Posts for: October, 2015
What is a chemical peel?
A chemical peel is a treatment performed in the office which removes the dead skin cells on the surface of the skin.
What does a chemical peel treat?
A chemical peel is used to treat a variety of conditions. These include a number of signs of aging such as fine lines, wrinkles, age spots, and enlarged pores. Chemical peels are also great for those with acne because the peel leads to removal of dead skin cells on the surface of the skin which can clog pores and lead to acne breakouts.
What happens during a chemical peel treatment?
A chemical peel starts by cleansing the face with special cleansing solutions to remove and impurities on the surface. Then the peeling solution is applied. The peeling solution is a liquid and can be applied with a variety of applicators, brushes, or gauze pads. You will feel a tingling, burning, or itching sensation while the solution is on the skin. This is normal and indicates that the peel is working. Depending on the peeling solution you may see a white frost appear on the skin. This is either salt precipitating on the skin surface or proteins being denatured on the skin. The frost will go away on its own within a few hours. Some peeling solutions require neutralization with water, which provides comfort during the treatment. Often times cold air or a fan is used to keep you comfortable during the treatment. Other solutions self-neutralize or do not require neutralization. Some solutions such as the Red Carpet Peel contain a numbing ingredient for comfort and so that neutralization is not required for improved efficacy. Afterwards sunscreen is applied to protect the skin from the sun.
What will I look like after a chemical peel?
With some peeling solutions there is little to no peeling or perhaps mild flaking. With stronger peels the layers of the skin will come off slowly. Sometimes they come off in sheets like a snake. Most people will peel on days three to five after a treatment, but everyone is different. Some people do not peel at all and this is ok because the goal is to see improvement on the skin, not to peel. Improvement is measure by looking at before and after pictures. It is important to wait several weeks before looking at the pictures and to actually look at the before and after pictures side by side. Most people look in the mirror every day so they remember what they looked like the day before, but not necessarily a few weeks ago.
What do I do after a chemical peel?
It is important to carefully follow the aftercare instructions. Avoid heat, alcohol, and exercise for a few days after the chemical peel because this can lead to side effects such as redness, blisters, and discoloration. Redness and swelling are normal for several days after a peel. Use cold compresses such as ice packs to keep you comfortable if necessary. Be sure to use sunscreen every day. An aftercare kit is especially effective to speed up your recovery. Dr. Alex recommends the Avene thermal spray water and the Elta MD Intense Moisturizer. Spray a small amount of the Avene thermal water onto the skin and apply a thin layer of the Elta MD Intense Moisturizer onto a wet skin surface. Do this every couple of hours for the first few days. It is important to know that sometimes dark spots can get darker before they get lighter so don't worry if this happens.
How many chemical peels do I need?
Everyone's skin is different and each person has her own concerns. But most people start with a series of three to six chemical peel treatments performed at four to eight week intervals. Then maintenance treatments are done once every three to six months.
What is the Red Carpet Peel?
The Red Carpet Peel is a certain chemical peel used by Dr. Alex at A E Skin to address multiple signs of aging. It contains multiple ingredients that penetrate into different depths in the skin allowing Dr. Alex to treat both superficial and deep concerns. It is available at different strengths and different amounts can be used. This allows Dr. Alex to individualize the treatment for each person, depending on her concerns and recovery time. The Red Carpet Peel contains a numbing ingredient so that you feel comfortable during the treatment. At A E Skin we use a painless technique with cold air for further comfort.
Dr. Alex has performed hundreds of chemical peels on many satisfied patients. He even does the treatment on himself to rejuvenate his skin. Check out these links for videos with information and testimonials:
What is the difference between a Forever Young BBL treatment and an IPL photofacial treatment?
This is one of the most common questions we receive and a very good one.
The Sciton Forever Young BBL treatment is safe
The Sciton Forever Young BBL system has a number of distinguishing features that provide increased safety for the treatment. The system has a large crystal to allows for large areas to be treated in one session. The repetition rate is also extremely fast allowing this large area to be treated quickly. As a result, using the Sciton Forever Young BBL system Dr. Alex can treat the same area two or even three times using gentler settings instead of once with high settings. Not only does this make the treatment more comfortable but also more safe, as it decreases risks for side effects such as burns, scars, and discolorations.
The Sciton Forever Young BBL treatment allows for treatment of people with many different skin types
The Sciton Forever Young BBL system uses smart filters that can be changed in seconds. These filters allow Dr. Alex to change the color of the light that is being used in the treatment. People with darker skin types can be sensitive to certain colors of light while those with lighter skin types can tolerate these colors. The smart filters allow for safe treatment of many different skin types.
The Sciton Forever Young BBL treatment can also do skin tightening, hair removal, and treat acne
The Sciton Forever Young BBL system also comes with filters to allow for treatment of acne, unwanted hair, and wrinkles (skin tightening) on the same device. These treatments can even be done on the same day as a treatment for brown spots or redness. This versatility distinguishes the Sciton Forever Young BBL from other IPL photofacial devices.
The Sciton Forever Young BBL treatment allows for precise treatments of age spots and broken capillaries
The Sciton Forever Young BBL has finesse adaptors such as the small square adaptor and the round adaptor. The square adaptor is one third the size of the crystal and allows for effective treatment of curved surfaces such as the forehead. It can also be used to provide stronger settings for improved results while maintaining patient comfort. The round adaptor allows for treatments of small dark spots or broken capillaries without affecting the surrounding skin.
The Sciton Forever Young BBL treatment allows Dr. Alex to adjust settings for each patient
Unlike other IPL photofacial devices, the Sciton Forever Young BBL systems allows Dr. Alex to adjust many settings during the treatment. These include the energy setting (fluence), the length of time the light is on (pulse width), and the temperature of the crystal within one degree Celsius. This allows Dr. Alex to fine tune the settings to provide the best results for our patients.
The Forever Young BBL treatment is the most popular treatment at A E Skin. Dr. Alex has performed over 5,000 Forever Young BBL treatments on various skin types for multiple concerns. He has also given lectures on the topic. See some before and after pictures and the IPL photofacial informational video as well as IPL photofacial testimonial videos to see why patients love the Sciton Forever Young BBL photofacial treatment. Contact us for a free consultation with Dr. Alex.
On October 1, 2015 the FDA cleared the dermal filler Juvederm for augmentation of the lips for people over the age of 21.
Juvederm is a dermal filler made by Allergan, the same company that makes Botox, Voluma, and Latisse, that has been used since 2006 for filling of age related volume loss in the lower face. The most common areas of treatment with Juvederm are the smile lines which extend from the sides of the nose to the corners of the mouth and the marionette lines which go from the corners of the mouth to the jawline. Juvederm is also used for the so called smokers lines, the vertical lines above and below the lips that are visible at rest for some people and become more pronouced when you purse your lips as in when kissing or sucking.
How else can I enhance my lips?
When do you see results with Juvederm?
The great thing about Juvederm, and other dermal fillers such as Voluma and Restylane, is that results are seen right away. There is ofen some swelling that is due to the injection itself. The swelling typically subsides within one to two weeks and final results are seen at that time. Appllying cold compresses such as ice packs will minimize swelling.
How long does Juvederm last?
In the clinical trials for Juvederm to treat the lips over 78 % of patients were satisfied with the look and feel of their lips at one year after the treatment. Seventy-nine percent of the patients in the trial saw a "meaningful improvement" in the fullness of their lips three months after their treatment.
Juvederm is a dermal filler used to treat age related volume loss. Botox is a purified protein used to treat wrinkles caused by facial expression. Both Juvederm and Botox treat wrinkles on the face, but different ones. Read this blog post to learn more about the difference between Juvederm and Botox.
Juvederm and Restylane are both dermal fillers that treat age related volume loss. Juvederm is more hydrophilic than Restylane. This means that it draws water into the area. This is good in the lower face. But in certain areas such as under the eyes it can look too puffy. So Restylane works better in these areas. Schedule a consultation with Dr. Alex to see what is best for you.
Juvederm and Voluma are also both dermal fillers that treat age related volume loss. Voluma is designed to go in the upper cheeks, restoring the loss of volume that occurs in this area naturally over time. Often times Voluma and Juvederm are used in combination.
Who should not receive Juvederm?
Juvederm treatment in the lips has not been studied in people younger than 21 years of age, women who are pregnant, women who are trying to get pregnant, or women who are breast feeding. You should not have a Juvederm treatment if you have previously had an adverse reaction with Juvederm or other hyaluronic acid filler such as Restylane or Voluma. It should not be used in people who have severe allergies or in patients allergic to Gram-positive bacterial proteins of lidocaine.
What are the side effects of Juvederm?
The most common side effects of a Juvederm treatment are temporary injection site redness, bruising, swelling, itching, pain, tenderness to the touch, firmness, lumps, and bumps. Applying cold compresses such as ice packs after the treatment will minimize these reactions. Also, Dr. Alex recommends gently massaging the area five minutes at a time, five times per day, for the first five days to smoothen out any lumps or bumps.
One of the most common concerns we address is circles under the eyes. As with anything else, in order to address this concern we need to understand what is going on.
What causes under eye circles?
There are a number of things that can happen under the eyes. Hollowing under the eyes is common and is due due volume loss. The fat pads directly under the eyes slowly get smaller as we age. This leads to a shadow that appears under the eye which looks like dark circles.
How do you treat these under eye circles?
While many women try to correct this with makeup, it is often not effective. Instead you need to address the cause of the problem: loss of volume. Restylane is an outstanding filler that will help restore the volume under the eyes. A small amount is injected in the tear trough under the eyes right on the bone. This pushes the skin back up, restoring age-related volume loss.
Many people ask to have Juvederm injected here, as Juvederm is another dermal filler that is very popular. While Restylane and Juvederm are similar in that they are both dermal fillers, they both treat volume loss, and they are made of the same product (hyaluronic acid), they slightly differ in their chemistry. Because of the chemistry, Juvederm attracts more water to the area than Restylane. This is good in the smile lines because it provides a good amount of volume. However, under the eyes the results from Juvederm may lead to excess puffiness, which is not desirable in this area. Restylane, on the other hand, does not have this effect, making it perfect for the area.
What are other causes of under eye circles?
There are a number of other causes of under eye circles. Some people get darkening of the skin under the eyes. This can be due to genetics, allergies, or sun damage. While we cannot change our genes, we can address allergies with medications and trigger avoidance and we can address sun damage by using sunscreens, eye products like the Elta MD Renew Eye Gel, and brightening agents such as the A E Skin Brightening Cream and Triple Antioxidant Serum. Sometimes we see bags or bulges under the eyes, which are called festoons. In this case surgical repair is the best option. Some people get loose skin and wrinkles are seen under the eyes. This is do to sun damage over time which leads to collagen loss. To address this we need to use treatments such as Ultherapy to stimulate collagen. Sometimes the wrinkles become more pronouced with certain facial expressions such as smiling. These wrinkles are best addressed with Botox, which will relax the muscles.
How do I know what I need for my under eye circles?
With so many causes of dark circles under the eyes and so many different treatments, it can be confusing and everyone's skin is different. While one person my require Restylane, another may require Botox or even surgery. The best thing you can do is have a consultation with an expert to see what would be best for you. Dr. Alex has done thousands of cosmetic treatment with many satisfied patients. For a limited lime we are offerring over $100 off one syringe of Restylane. Contact us for a free consultation with Dr. Alex.