Posts for category: treatments
Winter is here and there are many changes. We tend to stay indoors and wear warm clothing. This makes it the perfect time for certain treatments that some may not get during the spring, summer, or fall. Here we discuss some of the most common treatment people have during the wintertime.
While the most common cosmetic concerns women have are about their faces, the rest of the body is important too. A common concern in the lower body is veins on the legs. These tend to appear over time and can be genetic. Other factors include wearing high heels and standing up for long periods of time. Fortunately, we can treat most leg veins with a laser. The light from the laser targets the blood and destroys the vein. After the treatment, you can have a bruise or darkening of the skin. But during the winter when we wear warm clothes it is easy to cover this up.
Chemical peels such as the Red Carpet Peel work well for a variety of concerns including fine lines, wrinkles, and dark discolorations. With stronger treatments there can be some recovery time when the skin is red or even peeling. During this time it is important to avoid the sun. The winter is an ideal time for this treatment because many people stay indoors during the cold winter months.
The fractional CO2 laser resurfacing treatment is a more aggressive treatment that addresses fine lines, deeper wrinkles, and sun damage. Results from a single treatment can be impressive. The treatment stimulates collagen over time and improvement is seen slowly over several months. The downside is that there is usually one to two weeks of recovery time which includes redness, swelling, and flaking or crusting. Many people do this treatment when they have time off in the winter and are not seen by there coworkers or clients.
Do you want to reverse the aging process? Unlike any other procedure, the Red Carpet Peel will enhance your skin’s natural beauty and give you a youthful radiance, making you look your best for any special occasion. An occasion such as a wedding is an outstanding opportunity to make your skin look younger and more radiant. Chemical peels work great for this purpose. Using a synergistic combination of ingredients, the Red Carpet Peel improves fine lines, wrinkles, and discolorations, while at the same time stimulating the production of collagen, leading to tighter skin and closing pores. It is also perfect for acne and acne scars. You will see dramatic results in about a week with this virtually painless procedure which takes less than 15 minutes. Dr. Alex recommends an initial series of three to six treatments at four to eight week intervals, followed by maintenance treatments once every three to four months.
As we age, dead skin cells accumulate on the surface of the skin. When light hits such skin, it does not reflect, giving a dull appearance. Exfoliation with chemical peels removes this layer and provides a glow to the skin. It works great for a variety of skin conditions including acne, discoloration, enlarged pores, scars, and even some pre-cancerous lesions. When performed in a series at monthly intervals and combined with skin care products such as anti-oxidants, exfoliants, retinoids, bleaching agents, and sunscreens beautiful results can be obtained.
A E Skin Red Carpet Peel Experience
The A E Skin Red Carpet Peel experience is fast, safe, and comfortable. It provides outstanding results for facial rejuvenation, with improvements in fine lines, wrinkles, and discolorations, as well as active acne and acne scars. We start by washing your face and taking baseline photographs to monitor your progress. Next we sit you down in front of a fan to keep you comfortable. We'll then clean your skin with cleansing solutions. When the peeling agent is applied, you will feel a tingling, burning, or itching sensation, but this will subside shortly because it contains a numbing ingredient. We will let you sit in front of the cold air for a few more minutes and we're done. We'll apply sunscreen to your skin and you are good to go.
Chemical Peel Aftercare Instructions
For best results, carefully follow these aftercare instructions: Please avoid heat exposure, alcohol consumption, and strenuous exercise for 24 hours after the treatment. Heat refers to going out in the hot sun, if it were to be hot outdoors, but also any hot environment indoors, such as a hot bath, sauna, or steam room. Also avoid hot or spicy foods or drinks like soup, hot coffee, or hot tea because all of these things will bring blood to the skin and cause problem like redness, blister, and discolorations. Avoid harsh rubbing or scrubbing for one week after the treatment. Do not use products such as washcloths or the Clarisonic brush. Avoid direct water contact from the showerhead when in the shower. Please avoid makeup for several days after the treatment because your skin will be sensitive. You may be red for a few days after the treatment. Redness is normal, don't be alarmed. Feel free to apply cold compresses to your skin to keep you comfortable, if necessary. Sometimes dark discolorations get darker before they get lighter; this is normal. For the week after your treatment, spray a small amount of the Avene thermal water then apply a thin layer of the Elta MD Intense Moisturizer every few hours to improve the healing process. Be sure to apply a broad spectrum sunscreen with SPF of at least 30 every day.
What Happens After a Chemical Peel?
Most people will peel on days three to five after the treatment, but everyone is different. Some people don't peel at all. This is ok, for the goal is not to peel, it is to get results. These people are actually getting exfoliation, but it is microscopic, so you don't see it. If you do get visible peeling, please do not pick at it, otherwise you may have side effects such as redness, blisters, and discolorations. By seven days, the new skin has formed. It is refreshed and rejuvenated, and you will see improvements in color texture and tone.
The Forever Young BBL IPL photofacial is one of our most popular treatments for facial rejuvenation at A E Skin. With the Sciton Forever Young BBL we are able to treat just about any skin type. There are specific risks of laser treatments in people with darker skin types. But when appropriate settings are used the treatment is very safe.
What are the risks of IPL for people with dark skin?
People with dark skin have a tendency to get dark easily after any type of insult to the skin such as sun exposure, acne breakouts, cuts, burns, and laser treatments. This is called post-inflammatory hyperpigmentation (PIH), which means darkening of the skin after inflammation.
How can I prevent PIH?
In order to prevent PIH Dr. Alex recommends using a good skin care regimen such as the A E Skin line of products: Brightening Cream, Exfoliating Serum, Triple Antioxidant Serum, and Hydrating Serum. These products contain a number of ingredients which prevent PIH including hydroquinone, kojic acid, tretinoin, salicylic acid, vitamin C, and vitamin E. Using these products for one to two months prior to a laser treatment significantly decreases the likelihood of PIH.
What does IPL do?
IPL uses bright light to rejuvenate the skin. The two primary targets of IPL are melanin (which gives skin the pigment) and hemoglobin (which is in the blood). This allows for treatment of dark spots, age spots, uneven tone, redness, and broken capillaries. The same melanin that is in discolorations is also in the skin, so the laser targets both of these. We do not want to target the natural pigment in the skin, only the darker spots. And since those with darker skin types have more melanin in the skin, adjustments need to be made.
How is IPL safe in darker skin types?
The Forever Young BBL IPL photofacial device by Sciton is very versatile and allows Dr. Alex to adjust a number of settings and parameters in order to treat darker skin types safely and effectively. The first setting that Dr. Alex adjusts is the wavelength (or color) of light. Lower wavelengths (blue and green) target pigment more strongly than higher wavelengths (orange and red). For people with darker skin types Dr. Alex uses higher wavelengths for safety. This is easily adjusted with a variety of filters available. The next setting that is adjusted is the fluence (or energy per unit area). Lower fluences are used for darker skin types. The pulse width is the length of time the laser is on. The shorter the pulse width the more aggressive the treatment. Longer pulse widths are used for darker skin types. The temperature of the laser tip can also be adjusted. Lower temperatures allow for safer treatments in darker skin types.
So the next time someone tells you that darker skin types cannot be treated with laser, contact us. Dr. Alex uses the Forever Young BBL IPL photofacial device by Sciton and has performed over 8,000 laser treatments. With this device Dr. Alex has improved the skin of many satisfied patients. Contact us for a free consultation with Dr. Alex.
We recently had the pleasure of meeting Kendra Wilkinson when she visited Dr. Alex at A E Skin for a Botox treatment. The star of Kendra On Top and formerly The Girls Next Door finally "gave in" and had a treatment while her BFF Jessica captured the experience on her phone and posted it on Snapchat. While Kendra Wilkinson was nervous at first, with Dr. Alex's painless Botox technique the treatment was very comfortable. Kendra Wilkinson rated it as a 2/10 on the pain scale, and she admitted that she is a baby: "So I got my first Botox treatment today by Dr. Alex at @a_e_skin and I felt so comfortable and am so happy with how everything went." After the treatment Kendra Wilkinson said it was amazing and that Dr. Alex "popped my cherry."
Behind the Scenes Footage of Kendra Wilkinson's Botox Appointment
Kendra Wilkinson's Botox Treatment
Cosmetic treatments such as Botox have become increasingly popular recently, but somehow they have acquired a bad rap. A lot of the reputation for Botox is due to misinformation and bad results from other treatments.
Is Botox a Poison?
A common misconception is that Botox is a poison. The word Botox comes from Botulinum toxin. This is a protein from the bacteria Clostridum botulinum which can cause botulism. Botulism is a rare illness characterized by weakness in muscles. In the United States botulism is most commonly seen in infants who eat honey, a reservoir for the bacteria. The bacteria is ingested and spread through the bloodstream, releasing a protein called Botulinum toxin. This protein binds to nerves that trigger muscle contraction and prevents the transmission of the signal from the nerve to the muscle. In this way the muscle becomes relaxed. This is why weakness is seen. If it reaches muscles used for breathing, a ventilator may be required. The only way this can happen is if the bacteria gets in the blood, replicates, and spreads to the body. Botox that is used for cosmetic purposes is different. First, Botox is a purified protein; there is no bacteria, so it cannot replicate (live bateria is required for replication). Second Botox is not ingested and does not get into the bloodstream. It is injected into the skin and remains there until the body metabolizes it over three to four months. Finally, even if Botox is injected directly into the blood, the amount of Botox required to cause symptoms of botulism is hundred, if not thousands of times higher than what is used in the face. Also, the body metabolizes it over time and since the protein cannot replicate by itself (live bacteria is required for replication) these effects would be temporary.
Results from Botox
Cosmetic treatments, both surgical and non-surgical, have become very popular of late. Many celebrities are having cosmetic treatments and it is being publicized in the media. Botox is the most famous non-surgical cosmetic treatment so many people attribute bad cosmetic results to Botox when in fact it can be caused by fillers such as Juvederm, Restylane, and Voluma, laser treatments, or other cosmetic treatments. Botox is a purified protein used to address wrinkles associated with facial expression. These include the vertical lines seen between the brows when one frowns, the horizontal lines seen on the forehead when one raises the brows, and the crow's feet seen around the eyes when one smiles. Botox will not cause excessively large cheeks. The goal of a Botox, or any cosmetic treatment, is to enhance the appearance of the face. But the results should look natural. In fact good Botox results are usually not noticed. This is because good Botox results should not bring a major change in the appearance. Botox should make a person look rested or refreshed. This is the same with other surgical and non-surgical cosmetic treatments. When we see exagerated appearances such as huge cheeks, this is usually because this is what the person wants. Since such desires are not common, when this is seen it is often widely publicized. This is part of the reason why Botox has a bad reputation.
Despite these concerns Botox continues to be one of the most popular non-surgical cosmetic treatments performed in the United States. If we understand the goals of a Botox treatment we can see why it does not deserve a bad reputation. Dr. Alex has performed thousands of Botox anad other cosmetic treatments with many satisfied patients. He designed the painless Botox technique himself which people rave about. Please contact us for a free consultation with Dr. Alex in our Encino, CA office.
What is PRP?
PRP is short for platelet rich plasma. This is part of your body’s own blood that contains primarily platelets. Platelets are important for healing in various parts of the body.
What is PRP used for?
PRP has been used for many years to heal various tissues including bones and joints. It is also used for facial rejuvenation. It can either be injected into the skin or applied topically onto the skin after a fractional laser treatment or microneedling. Fractional laser and microneedling treatments create microscopic holes in the skin. These holes act as channels through which the PRP can penetrate. Fractional laser resurfacing such as CO2 produces a precise grid-like pattern of microscopic holes in the skin for the best distribution of the PRP into the entire skin surface. When the PRP is applied topically or injected into the skin, it helps stimulate collagen in order to restore volume and address wrinkles and scars. It also speeds up healing after a fractional laser treatment.
How does PRP work?
PRP contains a number of growth factors which stimulate the skin to recover and form new, fresh, and healthy collagen.
What happens during the PRP treatment?
During the PRP treatment a small amount of blood is drawn from the arm. This blood is spun in a centrifuge to separate the different portions of the blood such as red blood cells, plasma, etc. This allows for a high concentration of platelets, about 3-5 times the normal concentration. This is the platelet rich plasma (PRP). The PRP is then applied topically to the skin after fractional laser resurfacing.
Is the PRP treatment painful?
Most people are very comfortable during a PRP treatment. The most discomfort is when the blood is drawn. This is a typical needle stick that is routinely performed in doctors’ offices. The topical application of PRP is comfortable. Some people feel discomfort during a fractional laser resurfacing treatment. At A E Skin we apply topical numbing cream for one hour before the treatment and use cold air during the treatment to maximize your comfort.
When will I see results after a PRP treatment?
As collagen grows over time, the skin becomes thicker, healthier, and more youthful in appearance. Collagen takes time to grow and results are seen slowly over three to six months.
What is the down time for PRP?
There is no recovery time for the PRP treatment itself. But recovery (redness and swelling) after a fractional CO2 laser can take one to two weeks or more. The great thing is that PRP speeds up this recovery.
Where can I get a PRP treatment?
We are excited to announce that we are now offering laser hair removal at A E Skin for small areas.
How does laser hair removal work?
Laser hair removal works by using laser or light-based energy to target the pigment in the hair. The hair absorbs the laser, heats up, and destroys the follicle.
What areas of the body can be treated?
Just about any area of the body can be treated. At A E Skin Dr. Alex performs laser hair removal on small areas such as the underarms, upper lip, chin, and sideburns.
Am I a good candidate for laser hair removal?
The best candidates for laser hair removal are those with light skin and dark hair. This is because the target of the laser is pigment, and the pigment in the hair is the same as the pigment in the skin. So we want the laser to target the pigment in the hair, not the pigment in the skin. Laser hair removal does not work on red, blonde, grey, or white hairs because these hairs either contain no pigment at all (white hair) or contain a different pigment not absorbed by the laser (red and blonde hair). In these cases electrolysis is recommended.
Who should not have laser hair removal?
The safety and efficacy of laser hair removal has not been studied on women who are pregnant, breast feeding, or trying to become pregnant. Dr. Alex recommends starting a treatment when breast feeding is complete. Some people have a condition called PCOS (poly cystic ovarian syndrome). This causes hair to grow on certain areas such as the chin. While hair reduction can be seen in people who have PCOS, continuous maintenance treatments may be required.
How long does the laser hair removal treatment take?
Depending on the area, a laser hair removal treatment can take less than one minute to over 30 minutes. Small areas treated at A E Skin (upper lip, sideburns, chin, underarms) generally take less than two minutes of treatment time.
How many laser hair removal treatments will I need?
During a laser hair removal treatment a fraction of the hairs are treated. This is because only a certain number of the hairs are in the appropriate portion of the hair growth cycle at any given time. These hair will be treated, while others will not. For this reason a series of six to eight laser hair removal treatments are recommended. Treatments are recommended every four to six weeks on the face and every six to eight weeks on the rest of the body.
Is laser hair removal permanent?
Although it is called laser hair removal, the treatment leads to permanent hair reduction. Removal of 100% of the hair is unlikely, but a large majority can be removed with a series of treatments. Maintenance treatments are performed once every year or two.
When will I see results after a laser hair removal treatment?
The results of a laser hair removal treatment are not immediate. A series of treatments is required and improvement will be seen over that time. Often times fewer hairs will be seen, they will be less thick, and shaving will not be required as frequently.
Does laser hair removal hurt?
With any laser treatment discomfort is possible and everyone's pain tolerance is different. At A E Skin patient satisfaction is a top priority and we therefore provide complimentary numbing cream to keep our patients comfortable. Numbing cream is left on for approximately 15 minutes prior to the treatment.
How do I schedule an appointment?
We all know what Botox is and where it is commonly used. The most common areas of treatment with Botox are in the upper face: the vertical frown lines between the eyebrows seen when we frown, the horizontal lines across the upper forehead seen when we raise our eyebrows, and the crows feet around the eyebrows seen when we smile or squint. Here we discuss the area on the face and neck that are less commonly treated with 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 wrinkles. People see the results of their Botox treatment in three to seven days after the treatment. But it could take up to two weeks for full results of Botox. Most people will enjoy their results of their Botox treatment for three to four months.
Botox for Bunny Lines
A common concern is what we call the bunny lines. The bunny lines appear here on the nose when we scrunch our nose. A small amount of Botox can be placed here to address the bunny lines.
Botox for the Gummy Smile
A common concern that can be addressed with Botox is what we call the gummy smile. The gummy smile is seen in some people who when they smile, their lips go up so high that the gums are seen in addition to the teeth. A small amount of Botox placed at the side of the nose will relax that muscle and the lips will not elevate as high so the gums will not show when you smile.
Botox for the Lips
Botox can be used to address the shape and size of the lips. A small amount of Botox placed above and below the lips will relax the muscle around the lip and give you a slight pout of about one millimeter. Fillers work well in combination with this.
Botox to Elevate the Corners of the Mouth
A common concern that can be addressed with Botox is the corners of the mouth. As we age the corners of the mouth go downward giving a sad face appearance. A small amount of Botox can be placed here in the lower face to relax the muscle that pulls down the corner of the mouth. This will elevate the corners of the mouth by about one millimeter.
Botox for the Chin
Some people have a dimpling, or what we can an orange peel appearance, here on the chin. This can be address by placing a small amount of Botox there to relax the muscles and smoothen out those wrinkles.
Botox for the Square Jaw
Some people have a square jaw appearance here associated with a large muscle here called the masseter which is used for biting. Injecting Botox here will relax that muscle and make the appearance of the face more of a heart shape rather than a square face.
Botox Nefertiti Lift
The Nefertiti lift is a Botox treatment which can address the jawline. Small amounts of Botox are placed along the jawline. This relaxes the muscle that pulls down on the jawline, giving it a subtle lift.
Botox for Neck Bands
In addition to the face, Botox can also be used on the neck to treat the neck bands we see when we make certain expressions. Small amount of Botox can be injected along the band to relax that muscle and smoothen out the bands.
What is hyperhidrosis?
Hyperhidrosis is a condition characterized by excessive sweating. The sweating is most commonly found on three areas: the underarms, the palms of the hands, and the soles of the feet. Hyperhidrosis affects approximately 3% of the United States population and it can have significant effects on the quality of a person's life. Some people have difficulty shaking hands with others because of the excess sweat. Some people need to change their clothes multiple times during the day because their clothes get wet under the underarms.
How is hyperhidrosis treated?
A new device called MiraDry uses microwave technology which also treats hyperhidrosis. But Botox is the most common treatment for hyperhidrosis. Botox works by blocking the conduction of the nerve to muscles in the face, and Botox blocks the release of sweat in the sweat glands on the body. Typically 50 units of Botox are placed on each side for a total dose of 100 units. Usually small amounts of Botox are placed in the treatment area and are spread out to control the sweating in the entire area. Since the areas most commonly affected by hyperhidrosis are sensitive, we apply numbing cream in the area for about 15 minutes prior to the Botox treatment.
When do you see the results of a Botox treatment for excessive sweating?
Most people see the results of their Botox treatment in a few days. But it could take up to two weeks to see full results.
How long do the results of a Botox treatment for excessive sweating last?
In the face and neck, most people enjoy the results of their Botox treatment for three to four months. However, there is some variability. For example some people only enjoy their Botox results for two months and some people enjoy their Botox results for up to a year. When used to treat excessive sweating, most people enjoy their Botox results for about six months. And the more Botox treatments you have as time goes on, the longer this will last. Some people enjoy their Botox result for a full year.
We are proud to offer Fractional CO2 Laser Resurfacing at A E Skin in Encino, CA.
How does Fractional CO2 Laser Resurfacing work?
Fractional CO2 Laser Resurfacing uses a tiny laser beam to treat thousands of pinpoint areas of your skin. Because only a fraction of your skin is directly treated with the laser, the surrounding untreated tissue promotes rapid healing. This skin’s wound healing response creates new collagen which add firmness and resilience to the skin. The laser generates a significant amount of heat to stimulate collagen, tightening the skin and improving fine lines and wrinkles. The improvement is seen over several weeks to months after the treatment.
What is the primary application of Fractional CO2 Laser Resurfacing?
Fractional CO2 Laser Resurfacing can be used for a number of applications, including fine and deep wrinkles, acne scars, and signs of aging such as discolorations. Based on an assessment of your skin condition and cosmetic goals, Dr. Alex may recommend Fractional CO2 Laser Resurfacing.
What areas of the body can be treated with Fractional CO2 Laser Resurfacing?
Most skin areas can be treated with Fractional CO2 Laser Resurfacing. Popular treatment areas are the face and neck, though many people also treat the chest and hands. You should discuss your needs with Dr. Alex.
How many Fractional CO2 Laser Resurfacing treatments will I need?
Excellent results can be obtained in just one Fractional CO2 Laser Resurfacing, but some people may benefit from up to three treatments. Dr. Alex will personalize a plan based on your specific needs and may recommend combining Fractional CO2 Laser Resurfacing with other aesthetic procedures to further personalize your treatment.
What will happen during the Fractional CO2 Laser Resurfacing treatment?
Your skin will be cleaned in the treatment area and your eyes will be protected with safety shields. A laser handpiece will be positioned gently on the skin. When the laser energy is applied, you will hear a rapid succession of snapping sounds. The handpiece will be moved around to adjacent locations until the entire treatment area has been covered. The procedure normally takes 15 to 30 minutes.
Is Fractional CO2 Laser Resurfacing uncomfortable?
Fractional CO2 Laser Resurfacing is widely regarded as a comfortable procedure, usually tolerated with the use of a topical numbing cream or a local anesthetic, depending on the depth of treatment.
What should I expect immediately after the Fractional CO2 Laser Resurfacing treatment?
Immediately following the Fractional CO2 Laser Resurfacing treatment you may experience mild redness and a sensation resembling sunburn. Dr. Alex will provide specific after-treatment care recommendations, which may include analgesics and application of an ointment to keep the skin moist.
How long will it take to recover?
Complete healing typically occurs within one to two weeks. There will likely be some swelling that will subside within two weeks after the treatment. Some people experience prolonged redness after the treatment for up to two months.
What aftercare do I need?
It is important to carefully follow the aftercare instructions. Your skin will be sensitive to ultra-violet light after the procedure, so you must avoid direct sun exposure until fully healed. Fully cover your skin or use a sunscreen with SPF at least 30 with broad spectrum coverage every day. Avoid heat, alcohol, and exercise for at least 24 hours after the Fractional CO2 Laser Resurfacing treatment, because this can draw blood to the skin and lead to unwanted side effects such as blisters and discoloration.
When should I expect results?
As your skin heals in the days following your treatment, you may notice a general tightening effect. However, the true benefit of Fractional CO2 Laser Resurfacing is the collagen remodeling that occurs during the 3 to 6 months following your treatment.
We are offering an exclusive special available until Sunday July 24, 2016.
Contact us for a free consultation with Dr. Alex.