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Posts for: August, 2016

By Dr. Alex Eshaghian, MD, PhD
August 28, 2016
Category: treatments
Tags: Botox  

BotoxCosmetic 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.

By Dr. Alex Eshaghian, MD, PhD
August 21, 2016
Category: treatments
Tags: PRP  

faceWhat 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?

The PRP treatment is now available in our new Beverly Hills office. Contact us to schedule an appointment with Dr. Alex.

By Dr. Alex Eshaghian, MD, PhD
August 14, 2016
Category: treatments
Tags: laser hair removal  

laser hair removalWe 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?

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

By Dr. Alex Eshaghian, MD, PhD
August 07, 2016
Category: treatments
Tags: Botox  

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.

Please contact us for a free consultation with Dr. Alex in our Encino, CA office.

By A E Skin Professional Med Spa
August 05, 2016
Category: Skin Care
Tags: Scar Control  

Do you have a scar that makes you feel self-conscious about your appearance? While makeup can be an effective way to cover scars, sometimes it just makes the scar more obvious or fails to cover it completely. Your doctor offers several treatments that can improve the appearance of your scar. Your Encino, CA doctor, Alex Eshaghian, MD, PhD, shares information about several common scar removal Scarsprocedures.

Dermal fillers

If your scar is indented, a dermal filler can plump the skin, making the scar less noticeable. Your dermatologist injects the filler directly into the area. You'll probably see some improvement immediately, although it may take several treatments to experience the full effects of filler treatment. Fillers usually last several years before they must be reinjected.


Microdermabrasion removes the top layers of your skin, minimizing acne and other shallow scars. During treatment, a fine spray of micro crystals removes outer skin cells, revealing fresher looking skin underneath.


If your acne scars are deep or you have pox marks or scarring from an injury, dermabrasion is a better choice than microdermabrasion. During the treatment, your Encino, CA doctor removes several layers of your skin with a device that features a wire brush or diamond wheel. You'll receive anesthetic for the treatment and may need to take over-the-counter pain medications for a few days. In about a week, new skin will begin to appear.

Chemical peels

Chemical peels also remove outer layers of the skin. Peels are available in three strengths: superficial, medium and deep. Deep peels can be used to remove shallow scars. Your face will be coated with a topical anesthetic before treatment begins, and you will need to take pain killers for a few days after treatment. Recovery time usually takes about two weeks, although your face may still be a little red for a few weeks or months.

Laser treatment

Laser treatments are very effective in treating scars. They use energy from a targeted beam of light to break up scar tissue, soften the scar, stimulate collagen production and help healthy tissue grow. Laser treatment usually involves no downtime and minimal pain. You may notice that your scar looks red and swollen for a few days after treatment.

Are you interested in scar removal? Call Dr. Eshaghian, your Encino, CA doctor, at (818) 835-1833 and schedule an appointment today. Thanks to innovative skin treatments, you don't have to live with a scar any longer.


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16311 Ventura Bl. Suite 845 Encino, CA 91436