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Posts for category: Services

By Dr. Alex Eshaghian, MD, PhD
November 04, 2018
Category: Services
Tags: Botox  

Botox to contour the lower faceA slim face is a feature of youth and beauty. Over time the structures of the face change. Fortunately, we can reverse some of these changes with Botox.

What is Botox?

Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The most common areas of treatment with Botox are in the upper face. These include the horizontal lines seen on the upper forehead when you raise your eyebrows, the vertical lines seen between the brows when you frown (frown lines), and the crow's feet seen around your eyes when you smile. Full results are seen two weeks after a Botox treatment and most people enjoy their results for three to four months.

What is the ideal facial shape?

The ideal shape of a face depends on a number of things. First it is different between men and women. And second, there are some differences from culture to culture. In the United States, the ideal shape for a female is that of a heart. In a heart-shaped face the mid-face is widest where the cheeks project outward near the ears and the lower face tapers down to a point at the chin. In men, on the other hand, a square lower face with a well-defined jawline is more desirable.

What changes the shape of the face over time?

There are many things that affect the shape and appearance of the face which change over time. As mentioned, the cheeks should be prominent. Over time the fat pads in the cheek get smaller and the cheek bones move downward and inward. These make you lose the projection in the cheeks. At the same time, we lose collagen in the skin. Collagen is the protein that keeps the skin tight, firm, and youthful in appearance. Over time we stop making as much collagen and it is lost. This leads to loose skin, wrinkles, and sagging, making the face look like it is sinking down. In some people, especially those who clench or grind the teeth, a bulge can appear in the lower face, making the lower face appear wider. This is a result of using the muscle that sits in the lower face which is used to bite.

What can I do to slim my lower face?

There are a number of things you can do to slim the lower face. First fillers such as Voluma can be placed in the upper cheeks, restoring the projection and lifting the lower face. Also, laser skin tightening treatments can be done to stimulate the formation of collagen. This will tighten the skin and lift the face. Another simple treatment for those with a bulge in the lower face is with Botox. Botox works by relaxing muscles. In the upper face, when you make facial expressions you are using the muscles. Over time this leads to the formation of wrinkles such as frown lines and crow’s feet. When the muscles in the upper face are relaxed with Botox these wrinkles smoothen out. In the same way, Botox can relax the muscle that is used for biting. When relaxed it becomes smaller, making the bulge less visible. This slims the lower face. This is the treatment the patient shown here did. She got a slim lower face and she looks like she has lost weight. At the same time she no longer has pain associated with grinding of the teeth.

Botox Demonstration to Contour the Lower Face

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By Dr. Alex Eshaghian, MD, PhD
October 21, 2018
Category: Services

laser skin tightening neck before and afterDo you have loose skin or wrinkles on your neck that concern you? With laser skin tightening you can get rid of those wrinkles to have a youthful and smooth neck.

How to wrinkles form on the neck?

As we age there are many changes that occur in our body and on the skin. The body slowly decreases the amount of collagen that it produces. Collagen is the protein in the skin that keeps it firm, tight, and youthful in appearance. When collagen levels decrease the skin becomes loose and wrinkles are seen. There are other factors that can contribute to this appearance as well. Sunlight damages the skin and destroys the collagen. Therefore, it is important to protect the skin on the face, neck, and entire body with sunscreen every day. Dr. Alex recommends using a sunscreen with an SPF of at least 30 with UVA and UVB protection. Smoking also affects the skin in the same way, leading to wrinkles. It is also important to maintain a healthy lifestyle by drinking enough water every day, getting enough sleep, and exercising regularly. These activities will prevent wrinkle formation.

How can I treat wrinkles on my neck?

Laser skin tightening is an easy, non-invasive, and no down-time way to significantly reduce the appearance of wrinkles on the neck (and in other places) without surgery, incisions, or anesthesia. Laser skin tightening works by using gentle micro-pulses of infrared light to slowly warm up the deeper layers of the skin. This tells your body to form its own natural, new, fresh, and healthy collagen. As a result, the skin will appear smoother and more youthful. The laser skin tightening treatment is very easy. You don’t even need any numbing cream. The skin is first cleaned and gel is applied to transmit the light. You will be given protective goggles or glasses for your eyes. The laser skin tightening treatment takes about ten minutes and is very comfortable. Dr. Alex recommends an initial series of six to eight laser skin tightening treatments. The laser skin tightening are performed every one to two weeks.

When will I see results and how long will they last?

The laser skin tightening leads to the formation of collagen. But collagen does not grow overnight. Just like the wrinkles did not appear right away, they will not go away right away. Results are seen slowly over the course of the laser skin tightening sessions. You will see full results approximately three months after you last laser skin tightening treatment. After the initial series of six to eight laser skin tightening sessions, Dr. Alex recommends a single laser skin tightening treatment every three months to maintain your results and to protect your investment. The patient shown here had five laser skin tightening treatment sessions.

Laser Skin Tightening Demonstration

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By Dr. Alex Eshaghian, MD, PhD
October 07, 2018
Category: Services
Tags: Botox   neck  

Botox before and after for neck bandsVertical bands on the neck can often be seen slowly over time as we mature. Botox is an easy solution for these bands.

What is Botox?

Botox is a purified protein used to address wrinkles that are associated with facial expressions. These include the horizontal lines seen on the upper forehead when we raise our eyebrows, the vertical lines seen between the eyebrows when we frown, and the crow’s feet seen around the eyes when we smile or quint. When placed in the skin, Botox will relax the muscles and smoothen out the overlying wrinkles.

How does Botox work on the neck?

A common concern on the neck is what are called vertical neck bands. These are caused by contraction of a muscled in the neck just under the skin called the platysma. They can be seen or accentuated when the neck is contracted, often times by slightly lifting the chin and moving the lips to show your lower teeth as seen in the photograph shown here. Just like any other muscle on the body, over time the more it is used the stronger it gets. This leads to muscle definition, which is seen as neck bands. Botox works for neck bands in the same way it works for frown lines, forehead wrinkles, and crow’s feet: by relaxing muscles. In this case Botox relaxes the platysma muscle in the neck, preventing it from contracting and forming the bands. The results from a Botox treatment for neck bands are outstanding. Usually 10 units of Botox are used in each of the four bands, for a total of 40 units of Botox.

Additionally, Botox can be used in the neck for what is called the Nefertiti neck lift. Nefertiti was an Egyptian queen known for her long and beautiful neck. In the Nefertiti neck lift Botox is placed just under the jawline from one side to the other side. This relaxes the upper part of the same platysma muscle that is treated for vertical neck bands. When this part of the muscle contracts it pulls down on the lower face. Once it is relaxed with Botox it is unable to pull down on the lower face. This provides a subtle lift of the lower face and improves jawline definition. Sometimes a small amount of Botox is placed in a muscle called the DAO in the lower face. This muscle goes from the corners of the mouth to the jawline and when it contracts it pulls down the corners of the mouth. When the DAO muscle is relaxed with Botox the corners of the mouth are elevated about one or two millimeters. This really helps with a sad face appearance. The Nefertiti neck lift can be complemented by placing fillers in the mid-face, laser skin tightening, and Kybella for the double chin.

Botox for Neck Bands

When will I see the results of by Botox treatment?

Although some people notice the results of their Botox treatment in a few days, it can take up to two weeks to see the full results of your Botox treatment. Therefore, patience is important. We take baseline photographs of you making facial expressions before your Botox treatment and have you return tow to three weeks later to take the same pictures. If you receive the recommended dose of Botox and the results are not perfect, we provide complimentary additional Botox units. This way you don’t have to worry about the possibility of diluted Botox.

How long does Botox last?

Most people enjoy the results of their Botox treatment for three to four months. Dr. Alex recommends a maintenance Botox treatment at that time. We participate in the Brilliant Distinctions Program. This is a rewards program designed by Allergan, makers of Botox, Juvederm, Voluma, Vollure, Volbella, Kybella, and Latisse, where you get points for each treatment. These points are then used toward discounts at your next Botox (or other) treatment.

What are the side effects of Botox?

With any injection there are risks including pain, bleeding, bruising, redness, swelling, infection, and tenderness. We take special precautions to minimize these risks. Dr. Alex uses a painless Botox injection technique where cold air is blown on the skin to numb the skin. We also place a vibrating distractor called the Beauty Bar nearby for further comfort during your Botox treatment. Bruising is rare with Botox treatments and bruises can last up to two weeks after a Botox treatment. If you get a bruise after a Botox or other treatment we are able to treat it with a laser as early as the next business day. This makes the bruise go away much faster, typically in one to three days, although it may still last two weeks and sometimes it gets darker before getting lighter. Headaches can occur for up to a few days after a Botox treatment. Dr. Alex recommends taking over-the-counter strength Tylenol for pain relief. There is also a very small risk (less than one percent) that some of the Botox spreads to nearby muscles. Depending on the area treatment, the spread of Botox make lead to things like droopy eyelids or an asymmetric smile. Such side effects are always temporary and often times treatable.

What should I do after a Botox treatment?

After a Botox treatment, Dr. Alex recommends avoiding heat exposure, alcohol consumption, and strenuous exercise for 24 hours and maintaining an upright posture without bending forward or lying flat for four hours. These activities can lead to the movement of Botox, leading to side effects, and/or increase the risk of bruising.

Patient Review - Botox

Patient Review - Botox

 

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Yelp

[Dr.] Alex was my first and only Botox doctor and he was very good to let me know know it was OK and to not be nervous. He did a great job and my Botox has laster well over 3 months. And now I am hooked. 

    — Victoria S.

 

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Real SelfI had a wonderful experience I'm 33 years old and I had Botox for the very first time I was so scared but after he explained it to me the painless procedure, NOW that was quite the experience I highly recommend Dr.Alex he is amazing and trustworthy not only that the stuff is very friendly. Thank you so much Dr. Alex

    — Iris Sanchez

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GoogleI was referred to Dr. Alex by friend. At first I was afraid of getting Botox injections because I thought it would make me look weird. But Dr. Alex and his wonderful staff explained that it is a purified protein and the results will be natural. And they were right. It looks completely natural, the treatment was painless, and I did not even get a bruise. If you want great results and outstanding service I highly recommend A E Skin.

    — Rod Fani

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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
September 23, 2018
Category: Services

Ultra Microneedling before and afterLoose and saggy skin are common concerns for many people. Now we can address them with Ultra Microneedling.

Ultra Microneedling is a new and outstanding treatment that can address a variety of concerns such as uneven color, irregular skin texture, fine lines, wrinkles, enlarged pores, acne scars, and stretch marks. With traditional microneedling, thousands of tiny holes are created in the skin. As a result, your skin reacts with a healing process to create new, fresh, and healthy collagen. This will help lift and tighten the skin. In contrast to traditional microneedling, with Ultra Microneedling there are no physical needles and there is no bleeding. The holes are created using laser technology. This makes the treatment more precise, shorter, more comfortable, and there is no bleeding and a short recovery time of usually 24 hours. Slowly over time improvement is seen. In the before and after pictures shown here, the skin color has improved and a significant lift is noticeable without surgery or even fillers.

The Ultra Microneedling treatment is very easy. We start by taking baseline photographs to monitor your progress then apply numbing cream and leave it on for about 15 minutes. Then your skin will be cleanser with water and cleaning solutions. Before the Ultra Microneedling treatment eye shields will be placed over your eyes. During the Ultra Microneedling treatment cold air is blown on the skin to maximize your comfort. The Ultra Microneedling treatment itself only takes a few minutes and feels like a pins and needles sensation. After the Ultra Microneedling treatment your skin will be cooled down for a few minutes. We also have a new Hydrating Mask which can be applied after the Ultra Microneedling treatment to provide further comfort and improved results. After the Ultra Microneedling treatment it is normal to have redness and a hot sensation for the first day. Applying cold compresses such as ice packs will help. We also have an aftercare kit which includes the A E Skin Green Tea Soothing Chamomile Mist and A E Skin Green Tea Healing Ointment to help with the recovery. Dr. Alex recommends an initial series of six monthly Ultra Microneedling treatments followed by one maintenance Ultra Microneedling treatment every three months after that.

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
September 16, 2018
Category: Services

Laser Breast Enhancement before and afterDoes the appearance of your breasts affect your self-confidence? Over time, gravity, natural aging, breast feeding, and weight loss lead to changes in the size, shape, and firmness of the breasts. Additionally, some women have under-developed breasts which are not proportional to the rest of their body.

"I could not believe my results! My breasts are back to how they looked at 24!! For anyone looking for a natural lift and enhancement look no further. There is zero downtime and you can see a difference right away! I love how firm they are now!! Xo"

Jessica M.

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What is Laser Breast Enhancement?

Laser Breast Enhancement is a new and innovative non-surgical alternative to improve the appearance of the breast. Traditional breast augmentation and breast lift are surgical procedures designed to address these issues. Although surgery provides outstanding and long-lasting results, it is associated with risks. The laser breast enhancement is a non-invasive treatment to improve the appearance of the breasts without anesthesia, scars, or recovery time. 

Laser Breast Enhancement Demonstration

How does Laser Breast Enhancement work?

The Laser Breast Enhancement treatment works by slowly and gently heating the skin for about 15 minutes. This firms and lifts the breasts, providing fullness and projection. 

What is the Laser Breast Enhancement treatment like?

Gentle micro-pulses of infrared light are used to slowly and gently heat the skin over about 15 minutes. The Laser Breast Enhancement treatment is very comfortable and numbing cream is not required. Most people say it feels like a hot stone massage. 

What should I expect after the Laser Breast Enhancement treatment?

You may experience some mild redness in the treated area immediately after treatment and this should return to normal within minutes. Many women see immediate enhancement in terms of size and firmness and a lift. Since the procedure is noninvasive there is no downtime so you can resume regular activities immediately following treatment. 

What results should I expect after a Laser Breast Enhancement treatment?

Unlike surgery where a significant increase in size is possible, results from a laser breast enhancement are more natural. Women can expect a half cup increase in size and a noticeable lift, allowing them to wear new and different clothes. Results vary from person to person and are seen slowly over time. Full results are seen three to six months after the final session. 

How many Laser Breast Enhancement treatments will I need?

Dr. Alex recommends an initial series of six to eight Laser Breast Enhancement sessions, which are performed every one to two weeks. After that  Dr. Alex recommends a single maintenance Laser Breast Enhancement session every three months after that. 

What aftercare do I need?

It is important to carefully follow the aftercare instructions. No special skin care regimen is required following treatment. However, you should always protect your skin from direct sun exposure and use a sunscreen with SPF at least 30 with broad spectrum coverage every day. 

As an introductory promotion, for a limited time we are offering 50% OFF a series of six Laser Breast Enhancement treatment sessions. Click below to make an investment.

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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 22, 2018
Category: Services
Tags: Voluma   temple  

Voluma temples demonstrationHollowing of the temples is a common concern. Fortunately, we are easily able to treat it with Voluma.

Why do people get hollow temples?

At birth, we have many fat pads in the face that provide volume, giving the face a youthful appearance. Over time these fat pads get smaller and sometimes move. The fat pads in the temples slowly get smaller, while those in the cheeks also move downward. Other factors contributing to these changes include weight loss and genetics.

What is Voluma?

Voluma is a dermal filler that is used to restore lost volume in various areas in the face. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the skin that draws water into the area to restore lost volume. Voluma is in the Juvederm family of fillers and provides a high degree of volumization, making it perfect for areas such as the temples as well as the cheeks, nose, chin, and jawline.

How does Voluma fill hollow temples?

Voluma is placed deep on the bone over the temple usually with just a single, slow injection. The Voluma treatment is very easy and takes only a few minutes. We apply numbing cream for about 15 minutes before the Voluma treatment to maximize your comfort. We also place a vibrator distractor near the area to provide further comfort during the Voluma treatment. Take a look at a demonstration of a Voluma treatment in the video below. The results after a Voluma treatment in the temples can be seen right away and most people enjoy their results from Voluma for one to two years. Dr. Alex usually starts with one syringe of Voluma per side and the results are assessed approximately two weeks later. At that point more Voluma can be used if further enhancement is desired.

Voluma for Hollow Temples 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 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
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
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 13, 2018
Category: Services
Tags: IPL   Ultra Microneedling   #nofilter  

#nofilter before and afterWe 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.

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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.

#nofilter Demonstration

 

 

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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.

 

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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 treatmentContact us to schedule a free consultation with Dr. Alex in our Encino, CA office.



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A E Skin

818-835-1833
16311 Ventura Bl. Suite 845 Encino, CA 91436