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Posts for: April, 2016

By Dr. Alex Eshaghian, MD, PhD
April 24, 2016
Category: treatments

hand rejuvenation before and afterIt has been said that the appearance of your hands is one of the biggest age giveaways on your body. Now that so much cosmetic work is done on the face, when people look at your hands and they don't match your face it can be a dead giveaway. Now you can turn back the hands of time with hand rejuvenation.

What happens to the hands as we age?

Age we age, we see multiple changes in the hands. Just like in the face where we lose volume in areas such as the cheeks we also lose volume on the backs of the hands. This makes the tendons and veins more and more visible. Also sun damage creates wrinkles and dark spots on the surface.

How do you reverse aging in the hands?

The skin on the hands can be treated very much like the skin on the face. Volume loss can be addressed with fillers and sun damage can be addressed with laser treatments and skin care products. A number of different fillers can be used in the hands such as fat and Radiesse. Dr. Alex prefers using Juvéderm because it is made of hyaluronic acid, which can be dissolved if there are any problems. This makes it safer for our patients. The sun damage is treated quite easily with the Forever Young BBL IPL photofacial treatment, which uses bright light to target dark spots that frequently appear on the backs of the hands.

When do you see results with hand rejuvenation?

Juvederm before and afterWith fillers in the hands the results are seen right away. There is an initial amount of swelling that goes away after about two weeks, which is when the final results are seen. This is the best time to reassess the hands to see if more fillers are required. After a Forever Young BBL IPL photofacial treatment treatment the dark spots often get darker before they get lighter. Sometimes you see a coffee ground appearance and they flake off. Other times the pigment is absorbed by the skin. This can take up to two weeks to clear.

Does the hand rejuvenation treatment hurt?

Dr. Alex uses a painless technique when performing hand fillers. An anesthetic is injected into the back of the hand to keep you comfortable and he uses a blunt cannula instead of a sharp needle. This decreases discomfort and the risk for bruising. Also topical numbing cream is applied to the backs of the hands to keep you comfortable during the Forever Young BBL IPL photofacial treatment.

How long do the hand rejuvenation results last?

Voluma before and afterMost people enjoy the results of fillers such as Juvéderm in the hands for six to twelve months. The more active you are with your hands the more frequently you will require a maintenance treatment. For the dark spots, most people enjoy results with just a single Forever Young BBL IPL photofacial treatment treatment, but some people require a series of up to six treatments. After that maintenance treatments are done once every three to six months.

Am I a good candidate for hand rejuvenation?

If you have visible veins or tendons on the backs of your hands or if you have wrinkles or sun spots you are a good candidate for hand rejuvenation. Contact us for a free consultation with Dr. Alex.


By Dr. Alex Eshaghian, MD, PhD
April 17, 2016
Category: treatments
Tags: Juvederm   Voluma   Restylane   fillers   Sculptra   Radiesse  

HylenexFillers are used to restore volume to various parts of the face. Some fillers can be corrected. Filler correction is a service available at A E Skin in Encino, CA.

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring substance found in the skin that binds 1,000 times its weight in water. It is the active ingredient in many fillers such as Juvéderm, Restylane, Belotero, and Voluma. Some other fillers such as Radiesse, Sculptra, and Belafill contain different active ingredients.

Why do fillers need to be corrected?

Sometimes too much filler is injected in an area. Sometimes a lump is left from the filler not completely smoothened out. The most important is when the filler is injected into an artery. This is an emergency because it can lead to death of the skin (necrosis), scar formation, or even blindness, depending on where it is injected. Depending on the filler, this can be corrected.

How are fillers corrected?

Fillers are corrected by injecting a material called hyaluronidase, which breaks down hyaluronic acid, the active ingredient in many fillers.

Which fillers can be corrected?

The fillers that can be corrected are those made of hyaluronic acid. These are JuvédermRestylaneBelotero, and Voluma. The hyaluronidase breaks down the hyaluronic acid and corrects the filler. Since hyaluronidase only dissolves hyaluronic acid, fillers such as RadiesseSculptra, and Belafill cannot be corrected.

What fillers are the safest?

The safety level is higher with the hyaluronic acid fillers: JuvédermRestylaneBelotero, and Voluma. This is the reason why at A E Skin we exclusively use hyaluronic acid fillers. Dr. Alex has extensive training and experience in injectable and other cosmetic treatments. In Dr. Alex's experience of over 1,000 injectable treatments we have never had an emergency case and have only corrected one lump that was left over after a treatment.

At A E Skin patient safety is our number one priority which is why Dr. Alex does all of the treatments and why we use the safest fillers available. Contact us for a free consultation with Dr. Alex at our Encino, CA office.


By Dr. Alex Eshaghian, MD, PhD
April 10, 2016
Category: About Your Skin

TNS Essential SerumA E Skin is proud to offer the TNS Essential Serum by SkinMedica in our Encino, CA office.

What is the TNS Essential Serum?

The TNS Essential Serum is a blend of multiple ingredients that provides all-in-one rejuvenation in a tube.

What is in the TNS Essential Serum?

The TNS Essential Serum contains over 100 different ingredients including growth factors, antioxidants, peptides, and brighteners.

What are growth factors?

Growth factors are proteins we naturally produce in our skin when we are young. They signal the skin to produce structural proteins in order to look young and healthy. As we age, we stop producing growth factors. The TNS Essential Serum replenishes these proteins to trick your skin into acting and looking young. In this way it is like a protein shake for your skin.

What are antioxidants?

Antioxidants are product that protect your skin from damage from the sun, chemicals, and pollutants in the air. When sun hits the skin it leads to the formation of harmful free radicals, which cause collagen destruction leading to fine lines and wrinkles. They also stimulate your skin to product pigment seen as sun spots. It also causes broken capillaries and a rough leathery appearance. Antioxidants neutralize these harmful free radicals to protect your skin. The TNS Essential Serum contains seven antioxidants including vitamins C and E as well as extracts from blackberry, green tea, and yeast.

What are peptides?

Peptides are broken fragments of proteins that are naturally found in the skin. Sun damage leads to the breakdown of proteins such as collagen leading to the formation of peptides. These peptides stimulate the skin to produce more collagen. Adding external peptides by using the TNS Essential Serum stimulates your skin to produce its own natural collagen, leading to a more youthful appearance.

What does the TNS Essential Serum do?

The TNS Essential Serum treats multiple aspects of aging all at once. This includes fine lines, wrinkles, tone, and texture. It works well to enhance the results of treatments such as Botox, Juvederm, Voluma, and Restylane.

Is the TNS Essential Serum good for my skin?

The great thing about the TNS Essential Serum is that it works well for any skin type. Since it provides all-in-one rejuvenation it is perfect for people who like a simple skin care regimen.

How do you use the TNS Essential Serum?

The TNS Essential Serum is applied twice daily to a clean dry face. It comes in a duel chambered air-tight tube. One side produces a red cream; these are the growth factor proteins. The other side produces a white cream; this includes the peptides, antioxidants, and brighteners. Put one pump in your hand, mix it, and apply it to the entire face. It can also be used on the neck, chest, and backs of the hands.

When will I see results with the TNS Essential Serum?

Some people see results as early as four weeks after starting to use the TNS Essential Serum. Full results are seen at 90 days. You will see continued improvement with consistent use. With twice daily use as recommended each tube will last six weeks.

How can I save on the TNS Essential Serum?

A E Skin is proud to be a member of the Allergan Brilliant Distinctions Program. This program rewards you for purchases of TNS Essential Serum, BotoxJuvedermVolumaKybella, and Latisse. You can redeem your points from the purchase of any of these products or treatments towards your next purchase. You will receive 100 points for the purchase of a TNS Essential Serum which can be redeemed for a $10 discount at your next purchase.

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


By Dr. Alex Eshaghian, MD, PhD
April 03, 2016
Category: Products
Tags: Alastin   Skin Nectar  

Alastin productsThe Alastin Skin Nectar is a new skin care product now available at A E Skin. The Alastin Skin Nectar is an outstanding product that can be added to any skin care regimen and enhances the results of any type of treatment. It contains a proprietary blend of peptides called the TriHex technology that stimulates the formation of collagen and elastin. We all know what collagen is. It is the protein in the skin that keeps it firm, tight, and youthful in appearance. Many products stimulate collagen formation including retinols, vitamin C, and various hydroxy acids. But what is elastin? Elastin is another protein found in the skin that works with collagen to help with the firmness of the skin. And the Alastin Skin Nectar is the first product on the market to target elastin. The Alastin Skin Nectar supports the skin before, during, and after procedures such as fractional lasers, IPL photofacials, chemical peels, and more. It comes in an airless pump tube and is applied twice daily. If it is used for a few weeks before a treatment it can decrease the recovery time of a treatment by about a day or two.

Benefits of the Alastin Skin Nectar

  • The Alastin Skin Nectar stimulates the skin to naturally increase both collagen and elastin and improves the quality of collagen in the skin.
  • The Alastin Skin Nectar also contains high levels of antioxidants to protect your skin from treatments, reducing inflammation, irritation, and redness.

The Alastin Skin Nectar is paraben free, gluten free, and cruelty free, and is now available at A E Skin. Contact us to schedule a consultation with Dr. Alex.




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16311 Ventura Bl. Suite 845 Encino, CA 91436