Posts for: January, 2017
Unfortunately, your skin tends to age faster than your mind, leaving you with an appearance that may not quite match your personality. If you feel as though your skin is dragging you down, you could benefit from Botox treatments. With help from Dr. Alex, you can improve your skin’s appearance to decrease instances of fine lines and wrinkles and even stop them before they start. Learn about Botox with Dr. Alex at A E Skin in Encino, CA.
What can Botox do for me?
Botox treatments help reduce fine lines and wrinkles on your facial skin. The Botox treatments relax the muscles underneath the skin, preventing them from moving. Since the muscles cannot move to wrinkle the skin, you reduce your chances of developing wrinkles there. Additionally, Botox treatments help the facial skin relax and smooth out existing fine lines or wrinkles. Botox works best to address the horizontal lines seen on the forehead when you raise your eyebrows, the vertical lines seen between the brows when you frown, and the crow’s feet seen around the eyes when you smile or squint.
What can I expect at my appointment?
First you will have a personal consultation with Dr. Alex so he can examine your skin and make specific recommendations. We take baseline photographs to monitor your progress. During the treatment Dr. Alex uses a painless technique for applying Botox to your skin. The Botox is prepared with a special solution (bacteriostatic saline) to make the injection more comfortable. The painless Botox technique uses a super-fine needle to inject the treatment into the facial skin, but adds an extra step to eliminate the pinch of the injection. This extra step consists of a machine which applies cooled air to the skin, helping to maximize your comfort felt during the treatment.
Botox Treatments in Encino, CA
Most patients see the full results of their Botox treatment three to seven days after treatment. But it could take up to two weeks for full results. There is no downtime associated with these treatments and patients can return to their daily activities after their appointment. Botox results last around three to six months. At that time a maintenance treatment is recommended.
Guaranteed Botox Results
Have you ever had Botox which did not give you the results you wanted? Did it feel like the Botox was diluted or not enough was used? You don’t have to worry about this at A E Skin. If you get the Botox dose recommended by Dr. Alex and your results are not perfect two weeks later we provide complimentary additional units.
Dr. Alex was featured in the November/December 2016 issue of The Aesthetic Guide, a prestigious magazine for professionals in cosmetic medicine. The article discussed a new platform called Mediplay, which provides an outstanding opportunity to educate our patients while they visit the office.
Mediplay is a platform which allows us to play videos, display photographs, and convey information to our patients while they are in the lounge. We have control over what is played on the television and are able to easily upload our own content, including hundreds of videos. Videos include testimonials, demonstrations, and more. These videos provide an educational opportunity for our patients to learn about all the services we offer, the process, the results, and more. Our patients love the Mediplay because it provides them with information about our products and services using a different platform, television, as compared to traditional banners and brochures.
Botox was on the cover of the January 16, 2017 edition of Time Magazine in an article titled “How Botox became the drug that’s treating everything.” Depicted as a Swiss army knife, the article discusses the many uses of Botox for many conditions. Over the past decade or so, Botox has become a household name, primarily from its cosmetic use to treat facial wrinkles. But Botox is also being used for a variety of other conditions in a number of medical subspecialties.
What is Botox?
Botox is a purified protein used to address wrinkles associated with facial expression. When injected into the skin Botox will relax muscles and smoothen out the wrinkles. Botox is approved for treatment of the vertical frown lines or 11’s seen between the eyebrows when we frown and the crow’s feet seen around the eyes when we smile. Botox is also used off-label for many different areas on the face and neck.
Botox was originally studied in the 1970’s to treat strabismus, a condition that causes eyes to be crossed. Originally called Oculinum, Botox was approved by the FDA for this purpose in 1989. Just two years later in 1991, Allergan (the company that now makes Botox) purchased Oculinum for nine million dollars. At that time the name was changed to Botox. This was back when Allergan was focused primarily on eye care and treating eye disorders. In 1998 Allergan began studies on using Botox for cosmetic purposes and the drug was approved by the FDA in 2002 to treat frown lines. Since the initial discovery of Botox the market has exploded. Between 1989 and 1991 Allergan sold $13 million in Botox. As recently as 2013 Allergan has a reported $2 billion in revenue from Botox. There have been over 12 billion Botox treatments worldwide in the last 25 years.
Safety of Botox
The safety of Botox has been demonstrated in many studies. Many have a misconception that Botox can cause severe illness. This is because the source of the protein is a bacteria that causes botulism. Botulism is an infection caused when people eat foods contaminated with the bacteria. When the bacteria gets into the body it travels throughout the bloodstream, multiplies, and releases high levels of a toxin called botunilum toxin. The toxin blocks nerves from transmitting the signals for muscles to contract. If it affects certain muscles it can cause difficulty swallowing or breathing. So why is Botox so safe for cosmetic purposes? This is a very common question. First the product used in Botox is a purified protein, not the entire bacteria. The whole bacteria is required for replication in the body to amounts that cause significant illness. Since the whole bacteria is not in the medication, the amount of the protein will not increase after it is injected into the skin. Second the doses of Botox used for cosmetic treatments are miniscule, as they treat the small muscles in the face. The dose of Botox is not enough do significantly effect muscles required for vital purposes such as eating and breathing. Third, Botox is injected into the skin and there is a minimal amount that gets into the bloodstream.
Other Uses of Botox
Botox is now being used for over 200 different conditions. Some of these conditions were identified by luck. For example, Botox is used to treat chronic migraine headaches. This was discovered when a doctor noticed that people with migraine headaches being treated with Botox for wrinkles developed fewer migraines. This is similar to the discovery of cosmetic use of Latisse, a prescription-strength product which enhances the length and thickness of eyelashes. Latisse was originally used to treat glaucoma as a drug called Lumigan or bimatoprost, also by Allergan. It was noticed that patients using Lumigan developed longer eyelashes. Quickly the product was rebranded as Latisse and is now used to enhance lashes. Botox is used for other cosmetic purposes on the face and neck which are considered off-label, meaning that studies have not been done on the areas. Outside of cosmetics Botox is also used for muscle spasms, excessive sweating, TMJ pain, bladder disorders, and even depression.
We offer Botox for cosmetic treatments. Dr. Alex has performed thousands of cosmetic treatments with many satisfied patients. Contact us for a free consultation with Dr. Alex in our Encino, CA office.
Liquid Facelift Demonstration
The liquid facelift is a treatment using a variety of products that rejuvenates your face without surgery. Now available at A E Skin, the treatment is customized for each person based on their condition and concerns.
What happens to the face as we age?
There are multiple changes we see in the face as we age. The bones that support the facial structure change in size and position. We lose the fat pads in various portions of the skin that provide us with a youthful look, leading to an older and tired look. We also stop producing as much collagen in the skin. Collagen is the protein that keeps the skin nice, tight, firm, and youthful in appearance. At the same time collagen is broken down by sun exposure, pollutants in the air, and oxidants that get into our body such as from the diet or from smoking. In a youthful face, the volume is in the upper face while the lower face is more thin, giving an inverted pyramid appearance. We also use our facial muscles to produce expressions; over time this can lead to wrinkles formation primarily in the upper face. With age the volume goes down, the face gets deflated and the skin sags. We see volume loss in the apples of the cheeks and under the eyes. Wrinkles appear in the lower face. The jawline definition disappears and jowls form.
What does a liquid facelift do?
A liquid facelift addresses these concerns to restore lost volume, decrease or eliminate the appearance of wrinkles, and provide an overall more youthful and rested appearance. A number of products can be used in this treatment and the specific treatment is tailored to each individual based on their concerns.
Botox is used primarily in the upper face to address wrinkles associated with facial expression. Common areas of treatment with Botox include the horizontal lines seen on the upper forehead when we raise the brows, the vertical lines (frown lines) seen between the brows when we frown, and the crow’s feet seen around the eyes when we smile or squint. Botox will relax the muscles and smoothen out the wrinkles. Botox can also be used in the lower face for a variety of purposes. Botox can be placed around the lips to provide a subtle pout, it can elevate the corners of the mouth, it can improve a bumpy appearance on the chin, it can help with jawline definition (Nefertiti lift), it can reduce the appearance of neck bands, and it can contour the lower face.
Voluma is a dermal filler designed to restore volume to the upper cheeks. With a Voluma treatment you will get back the youthful apple of the cheek. Voluma also pulls the lower face upward, addressing wrinkles in the lower face and loss of jawline definition.
Juvederm is also a dermal filler which works best in the lower face. It can be used to treat what we call the naso-labial folds. These are the wrinkles that go from the sides of the nose to the corners of the mouth. In some people this wrinkle continues all the way down to the jawline, forming what is called marionette lines, which can also be treated with Juvederm. Juvederm can also be used to provide volume and fullness to the lips, another common concern.
Volbella is a new filler in the Juvederm family designed for subtle enhancement of the lips. Volbella can fill in fine lines on or around the lips and help define the lip borders. Volbella can be combined with Juvederm in the lips for further enhancement.
Kybella is the first and thus-far only FDA-approved non-surgical treatment for the double chin. Kybella dissolves the fat in this area and improves the appearance of the double chin and at the same time improves the definition of the jawline.
The liquid facelift can also be combined with other treatments for even more enhancement. For example, a fractional CO2 laser resurfacing treatment will address the color and texture of the skin. A good skin care regimen such as products from the A E Skin line will enhance the results of all of these treatments.
With the new year here, we look forward to making our patients look and feel their best. In 2016 we began offering a variety of new products and services. We plan to continue these and expand their use, while adding even more products and services.
Kybella is the first and thus-far only FDA-approved, non-surgical, injectable treatment for the double chin. What people love is that Kybella is permanent and maintenance treatments are not required as they are with most other treatments such as Botox, Juvederm, Restylane, and Voluma. The launch of Kybella was in 2016. This year we are planning to expand the use of Kybella to other areas such as the bra fat.
Volbella is a new filler in the Juvederm family released in October 2016. Volbella is designed for subtle enhancement of the lips. Specifically, it works well for vertical lines on or around the lips. Volbella is also used to shape and enhance the borders of the lips. This year we will expand the use of Volbella in the lips by combining it with Juvederm. Juvederm is used to volumize the lips and Volbella is used to perfect the finishing touches. What people love about Volbella is that, like Voluma, it uses Vy-Cross technology which allows patients to enjoy their results for a full year.
Voluma is a dermal filler used to restore lost volume in the mid-face. Patients enjoy the results of their Voluma treatment for up to two years with optimal correction. Voluma is designed to be placed in the upper cheek, giving the face a lift without surgery. We are also using Voluma to restore volume in the temples, which occurs in many people over time. Voluma can be combined with other treatments such as Botox, Juvederm, and Fractional CO2 Laser Resurfacing (see below) for even more rejuvenation of the skin.
While the face is the most common area for rejuvenation, other areas are being treated as well. The hands have become an increasingly popular area for rejuvenation. The Hand Rejuvenation treatment is a combination treatment designed to address multiple aspects of aging in the hands in a single treatment. The Forever Young BBL IPL photofacial is used to address sun spots that commonly appear on the backs of the hands. Then a filler such as Voluma is used to restore lost volume, which occurs over time and leads to the appearance of veins and tendons.
Fractional CO2 Laser Resurfacing is a new treatment we launched toward the end of 2016 and it will surely be a popular treatment in 2017. Fractional CO2 Laser Resurfacing uses a laser to create thousands of microscopic holes in the skin while generating heat. This stimulates the body to produce its own natural collagen tightening the skin, leading to a dramatic improvement in wrinkles and sagging skin. Although recovery time can be one to two weeks, the results of a Fractional CO2 Laser Resurfacing treatment are so impressive that it’s worth it.