin. Third, they provide patients with Brilliant Distinctions points. The Brilliant Distinctions program is a rewards program developed by Allergan, makes of BotoxJuvedermVolumaVollureVolbellaKybella, and Latisse, where patients receive points for each treatment which can be used toward discounts at subsequent treatments. The most unique feature of VolumaVollure, and Volbella is that they use a new technology called Vycross, in which the hyaluronic acid has special cross-linking. This is a fancy way of saying that patients enjoy their results longer than other products.

What is the difference between Juvederm and the other products in the Juvederm family?

Juvederm was the original dermal filler produced by Allergan, makes of BotoxJuvedermVolumaVollureVolbellaKybella, and LatisseJuvederm is made using an older technology called Hylacross. The new fillers VolumaVollure, and Volbella use the Vycross technology, which allows patients to enjoy their results for longer.

What is the difference between VolumaVollure, and Volbella?

We know that VolumaVollure, and Volbella all use the Vycross technology which allows patients to enjoy their results for longer. But what are the specific differences between these three products. All of these products are identical except for the amount of hyaluronic acid they contain. Voluma contains the highest concentration of hyaluronic acid in this group (20 mg/mL). Volbella contains the lowest amount of hyaluronic acid in this group (15 mg/mL). And Voluma contains an intermediate amount of hyaluronic acid (17.5 mg/mL). What this means is that they are used for different concerns. Since Voluma has the highest concentration of hyaluronic acid, it provides more lift and is ideal for restoring the apple of the cheeks, filling in temporal hollows, and enhancing a weak chin. Volbella has the lowest amount of hyaluronic acid and does not provide as much volume or puffiness, making it ideal for fine enhancement of the lips such as filling fines lines on or around the lips and defining the lips, as well as for placement in the tear troughs, the hollows which can appear under the eyes. Vollure is ideal for the smile lines and for volumizing the lips. The video shown here demonstrates a liquid facelift, where all three of these products are used in different areas in combination with Botox.

Liquid Facelift 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 08, 2017
Category: Skin Care
Tags: dry skin  

Don’t let dry skin get you down this winter season. Keep this problem at bay.

Whether you consider yourself a snow bunny or you are someone who spends the cold months pressed up against the fireplace, there are dry skinmany habits that can lead to dry skin. If you are someone who battles dry skin often our Encino, CA, dermatologist, Dr. Alex Eshaghian, has simple solutions for combating this unpleasant issue.

Avoid Hot Water

We know how enticing a steaming hot shower or bath can be, particularly if you just came in from the frigid outdoors; however, if you are someone who deals with dry skin then you truly want to heed this warning and stay away from lingering hot showers. Instead, opt for warm water and limit the amount of time in the shower to no more than 10 minutes.

Use Gentle Products

Harsh cleansers can strip skin of the natural oils it needs. If you are someone who deals with dry skin pretty consistently then you’ll want to take a look at the products you are using on your skin. Look for sensitive, fragrance-free skincare products for both your face and your body and avoid products that contain alcohol. If you are at a loss for what products are right for dry skin, our Encino skin doctor would be happy to provide some recommendations.

Don’t Be Aggressive

A lot of people think that in order to get skin clean they need to scrub and scrub. While a squeaky clean may be okay when it comes to your kitchen floors it shouldn’t be for your skin. Always take a gentle approach to cleansing your skin. After washing your face never rub your face clean. Instead, blot skin dry with a soft towel.

Don’t Skimp on Moisturizer

Moisturizer is something that everyone should use to keep skin feeling and looking supple. Even those who don’t deal with dry skin should still consider using a light moisturizer, particularly during drier, colder months. Of course, if you are dealing with dry skin then you will want to use a thicker emollient. Apply right after getting out of the shower or immediately after washing your face.

If you are having difficulty tackling your dry skin this winter, then it’s time you turned to AE Skin in Encino, CA, for the answers you need to get your skin under control. Call us today to learn more about what we can do for you!

By Dr. Alex Eshaghian, MD, PhD
December 03, 2017
Category: Events
Tags: Holiday Party  

Dr. Alex and family at the 2017 Holiday PartyOn Thursday November 30, 2017 A E Skin held it’s seventh annual Holiday Party in the office. It was a lot of fun, as always. We had a packed house with over 30 guests in attendance. Our guests enjoyed light refreshments courtesy of Allergan, makers of Botox, Juvederm, Voluma, Vollure, Volbella, Kybella, and Latisse. We also had support from Alastin Skin Care, makers of the Skin Nectar and Restorative Skin Complex. As always, the Red Carpet was out, allowing for outstanding photo opportunities for our guests. The best dressed won a Photo-Fractional Rejuvenation treatment. We were excited to offer exclusive specials on all products and services; and since we had such a great response we are continuing these promotions until the end of the year. This year we had two models receive treatments at the demonstrations. The first model received a liquid facelift using 44 units of Botox, two syringes of Voluma, two syringes of Vollure, and two syringes of Volbella. Results are seen instantly with this 15-minute treatment. The second received a fractional CO2 laser resurfacing treatment to improve fine lines and wrinkles. Her treatment also took about 15 minutes and she was very comfortable throughout the treatment. After the demonstrations we held a raffle with many prizes including products such as Elta MD, Alastin, and A E Skin as well as treatments valued at over $2,000. Everyone in attendance received a gift bag which included a full size A E Skin Green Tea Essentials Nourishing Moisturizer valued at $125, samples of Elta MD sunscreens, a copy of Dr. Alex’s new book Everything You Ever Wanted to Know about Botox, a pen, and brochures of some treatments. We would like to thank our guests, for attending, our staff for their support, and our partners from Allergan, Elta MD, and Alastin. We had a great time again this year and look forward to more events in the future.

Liquid Facelift Demonstration


Fractional CO2 Laser Resurfacing 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
November 26, 2017
Category: Services
Tags: Botox   Skin Tightening   IPL   Voluma   Kybella   leg vein   toenail fungus  

While the face is the most common area of concern for cosmetic treatments, treatments for other areas on the body are becoming more and more popular. Here we discuss a number of options for treatments from the neck down.

Treatments for the neck

laser skin tightening before and afterCommon concerns in the neck area include loose skin, fullness or a double chin, and loss of jawline definition. Over time and with sun exposure, collagen in the skin on the neck and on other areas is degraded. This leads to the appearance of loose skin and wrinkles. One of the most popular treatments is laser skin tightening. This is a no down time treatment that takes about 15 minutes. A series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. The double chin, also known as submental fullness, is very common and caused by age, weight gain, and genetics. We are now able to treat the double chin with Kybella, the first and thus-far only FDA-approved, non-surgical, injectable treatment for submental fullness. The active ingredient in Kybella is a salt used to digest the dietary fat. When injected into this area, Kybella will dissolve the fat and it is naturally eliminated by the body slowly over time. A series of two to six Kybella treatments is recommended and treatments are performed every three months. Unlike other treatments, maintenance treatments are not required with Kybella. Both laser skin tightening and Kybella will also help to define the jawline. To further enhance the jawline, Botox can be used just under the jawline to relax the muscle that pulls this area down in a treatment called the Nefertiti neck lift. This leads to an elevation of the lower face, improves the appearance of jowls, and provides improved definition of the jawline.

Treatments for the Chest

IPL before and after chestThe most common concerns on the chest are wrinkles and uneven color, whether it is dark spots or redness. The Forever Young BBL IPL photofacial can be performed on any area on the skin including the chest. The Forever Young BBL IPL photofacial will even out the color on the skin, providing improvements in dark spots and redness. A series off six Forever Young BBL IPL photofacial treatments performed every six weeks is recommended followed by one maintenance treatment every three months thereafter. The fractional CO2 laser resurfacing treatment can be performed on the chest, which will significantly tighten the skin and reduce wrinkles in a single treatment. For this treatment, be prepared for up to four weeks of recovery which includes redness and swelling.

Treatments for the Hands

Juvederm hands before and afterOver time changes on the skin of the backs of the hands are seen. Sun exposure leads to age spots and loose skin. At the same time volume is lost and veins and tendons in the area become more and more apparent. The hand rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with Voluma. The Forever Young BBL IPL photofacial treatment will address age spots while Voluma will restore lost volume to the area. The fractional CO2 laser resurfacing treatment can also be performed on the area to further improve uneven color as well as tighten loose skin on the area.

Treatments for the Belly

One of the most common concerns in the belly is the appearance of loose skin. This frequently occurs with weight gain and loss and is common in women who have had babies. Laser skin tightening works by heating the skin on the area. This tightens the skin by stimulating it to form its own natural, new, fresh, and healthy collagen. An initial series of six to eight weekly laser skin tightening treatments is recommended followed by one maintenance laser skin tightening treatment every three months thereafter. Laser skin tightening treatments take 15 to 20 minutes, are pain-free, and have no down time.

Treatments for the Legs

The appearance of veins on the legs can be a major nuisance to women who enjoy wearing shorts, skirts, and dresses. Fortunately, they can usually be treated non-surgically with laser leg vein treatments. Anywhere from one to three laser leg vein treatments is required and treatments are spaced out every two to three months. While the laser leg vein treatment completely treats the vein, often times new veins appear in nearby areas. This is because those people who tend to form veins in the legs frequently form new ones slowly over time. New veins can be treated as well as they appear.

Treatments for the Toes

Toenail fungus is very common and can be very disfiguring. Lasers can be used to kill the fungus and significantly improve the appearance of the toes. This works best in mild cases. In moderate and particularly severe cases, sometimes the appearance may not go completely back to baseline. However, significant improvement can be seen. A series of three monthly laser toenail fungus treatments is performed and the results are seen very slowly over time. It can take one to two years to see full 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.

By Dr. Alex Eshaghian, MD, PhD
November 19, 2017
Category: Events

Dr. Alex with VioletDr. Alex attended The Aesthetic Academy 2017 at the Hyatt Regency hotel in Newport Beach from Friday November 16, 2017 through Sunday November 18, 2017. This is another outstanding educational opportunity to learn about what is new in the aesthetic market.

The Aesthetic Academy is an annual event organized by Michael Moretti of The Aesthetic Show, a national version of The Aesthetic Academy held yearly in July in Las Vegas, NV. This year Dr. Alex participated in the Certified Aesthetic Consulting Course. This was an outstanding opportunity which included expert speakers from around the world. Topics included social media, practice management, patient counseling, practice metrics, and management skills. The first day also included lectures and live demonstrations of fillers such as Restylane Refyne and Restylane Defyne and energy-based treatments such as the BTL Ultra Femme 360 feminine rejuvenation system. The exhibit hall included representatives from many laser companies, marketing companies, and skin care product manufacturers. The highlight was The Aesthetic Awards held on Saturday night hosted by Dr. Andrew Ordon of the television show The Doctors. While A E Skin did not win an award, Dr. Alex was honored to be nominated for multiple awards including Best Aesthetic Practice. Dr. Alex makes significant efforts to attend conferences regularly to learn about the newest techniques and devices in order to provide his patients with the best outcomes.

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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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15840 Ventura Blvd. # 106 Encino, CA 91436