Posts for: August, 2015
There are many new technologies now being used to tighten the skin including Ultherapy and Laser Skin Tightening. To determine what is best for you, it is important to understand your concerns and goals. Some people have fine lines and wrinkles while others have heavy sagging and deeper wrinkles. These signs of aging are caused by changes in various layers of the skin. Once you know what your concerns are, they can be addressed with the appropriate type of treatment directed at the specific layer of the skin where the changes are. Laser Skin Tightening addresses the surface layers of the skin while Ultherapy targets the deeper layers of the skin. In addition, there are other treatments such as Botox, Juvederm, and Voluma which can address certain other wrinkles.
What Does Ultherapy Treat?
Ultherapy is a new non-invasive facelift alternative that uses the power of ultrasound. The ultrasound energy is precisely focused, targeted, and delivered to the deep layers of the skin (called SMAS). Over time the collagen in these deep layers of the skin is lost and the skin becomes loose and saggy. The effects are deeper wrinkles, loss of jawline definition, and appearance of jowls. Ultherapy targets these deeper skin layers to tighten the skin, which are the exact layers that are treated with a surgical facelift. But instead of cutting and putting a surgical bandage over it, Ultherapy allows your body's natural healing process to form new, fresh, and healthy collagen to tighten up the skin. With Ultherapy usually only one treatment is needed and results are seen slowly over three to six months.
What Does Laser Skin Tightening Treat?
Laser Skin Tightening uses infrared light instead of ultrasound energy. Some other modalities such as Thermage, Accent (Alma), 3DEEP (EndyMed), Venus Freeze, Viora, and Exilis. use radiofrequency. The idea is that the infrared light or radiofrequency energy will heat up the surface layers of the skin. Laser Skin Tightening uses gentle micro-pulses of energy to stimulate collagen formation in the surface layers of the skin. The surface layers of the skin are the areas most affected by the sun. Sun damage causes many changes in the skin including fine lines, wrinkles, dark spots, and broken capillaries. Laser Skin Tightening addresses these changes in the surface layer. Unlike Ultherapy, Laser Skin Tightening requires a series of four to six treatments which are done every two weeks. After that, maintenance treatments are done every three months to preserve your results. As with Ultherapy, results with Laser Skin Tightening are seen slowly over three to six months.
What Does Botox Treat?
Botox is a purified protein used to address certain wrinkles on the skin associated with facial expressions. Unlike Ultherapy, Laser Skin Tightening, Juvederm, Restylane, Radiesse, or Voluma, which address wrinkles seen at rest, Botox (as well as Dysport and Xeomin) addresses wrinkles that form with or are exagerrated by facial expression. These wrinkles include the horizontal lines on the forehead seen when you raise your eyebrows, the vertical lines between the brows seen when you frown, and the crow's feet around the eyes seen when you smile or squint. Often times Botox is used in combination with Ultherapy and Laser Skin Tightening for full facial rejuvenation. Dr. Alex recommends Botox treatments to be done approximately two weeks before an Ultherapy treatment or series of Laser Skin Tightening treatments. This allows the muscles to relax so that the collagen in the skin can form without resistance from muscle movement. Botox results are seen as early as three to seven days, but could take up to two weeks and most people enjoy the results of their Botox treatment for three to four months.
What Do Juvederm and Voluma Treat?
Juvederm and Voluma are dermal fillers that address signs of aging associated with volume loss. Over time we lose volume in the face in various areas. This volume loss causes the face to sink and apppear older. Voluma targets the volume loss in the upper cheeks to give your face an instant lift. Juvederm, on the other hand, is injected directly into the smile lines and marionette lines that appear in the lower face. This addresses the result of the aging process, while Voluma addresses the cause. Therefore, Dr. Alex recommends a combination approach starting with Voluma to address the cause of the change (volume loss). After a few weeks, the skin is re-assessed to see if you can benefit further by adding Juvederm. Results with Juvederm and Voluma can be seen right away, although there can be some swelling which subsides in two to four weeks. Most people enjoy the results of their Juvederm treatment for up to 15 months (with optimal treatment) and Voluma for up to two years (with optimal treatment). Combining Juvederm and Voluma with Ultherapy or Laser Skin Tightening as well as Botox allows for a comprehensive approach to rejuvenating your face.
What is Voluma?
Voluma is one of the newer dermal fillers like Juvederm, Restylane, and Radiesse that is used to rejuvenate the face. Unlike other fillers, Voluma is the only filler approved to treat mid-face volume loss. Made by Allergan, the same company that makes Botox, Juvederm, and Latisse, Voluma is composed of hyaluronic acid, a naturally occurring substance found in the skin that binds 1,000 times its weight in water.
What does Voluma treat?
Voluma is designed to provide the volume in the upper cheeks that we naturally lose over time. This volume loss, along with collagen loss in the skin and gravity, cause things to sink and we see changes such as the smile lines (from the sides of the nose to the corners of the mouth), marrionette lines (from the corners of the mouth to the jaw line), and jowls (sagging under the jawline). Voluma restores the volume to the mid-face, allowing you to defy gravity by giving your face an instant lift and correcting these signs of aging.
How long does Voluma last?
One of the best things about Voluma is that it lasts so long. Most people enjoy their results for up to two years with optimal treatments.
Does a Voluma treatment hurt?
Any time a needle is injected into the skin there is a risk for pain. However, at A E Skin we apply complimentary numbing cream to keep the treatment as comfortable as possible. Also, Voluma contains a numbing agent so that the skin gets numb with each injection.
Where is Voluma injected?
Voluma is desigend to provide the structural support caused by bone loss. Therefore Voluma is injected directly on the bone in the upper cheeks. This is a deeper injection than fillers such as Juvederm, Restylane, and Radiesse. Small amounts are deposited along the cheek bone. These are then smoothened out with massage.
Why do I feel lumps on my cheeks after a Voluma treatment?
After a Voluma treatment, a lumpy bumpy feeling in the area is completely normal. This is due to a combination of the small droplets of Voluma being placed on the bone as well as swelling which occurs with any injection. The droplets are massaged in immediately after the treatment in the office by Dr. Alex as well as for the next several days by you. We recommend gently massaging the area for five minutes at a time, five times a day, for the first five days. The swelling is also normal and normally goes down within two weeks, but for some people it may last up to four weeks. At this point the final results are seen. This is the best time to take your after pictures and compare them with your before pictures to see if you want further enhancement with more Voluma or enhancement with other products such as Juvederm.
Bruising is also a common reaction after a Voluma treatment. At A E Skin, we provide complimentary laser treatments for bruises which make the bruise go away faster. We also provide complimetary ice packs after any injectable treatment (Botox, Juvederm, Restylane, or Voluma) to minimize the risk of bruising in the first place.
A E Skin recently sent a satisfaction survey via e-mail. At A E Skin our mission is to exceed your expectations by delivering incredible results while ensuring your safety and providing outstanding service. To do so, we are always trying to improve and our patients' feedback is very helpful. We thank our patients for their valued input and we would like to share some of the comments we received here. Thank you!
“Customer service and email specials are wonderful! Have told many ppl about your office.”
“Great results, fair price”
“I have always suffered from acne and acne scars. I've tried several places and products for many years but no one seem to provide me with the correct treatment. Dr Alex has been the only one to give me the results I was looking for. I also love that he gets to treat me every time and they are respectful of my appointment time.”
“Dr. Alex is personable and caring.”
“I love the staff, the service I receive, and most of all my skin looks great! The products are excellent!”
“It's a great med spa!”
“The office is extremely professional, and the service is amazing. I have been a few times for an IPL facial and I was very satisfied with the experience and the extra level if care I received.”
“I have recommended family and friends to AE Skin.”
“Everyone in your office is very nice. Ease of scheduling appointments. Level of total satisfaction.”
“I would recommend any friend to visit A E Skin because they are all very professional.”
“Scheduling process and work hours”
“Personalized friendly service”
“I like the ease of each appointment, and the end results.”
“I have been pleased with my results, and the staff is professional and friendly.”
“I've already referred a friend”
It is with great pleasure that we announce that Dr. Alex is a proud father. Adam Blake Eshaghian was born on August 7, 2015 at 3:15 AM. At birth he was 7 pounds, 2 ounces and 20 inches long. Adam and Dr. Alex's wife Jennifer are healthy and back home. To celebrate, we will provide a complimentary IPL photofacial treatment ($350 value) to a randomly selected patient who likes us on Facebook. Click below to enter. Thank you!
Cost of a Botox Treatment
The cost of a Botox treatment is one of the most common questions we get at A E Skin. There are a number of factors that determine the answer to this question. But first it is important to understand what Botox is and how it works.
What is Botox? Where is Botox used?
Botox is a purified protein used to treat certain wrinkles on the skin. Botox will relax the muscles on the face and smoothen out the wrinkles in the skin. There are many areas where Botox is used, the most common are the horizontal lines on the forehead seen when you raise your eyebrows, the verical frown lines between the eyebrows, and the crow's feet around the eyes seen when you smile or squint.
What Affects the Price of a Botox Treatment?
The cost of a Botox treatment depends on how many units are used. There are many factors which effect the number of Botox units required. Larger muscles are stronger and more units are required to relax these muscles; generally men have stronger muscles than women on the face as well as the body and therefore require more units of Botox. Certain areas require more units than others. The common areas on the face each require anywhere from 10 to 40 units. An important factor that many people overlook affecting the cost of the Botox treatment is who performs the treatment, his/her experience, and how it is done. At A E Skin, Dr. Alex performs all the Botox treatments using a painless technique that he designed himself after doing over 1,000 Botox treatments on patients. Click here to see a video demonstrating Dr. Alex's painless technique. Click here to see our Botox before and after pictures. At A E Skin we now offer complimentary ice packs with all Botox, Juvederm, and Voluma treatments. We also participate in the Brilliant Disctinction Program, a program by Allergan, makers of Botox, Juvederm, and Voluma and Latisse, where you get points for each Botox, Juvederm, or Voluma treatment which can be applied towards discounts on future Botox, Juvederm, or Voluma treatments. This will reduce the cost of the Botox treatment by approximately $ 1 per unit. The regular price for Botox at A E Skin is $ 15 per unit. Contact us with further questions or to schedule a free consultation with Dr. Alex to get a specific estimate of how much Botox you will need. Call Karla at 818-835-1833 and ask about our monthly Botox Bonanza, where we offer a special rate and free lunch.
Botox Before and After Pictures
A common concern for our patients is how to get rid of leg veins.
Veins on the legs are very common and usually do not look good. This affects the
confidence of many women because it prevents them from wearing shorts, skirts, or swimsuits. There are different types of leg veins. Perhaps the most common are the thin red spider veins. Others include the deeper and thicker blue veins. Some leg veins are even larger and bulge out from the skin; these typically require surgery and fortunately they are not as common.
Why We Get Leg Veins
Leg veins form for a number of reasons and there are certain things we can do to prevent them. Standing up for prolonged periods will increase the likelihood of forming these leg veins. Unfortunately many people have jobs requiring them to do so. Sitting down from time to time or changing the position of your legs will help. Wearing high heels will also increase the likelihood of forming leg veins. So if you find that you wear high heels a lot and are getting these veins, try wearing flats more to prevent the veins from getting worse and to prevent getting new ones. Sun exposure can lead to the formation of leg veins so it is important to either keep your legs covered with clothing when outdoors or apply protective sunscreen. A great sunscreen is the Elta MD UV Aero sunscreen because it sprays on the body and rubs in easily. Unfortunately genetics can be a cause of some leg veins and we cannot do anything to prevent these.
Leg Vein Treatment
Fortunately mane leg veins can be treated easily with laser leg vein treatments. At A E Skin, we use a specific laser that targets the blood in the veins. The light from the laser is absorbed by the blood, heats up the vein and destroys it. Often times you can see the veins disappear instantly like using a pencil eraser. Other times you will see the veins change in color or size. Sometimes the treatment can leave a bruise or dark spot that is temporary. But results can be outstanding. Some people need only a single treatment and other may need up to three treatments. And some veins respond better than others. For example, some people have multiple areas treated in a single session and some veins are removed after one treatment and others require more treatments. Repeat treatments are done every six to twelve weeks and it is important to understand that it may be a process so you will have to be patient to see full results. Another important fact is that people that get leg veins tend to get more of them so you may see more veins after some are treated and removed. This does not mean the treatment was unsuccessful. Rather, these are generally new veins forming, not the same veins coming back.
The treatment itself is very fast and does not require any anesthesia. Everyone's level of sensitivity is different but most people describe the sensation as a hot rubber band snapping on the skin. At A E Skin we use cold air to keep the area comfortable.
After a Leg Vein Treatment
Aftercare for a leg vein treatment is straightforward. Avoid heat, alcohol, and exercise for 24 hours after a treatment because this can bring blood to the surface of the skin and cause side effects. Also protect the area from the sun for at least a week after the treatment. No special bandages are required after a laser leg vein treatment.