On 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 (Voluma, Vollure, 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.
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.
We are excited to offer a new treatment called the #nofilter treatment which can address a variety of concerns in a single treatment with a short recovery time.
The #nofilter treatment is a new combination treatment designed by Dr. Alex to provide our patients with improved results. Dr. Alex has pioneered a number of combination treatments such as the Soft and Smooth Rejuvenation treatment, Tight and Bright Rejuvenation treatment, Ultimate Rejuvenation treatment, Weekend Rejuvenation treatment, and Fountain of Youth Rejuvenation treatment. All of these treatments combine multiple individual treatments to address our patients’ concerns slightly differently and provide superior results than when used alone. The Soft and Smooth Rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with a Micro Laser Peel. The Forever Young BBL IPL photofacial treatment addresses unwanted discolorations and the Micro Laser Peel removes a thin layer of dead skin cells from the surface to improve the texture and help exfoliate the pigment even further. The Tight and Bright Rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with a Laser Skin Tightening treatment. The Laser Skin Tightening treatment uses gentle micro-pulses of infrared light to heat up the skin, tightening the skin, improving redness, and helping with enlarged pores. The Ultimate Rejuvenation and Weekend Rejuvenation treatments combine the Forever Young BBL IPL photofacial treatment, Laser Skin Tightening treatment, and Micro Laser Peel with the Pro Fractional Therapy. This offers the improved benefit of stimulating collagen in the deeper layers of the skin, giving an improved texture and providing a better glow and radiance.
What is the #nofilter treatment?
The #nofilter treatment combines a Forever Young BBL IPL photofacial treatment with an Ultra Microneedling treatment. The Ultra Microneedling treatment works by creating thousands of microscopic holes in the skin and generating heat. This stimulates the skin to form its own natural, new, fresh, and healthy collagen. This provides improvements in terms of color, texture, tone, and radiance of the skin. The treatment is preceded by application of numbing cream for about 15 minutes, and the treatment itself takes another 15 minutes or so. The great thing about the #nofilter treatment is that the recovery is usually only a few days.
Who is a good candidate for the #nofilter treatment?
The #nofilter treatment is ideal for anyone, young or mature, who desires improvement in the color, texture, or tone of the skin. The #nofilter treatment works well for those with sun spots or uneven color. The #nofilter treatment will help for those with rough or irregular texture on the surface of the skin. The #nofilter treatment also works to improve the appearance of fine lines and wrinkles on the skin.
What should I do after a #nofilter treatment?
After a #nofilter treatment avoid heat exposure, alcohol consumption, and strenuous exercise for a few days. Avoid hot or spicy foods such as soup, hot coffee, or hot tea. Iced coffee and iced tea are okay. Redness and swelling are normal for a few days and comfort can be provided by applying cold compresses such as ice packs. Sometimes the dark spots get darker before they get lighter; this is normal and can take up to two weeks. Prolonged discoloration beyond this can be treated with creams. We will provide an aftercare kit including a special facial cleanser, the Avene Thermal spray water, and an intense moisturizer with specific instructions on how to use them. Apply sunscreen daily with a minimum SPF of 30 with broad spectrum (UVA and UVB) protection. Dr. Alex recommends an initial series of six monthly treatments followed by one maintenance treatment every three months.
Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. For a limited time, we are offering a promotional price on the new #nofilter treatment. Contact us to schedule a free consultation with Dr. Alex in our Encino, CA office.
Are you unhappy with your wrinkles, age spots, loose skin, or acne scars? Laser skin treatments offer a quick, virtually painless way to improve your skin without surgery. Our Encino, CA, dermatologist, Dr. Alex Eshaghian, provides several laser treatment you may want to consider.
Laser skin tightening
Collagen, the protein that helps keep skin elastic, tends to decrease as we age. As a result, skin begins to sag, forming fine lines and wrinkles. Laser skin tightening treatment heats the deep layers of the skin. As the laser energy penetrates the skin, collagen contracts, firming the skin. Treatment also promotes the growth of new collagen. Laser skin resurfacing can improve the appearance of your cheeks, jawline, chin, and neck and can be combined with chemical peels, other laser treatments, and Botox injections.
Fractional CO2 laser resurfacing
Fractional CO2 laser resurfacing creates tiny pinpricks in the skin that trigger collagen production. The laser only treats a fraction of your skin and doesn't affect surrounding skin, which helps promote rapid healing. The treatment can minimize fine to deep wrinkles, make scars and large pores less noticeable, and improve the texture of your skin. It's often used on the neck, face, hands or chest.
The microlaser peel removes the top layers of the skin where fine lines, age spots, freckles, and shallow acne scars reside. After your treatment, the top layers of your skin will peel away, revealing younger-looking skin underneath. The treatment also triggers the growth of new cells during the healing process. Because the microlaser peel is only used on the outer layers of the skin, you may not even need a topical anesthetic during treatment in our Encino office.
AE skin ultimate rejuvenation
The AE skin ultimate rejuvenation treatment combines several types of treatments to help your skin look youthful and radiant. During your visit, you'll receive a Forever Young IPL Photofacial that targets discolorations, reduces redness and close enlarged pores, followed by a laser skin tightening treatment. Other steps include a microlaser peel treatment, Pro Fractional Therapy, and treatment with hydroquinone liquid to brighten skin.
Turn back time with laser skin treatments! Call our Encino, CA, dermatologist, Dr. Alex Eshaghian, at (818) 835-1833 to schedule your appointment.
We are excited to announce that A E Skin has been named Best Medical Spa in Encino, CA for the sixth year in a row! This award is given by the Encino Awards Program and recognizes achievements and accomplishments of businesses in Encino.
A E Skin is a medical spa in Encino offering a variety of cosmetic services and products such as Botox, fillers, laser rejuvenation, and skin care products. Established in 2010 by Dr. Alex Eshaghian, MD, PhD (Dr. Alex), A E Skin is proud that all of our patients see Dr. Alex every time. With his experience and expertise in cosmetics, Dr. Alex strives to provide outstanding results. Dr. Alex treats each person individually because each person has different features and desires. By providing direct care and communication with his patients, Dr. Alex is able to exceed our patients’ expectations.
Dr. Alex has performed over 10,000 cosmetic treatments with outstanding results as seen in our before and after photographs and patient testimonials. Dr. Alex has also done a decade of scientific research; his dissertation in graduate school focused on genetic changes involved in photo-aged skin. Dr. Alex continues his education by attending many seminars and conferences each year. At these events, Dr. Alex learns the newest innovations in aesthetic medicine to incorporate it in his practice. Dr. Alex has designed a variety of treatments to rejuvenate the skin without surgery. For Dr. Alex it is also important to educate his patients, which is why he has published a book entitled Everything You Ever Wanted to Know about Botox, publishes a weekly blog, and has answered thousands of questions on RealSelf.
Comfort, convenience, and customization are what sets A E Skin apart from other medical spas. We always use products such as numbing cream, relaxing music, and cold air to keep patients comfortable throughout their treatments. We are available on evenings and weekends for those who cannot take time off from work. And we always take high quality before and after pictures so patients can see their own transformations.
What is RealSelf?
RealSelf is an online community allowing people to share their experiences about cosmetic treatments. Patients can ask questions which are answered directly by doctors from around the world. Tens of thousands of doctors participate in the RealSelf community. The site contains a wealth of information for those interested in learning more about cosmetic treatments. It includes millions of photographs and expert answers from medical professionals and attracts 10 million visitors each month.
How did Dr. Alex get selected to be a 2017 RealSelf 100 honoree?
Dr. Alex is committed to education, both in terms of learning as much as possible about what is new and in terms of educating others. Dr. Alex attends many conferences and seminars each year and publishes a weekly informational blog. Dr. Alex is very active on RealSelf. Many patients have shared their experiences and provided outstanding reviews of their results. Dr. Alex has answered thousands of questions about topics such as Botox, fillers, and laser treatments. Dr. Alex has also submitted over 100 before and after photographs and informational videos of various cosmetic treatments uploaded to RealSelf.
According to RealSelf CEO Tom Seery, "The RealSelf 100 recognizes committed medical professionals who are leading the way to help educate and empower consumers to make smarter decisions about aesthetic treatments. RealSelf 100 honorees are among the most engaged doctors on RealSelf — they represent less than one percent of the 20,000 medical professionals in our community yet collectively contributed 100,000 answers to consumer questions last year." Dr. Alex is honored to be a member of this selective group of cosmetic physicians.
Botox is the most common non-surgical treatment in the United States and Botox has become a household term. With so many different indications for Botox so many people are getting a treatment and it is no longer taboo. One of the most common questions is how early a person can get Botox.
What is Botox?
Botox is a purified protein used to treat wrinkles associated with facial expressions. Common areas of treatment with Botox include the horizontal lines on the forehead seen when raising the eyebrows, the vertical lines between the brows seen when frowning, and crow’s feet around the eyes seen when smiling or squinting. Botox is also used in other areas to shape the lower face, smooth out the chin, address a gummy smile, provide a pout to the lips, improve neck bands, treat migraine headaches, decrease sweating in the underarms, and more. When injected into the skin, Botox will relax the muscles and smoothen out the overlying wrinkles. Full results are seen two weeks after a Botox treatment and most people enjoy their results from a Botox treatment for three to four months, at which point a maintenance Botox treatment is recommended.
I want to 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.
Is Botox painful?
One of the most common questions regarding Botox 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 apply 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 developed a technique to inject 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 treatment time for a Botox treatment is very short. In our office, we take photographs of our patients with a neutral facial expression and with various other expressions depending on the area(s) treated before the Botox first treatment. The Botox treatment involves cleaning of the area and the placement of the product takes only a few minutes. Most people can expect to be out of the office in 15-30 minutes.
When can I get my first Botox treatment?
A common misconception is that Botox is only for those who are in their 60's or 70's. On the contrary, we have a lot of patients in their 20's who receive Botox. This is either for prevention or for those who have expressive faces. Dr. Alex finds that the younger a person is when one starts receiving Botox treatments the more signs of aging will be delayed. In other words, Botox can be used to prevent wrinkles from either appearing in the first place or from getting deeper over time.
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.
What are the risks of a Botox treatment?
With any injection such as Botox, 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 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 of Botox 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, 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 Botox and consequent side effects such as droopy eyelids as described above.
How much does a Botox treatment cost?
The investment for a Botox treatment varies from office to office. It depends on the region, office, and injector. The total investment also depends on how much Botox is required, the areas treated, and the individual. For example, if someone has a larger forehead, a higher dose of Botox will be required. If multiple areas such as frown lines and crow’s feet will be treated the investment will be more than that if only a single area is treated. In general, men have stronger muscles than women both on the body and on the face. For this reason, men usually require higher doses of Botox than women. The investment range for a Botox treatment is $200 - $500 per area. Areas include frown lines, crow’s feet, etc.
Botox Treatment Demonstration
One of the common side effects with treatments involving needle injections is bruising. It is impossible to eliminate the risk of bruising. However, we now have an anti-bruise patch that reduces the risk of bruises significantly.
Why do bruises occur?
Bruises are seen when a needle goes through a blood vessel and the blood leaks into the skin. Bruises can also be caused by physical trauma such as injuries. Bruises come in a variety of colors including red, blue, and purple. They can turn different colors such as yellow or brown as they mature and slowly go away. Injectable treatments such as Botox, fillers (Voluma, Vollure, and Volbella), and Kybella can lead to bruises. With filler treatments, needles are injected deeper and bruises can be larger. Bruises usually resolve on their own in one to two weeks.
Can bruises be treated?
We can treat bruises with a laser. The light from the laser hits the bruise and makes it go away faster. After a laser bruise treatment, bruises usually resolve in one to three days, but still could last a full two weeks. Also, sometimes they get darker before they get lighter. The laser bruise treatment is very easy. A demonstration is shown below. A small amount of gel is applied to the skin and the laser treatment feels like a small snap on the skin. A few pulses are used for each small area and the treatment itself usually takes less than one minute. Often times a change in color can be seen immediately.
Laser Bruise Treatment Demonstration
What is the anti-bruise patch?
The anti-bruise patch is a new and innovative technology that is simple to use and significantly reduces the risk of bruising after injectable treatments and after surgery. It also makes bruises resolve more quickly and reduces swelling in the skin. The patch is clear and sticks to the skin. For most treatments two patches are used, one per side of the face. They are applied on the skin immediately after a treatment and left on for six hours. Then the patches are removed and replaced with another set of patches for another six hours; this can be done at bedtime and left on overnight while asleep. Ensure that the skin is clean and dry when applying the patches because any dirt or products on the skin will decrease the anti-bruising effects.
How does the anti-bruise patch work?
The anti-bruise patch contains very high doses of arnica and ledum, natural ingredients that have been used for years. These ingredients reduce swelling, bruising, pain, and inflammation. Arnica is available over-the-counter in both topical and oral forms. However, the concentration of arnica in the anti-bruise patch is 50 times stronger than that available over-the-counter. Each pair of patches comes in a sterile sleeve that can be kept at room temperature without the need for refrigeration.
How can I reduce the risk of bruising after my treatment?
With any injection there is always the risk for bruising. Dr. Alex recommends avoiding injectable treatments within two weeks of special events where you want to look your best. Also, avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours after a treatment because these activities bring blood to the skin and can increase the risk of bruising. It is also recommended to avoid medications that thin the blood such as aspirin as well as natural blood thinners like turmeric, ginger, cinnamon, cayenne peppers, and vitamin E for a few days before and after and injectable treatment. Tell Dr. Alex if you are taking prescription-strength blood thinners such as coumadin or Plavix.
Are you unhappy with the appearance of your butt? Even with strict diet and exercise regimens, many women are concerned with the size, shape, and sagginess. It can decrease a person’s self-confidence, especially when wearing tight clothes or a swimsuit. The laser butt lift is an easy treatment to enhance the appearance of the buttocks without surgery or recovery time.
How does the Laser Butt Lift treatment work?
The Laser Butt Lift treatment uses gentle micropulses of infrared light. This signals the skin to produce its own natural, new, fresh, and healthy collagen. This is the same way that Sculptra works, but without the needles, bruising, recovery time, or investment.
What happens during the Laser Butt Lift treatment?
Gel is applied to the skin to allow the light to be transmitted. The laser is passed gently over the skin in circular motions one area at a time. The entire Laser Butt Lift treatment takes about 20 – 30 minutes in total. A demonstration is shown below.
Laser Butt Lift Demonstration
Does the Laser Butt Lift treatment hurt?
The Laser Butt Lift treatment slowly and gently warms up the skin. Most people find it very comfortable and relaxing. Numbing cream is not required at all because the treatment is completely pain-free.
How long is the recovery time after a Laser Butt Lift treatment?
The best thing about the Laser Butt Lift treatment is that, unlike a surgical treatment, there is no recovery time or down time. People resume their normal activities right away. Dr. Alex recommends avoiding heat exposure, alcohol consumption, and strenuous exercise for 24 hours after the treatment and covering the area from the sun during the course of the initial series of Laser Butt Lift treatments.
How many Laser Butt Lift treatments will I need?
Dr. Alex recommends an initial series of six weekly Laser Butt Lift treatments followed by one maintenance Laser Butt Lift treatment every three months thereafter.
When will I see results after a Laser Butt Lift treatment?
As the collagen is produced in the skin improvements are seen slowly in terms of lift and projection of the butt over the first six weeks. Some people notice an improvement after a single treatment.
How long do the results of a Laser Butt Lift treatment last?
After an initial series of Laser Butt Lift treatments, most people enjoy their results for several months. Dr. Alex recommends one maintenance treatment every three months to protect your investment.
Does the Laser Butt Lift treatment work on cellulite?
While the Laser Butt Lift treatment is designed to firm and volumize the butt, some people may see improvement in cellulite. But this is not a guarantee.
Is the Laser Butt Lift treatment safe when pregnant or breast feeding?
The safety and efficacy of the Laser Butt Lift treatment has not been tested on women who are pregnant, trying to become pregnant, or breast feeding. Therefore, Dr. Alex recommends waiting until breast feeding is completed before starting a series of Laser Butt Lift treatments.
Can the Laser Butt Lift treatment be done on dark skin types?
Yes, the Laser Butt Lift treatment is safe on all skin types, including dark skin.
The spring is the time to get your body ready to wear a swimsuit in the summertime. For a limited time, we are offering a promotion where if you invest in five treatments, the sixth one is free!
Dr. Alex attend the first Los Angeles Multispecialty Cosmetic Academy (LAMCA) 2018 from Friday March 23, 2018 through Sunday March 25, 2018 at the Four Seasons Hotel in Beverly Hills, CA. This conference was organized by Dr. Alex’s friend and colleague Dr. Kian Karimi of Rejuva Aesthetics in Brentwood, CA.
The conference featured many speakers and exhibitor and the focus was on surgical and non-surgical cosmetic rejuvenation. The LAMCA conference was another outstanding educational opportunity to learn about all the latest and greatest treatments in aesthetics. There were a number of world renown speakers from multiple specialties. The pioneer of intense pulsed light dermatologist Dr. Patrick Bitter Jr. discussed the newest applications of technology including treatments for pain, feminine rejuvenation, and male enhancement. Plastic surgeon Dr. Sheila Nazarian spoke about non-surgical skin tightening and feminine rejuvenation. Head and neck surgeon Dr. Steve Weiner of The Aesthetic Clinique in Rosa Beach, FL discussed new microneedling technologies. Dr. Alexander Rivkin of Westside Aesthetics in Los Angeles, CA, inventor of the non-surgical nose job, discussed using fillers in the tear trough and demonstrated fillers for enhancement of the nose. Cosmetic surgeon Dr. Anil Rajani of Style Aesthetics from Portland, OR discussed using PDO threads to lift the face. Ophthalmologist Dr. Steve Yoelin from Newport Beach, CA discussed and demonstrated advanced filler techniques. Live demonstrations included a variety of laser treatments and injectables.
The exhibits featured a number of companies in the cosmetic field. Dr. Alex had the pleasure of seeing Nai’a Bradshaw from Alastin Skin Care and Ted Reffkin from Monarch lasers. He also enjoyed spending time with colleagues such as Dr. Rachel Reyes-Bergano from Contempo Aesthetics in Pasadena, CA and Beverly Hills Sculptress Shae Kaplan. Dr. Alex learned about the newest hyaluronic acid filler available in the United States called Revanesse Versa as well as a new topical patch we are offering called Occumend which reduced bruises after injectable treatments. Dr. Alex congratulates Dr. Kian Karimi on an outstanding program and looks forward to attending the LAMCA next year.
One of the most important aspects of facial rejuvenation is providing a harmonious balance to the shape and structure of the face. Injectable treatments such as Botox and fillers (including Voluma, Vollure, Volbella, and Juvederm) focus on improvement of the upper face and the mid-face. However, many people are also concerned about the appearance of the lower face. Now with Kybella, we have a treatment for jawline rejuvenation.
What happens to the jawline over time?
As we mature there are a number of changes that occur in the face. The structure and shape of bones change and move around. Fat is gained or lost and can be deposited in certain areas. And the amount of collagen in the skin decreases over time, leading to sagging and wrinkles. Together this leads to a blunting of the jawline. We lose the sharp and defined jawline that is associated with youth and beauty. The causes of these changes include age, sun damage, weight gain, and genetics. While we can control our weight and our sun exposure, unfortunately we cannot control the other two factors. Now with Kybella, we have a treatment that can rejuvenate the jawline to provide a more beautiful appearance.
What is Kybella?
Kybella is the first and thus far only FDA-approved, non-surgical, injectable treatment for what is called submental fullness, or more commonly referred to as the double chin. The active ingredient in Kybella (deoxycholic acid) is a naturally occurring salt produced in the body that is used to digest the dietary fat. When injected into the skin, Kybella will dissolve the fat and it is naturally eliminated over time. What patients love most about Kybella is that the results are permanent. Unlike Botox and fillers such as Voluma, Vollure, Volbella, and Juvederm where periodic maintenance treatments are required, with Kybella once the series of treatments is complete, your body is no longer able to store nor accumulate fat in the area. Therefore, maintenance treatments are not required with Kybella.
What happens during a Kybella treatment?
The Kybella treatment is very easy. We start by taking baseline photographs in multiple positions to monitor our patients’ progress. Then we apply numbing cream on the area and let it sit for about 15 minutes, after which point it is cleaned off the skin. Markings are made on the skin with a pencil and a special grid to indicate where the product is to be placed. Depending on the person and how much Kybella is used, anywhere from 20 to 60 pinches are performed. The Kybella treatment itself only takes a couple of minutes and we use a painless technique using cold air and a vibrating distractor called the beauty bar to maximize our patients’ comfort. A demonstration of the Kybella treatment is shown in the video below. Immediately after the Kybella treatment a burning sensation can be felt for about 15 minutes and we provide ice packs to control this sensation. Swelling is seen for one to two weeks after the Kybella treatment; this means that the treatment is working. This swelling from Kybella may make swallowing difficult during this time and those with difficulty swallowing at baseline area cautioned before undergoing a Kybella treatment. Sometimes lumps and bumps are formed, which resolve slowly over time. Kybella should not be used in an area of infection. Kybella has not been tested on women who are pregnant, trying to become pregnant, or breast feeding; therefore Kybella treatment is delayed until breast feeding is discontinued in these women. A series of two to six Kybella treatments is recommended and treatments are performed every three months for ideal results.
What is new with Kybella?
When the pivotal studies were performed using Kybella to get clearance from the FDA, with each treatment two vials were used in a small area and treatments were performed every four weeks for up to six treatments. This type of consistency is required to get any drug approved by the FDA. However, now that doctors are using Kybella more frequently we are incorporating some changes. For example, for those with a higher level of submental fullness three or even four vials of Kybella are being used in each session. We have found techniques to reduce the swelling after a Kybella treatment. This includes avoiding salty foods, strenuous exercise, and alcohol consumption for the first few days after a Kybella treatment. We also apply slings to wrap around the neck and top of the head in which ice packs can be placed. When laser skin tightening treatments are performed before or after the treatment, the overlying skin becomes tight and reduces the swelling after a Kybella treatment. We have also found that lumps and bumps may last more than four weeks. When the lumps and bumps are still there during a second or third Kybella treatment, the product is not able to spread to the entire area and the treatment is less effective. Increasing the interval between the Kybella treatments allows for these lumps and bumps to resolve more completely providing for a better treatment. Finally, the Kybella treatment area was initially limited to a small square under the chin in the central portion of the neck. But now we are expanding the area and placing Kybella further down and on the sides of the neck, which provides better results.
We are also using Kybella on other areas. One of the most common areas Kybella is now being used is called the bra fat. This is the area just under the underarms on the upper outer portion of the breast. Women commonly have excess fat in this area which can stick out of a bra and produce an undesired appearance. This can also occur on the back under the underarms. Kybella can also be used in the belly for excess fat in the area as well as for fat above the knees. It is important to understand that in larger areas more product will be required.
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