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Posts for tag: Ultra Microneedling

By Dr. Alex Eshaghian, MD, PhD
February 17, 2019
Category: Services

There are many cosmetic treatments available for rejuvenation of the face and neck. Here we will discuss treatments to address specific concerns with the lower face and neck.

What changes occur in the lower face and neck over time?

Liquid Facelift before and afterThe majority of changes associated with aging in the lower face result from loss of collagen and volume loss. Collagen is the protein that keeps the skin firm, tight, and youthful in appearance. Over time and with sun damage, we lose collagen. It is broken down faster and we make less of it. Also, the bone structure in the face changes. For example, the bones in the upper cheeks move downward and inward. At the same time the fat pads in this area move downward. Together this leads to a descent of the lower face. We start to see laugh lines (from the sides of the nose to the corners of the mouth) and sometimes they continue to the jawline as marionette lines. Loose skin and wrinkles are seen in the lower face and neck. The jawline definition is also reduced as we see the formation of jowls.

Restoring Volume in the Mid-Face

Voluma before and afterVoluma is a filler that is used to restore lost volume in the mid-face. Voluma is placed on the upper cheek bones and provides and immediate volumizing and lifting effect. Voluma will restore the youthful apple of the cheeks and pull up on the lower face to address many of these changes seen as we age. The active ingredient in Voluma is hyaluronic acid, a naturally occurring sugar found in the skin that draws water into the area to provide volume. You will see your results with Voluma right away and enjoy these results for one to two years depending on how much product is used.

Creating More Collagen

There are a number of ways to create more collagen in the skin. First it is important to use good skin care products to protect your skin. This includes daily sunscreen along with products such as retin-A and vitamin C, which stimulate collagen formation and protect your skin from damage. Treatments such as laser skin tightening and Ultra Microneedling will help this even more. These treatments stimulate your body to produce its own natural, new, fresh, and healthy collagen. This helps with wrinkles and loose skin. It will pull the skin from above and below, providing a natural lift.

Treating Wrinkles in the Lower Face

Volbella before and afterMarionette lines and fine lines around the mouth can be treated with fillers. Vollure is an outstanding product that provides natural and long-lasting results for the laugh lines and marionette lines. Vollure can also be used to volumize the lips. Fine lines around the mouth are best treated using Volbella, another filler that works well to fill in the small lines without providing much volume.

Getting Rid of the Double Chin

Kybella before and afterKybellla is a great treatment to get rid of the double chin. Kybellla is the first and thus far only FDA-approved, non-surgical, injectable treatment for the double chin. The active ingredient in Kybellla is a salt found in the body that is used to digest that fat that you eat. When Kybellla is placed in the skin Kybellla will dissolve the fat and it’s naturally eliminated by the body over time. Most people have two to four session Kybellla spaced every three months. A series of laser skin tightening treatments between the first and second Kybellla sessions will give even better results.

Defining the Jawline

Voluma chin before and afterSome people have a weak chin or jaw bone. Fillers such as Voluma can be used to enhance a weak chin and the corner of the jawline. This provides a natural result and can make the face look more balanced. Also, Botox can be used in what is called the Nefertiti Neck Lift to relax the muscle in the neck. This muscle pulls down on the lower face. When relaxed with Botox, it will provide a natural and subtle lift to the lower face to complement the other treatments described here.

Combining Treatments

Rather than simply having one treatment done, most people find that they get the best results when combining many or all of these treatments. These combinations address all of the different aspects associated with aging: volume loss, collagen loss, buildup of fat under the chin, and relaxing muscles.

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
January 06, 2019
Category: Services

Ultra Microneedling before and afterMicroneedling has become a very popular treatment. With Ultra Microneedling even better results can be obtained without a shorter recovery.

What is microneedling?

Microneedling is a new technique to achieve better looking skin. Traditionally, some sort of small needle is used to create tiny holes in the skin. This stimulates the healing response in your skin to make more collagen, the protein that keeps the skin tight, firm, and youthful in appearance. Slowly over time with a series of treatments you will notice improvements in the texture, fine lines, wrinkles, uneven color, and even scars.

There are many versions of microneedling treatments. Some are done in the office and some can even be done at home. Some devices are rollers which create holes while moving along the skin. If the needles are small enough they can be used at home. Those with longer needles need to be done by a professional since they go deeper. Sometimes numbing cream is applied before the treatment to make it more comfortable. Some devices look like a pen and the needles go in and out. Sometimes the depth can be adjusted depending on the person.

Microneedling with Radiofrequency

Some devices are even more sophisticated because they add radiofrequency to the needles. With these systems such as Endymed, Venus Viva, Infiny, and Vivace, the tips produce radiofrequency which heats the deeper layers of the skin. The benefit of this is that you get even more collagen stimulation.

What is PRP?

PRP is short for platelet rich plasma. PRP is obtained by first drawing blood and then separating it by spinning it for about ten minutes. This separates the red blood cells, white blood cells, and plasma. The plasma is rich in a certain type of cell called platelets and it contains a high concentration of growth factors. These growth factors help with the healing process. Adding PRP is more involved since your blood needs to be drawn and processed. Then the PRP is placed on the skin either while the needles are penetrating the skin (allowing it to be pushed in the skin) or immediately after once there are holes in the skin where they can penetrate. The main benefit of adding PRP is that the recovery time is shortened and you get a glow for a few weeks.

Some offices use something called PRF, which is short for platelet rich fibrin. This is a slight modification of PRP which some people find to provide even better results.

What is the recovery after a microneedling treatment?

When needles are used to create holes in the skin, bleeding can be seen, especially when the needles are longer. Sometimes when radiofrequency is added, the heat decreases the amount of bleeding seen. When PRP is added on the skin it becomes even more red. Often times the redness and swelling lasts for several days after the treatment. You have to stay out of the sun and you can’t apply makeup.

What is Ultra Microneedling?

Ultra Microneedling is a treatment designed by Dr. Alex to provide even better results than that from traditional microneedling with or without radiofrequency and with or without PRP or PRF. With Ultra Microneedling, Dr. Alex uses a laser technology to create the holes. This has the benefit of more precision and a faster treatment. The Ultra Microneedling treatment usually takes two to three minutes while traditional microneedling usually takes 15 to 30 minutes. The other benefits of Ultra Microneedling are due to the laser itself. The laser produces even more heat than radiofrequency, so there is absolutely no bleeding and the results are even better. At A E Skin we apply a hydrating sheet mask on our patients for about 15 minutes after an Ultra Microneedling treatment. After this you can hardly tell you had a treatment done. You can resume your normal activities right away and apply makeup the next day. v uses conservative settings at your first Ultra Microneedling treatment to make sure your skin reacts appropriately. On the second Ultra Microneedling treatment the settings can be increased depending on the individual person. Dr. Alex recommends a series of six monthly Ultra Microneedling treatments followed by one maintenance Ultra Microneedling treatment every three months after that. In the before and after picture shown here the patient had five Ultra Microneedling treatments. It looks like she has had fillers or even a facelift. These are the additional benefits people enjoy from Ultra Microneedling as compared with traditional microneedling. Dr. Alex often combines the Ultra Microneedling treatment with an IPL photofacial treatment to further address irregular color. This combination is called the #nofilter treatment and is quickly becoming one of our most popular treatments.

Ultra Microneedling Treatment Demonstration

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
September 23, 2018
Category: Services

Ultra Microneedling before and afterLoose and saggy skin are common concerns for many people. Now we can address them with Ultra Microneedling.

Ultra Microneedling is a new and outstanding treatment that can address a variety of concerns such as uneven color, irregular skin texture, fine lines, wrinkles, enlarged pores, acne scars, and stretch marks. With traditional microneedling, thousands of tiny holes are created in the skin. As a result, your skin reacts with a healing process to create new, fresh, and healthy collagen. This will help lift and tighten the skin. In contrast to traditional microneedling, with Ultra Microneedling there are no physical needles and there is no bleeding. The holes are created using laser technology. This makes the treatment more precise, shorter, more comfortable, and there is no bleeding and a short recovery time of usually 24 hours. Slowly over time improvement is seen. In the before and after pictures shown here, the skin color has improved and a significant lift is noticeable without surgery or even fillers.

The Ultra Microneedling treatment is very easy. We start by taking baseline photographs to monitor your progress then apply numbing cream and leave it on for about 15 minutes. Then your skin will be cleanser with water and cleaning solutions. Before the Ultra Microneedling treatment eye shields will be placed over your eyes. During the Ultra Microneedling treatment cold air is blown on the skin to maximize your comfort. The Ultra Microneedling treatment itself only takes a few minutes and feels like a pins and needles sensation. After the Ultra Microneedling treatment your skin will be cooled down for a few minutes. We also have a new Hydrating Mask which can be applied after the Ultra Microneedling treatment to provide further comfort and improved results. After the Ultra Microneedling treatment it is normal to have redness and a hot sensation for the first day. Applying cold compresses such as ice packs will help. We also have an aftercare kit which includes the A E Skin Green Tea Soothing Chamomile Mist and A E Skin Green Tea Healing Ointment to help with the recovery. Dr. Alex recommends an initial series of six monthly Ultra Microneedling treatments followed by one maintenance Ultra Microneedling treatment every three months after that.

Ultra Microneedling Treatment Demonstration

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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. Contact us to schedule an appointment for a free consultation with Dr. Alex in our Encino, CA office.

By Dr. Alex Eshaghian, MD, PhD
May 13, 2018
Category: Services
Tags: IPL   Ultra Microneedling   #nofilter  

#nofilter before and afterWe are excited to offer a new treatment called the #nofilter treatment which can address a variety of concerns in a single treatment with a short recovery time.

The #nofilter treatment is a new combination treatment designed by Dr. Alex to provide our patients with improved results. Dr. Alex has pioneered a number of combination treatments such as the Soft and Smooth Rejuvenation treatment, Tight and Bright Rejuvenation treatment, Ultimate Rejuvenation treatment, Weekend Rejuvenation treatment, and Fountain of Youth Rejuvenation treatment. All of these treatments combine multiple individual treatments to address our patients’ concerns slightly differently and provide superior results than when used alone. The Soft and Smooth Rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with a Micro Laser Peel. The Forever Young BBL IPL photofacial treatment addresses unwanted discolorations and the Micro Laser Peel removes a thin layer of dead skin cells from the surface to improve the texture and help exfoliate the pigment even further. The Tight and Bright Rejuvenation treatment combines a Forever Young BBL IPL photofacial treatment with a Laser Skin Tightening treatment. The Laser Skin Tightening treatment uses gentle micro-pulses of infrared light to heat up the skin, tightening the skin, improving redness, and helping with enlarged pores. The Ultimate Rejuvenation and Weekend Rejuvenation treatments combine the Forever Young BBL IPL photofacial treatment, Laser Skin Tightening treatment, and Micro Laser Peel with the Pro Fractional Therapy. This offers the improved benefit of stimulating collagen in the deeper layers of the skin, giving an improved texture and providing a better glow and radiance.

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What is the #nofilter treatment?

The #nofilter treatment combines a Forever Young BBL IPL photofacial treatment with an Ultra Microneedling treatment. The Ultra Microneedling treatment works by creating thousands of microscopic holes in the skin and generating heat. This stimulates the skin to form its own natural, new, fresh, and healthy collagen. This provides improvements in terms of color, texture, tone, and radiance of the skin. The treatment is preceded by application of numbing cream for about 15 minutes, and the treatment itself takes another 15 minutes or so. The great thing about the #nofilter treatment is that the recovery is usually only a few days.

Who is a good candidate for the #nofilter treatment?

The #nofilter treatment is ideal for anyone, young or mature, who desires improvement in the color, texture, or tone of the skin. The #nofilter treatment works well for those with sun spots or uneven color. The #nofilter treatment will help for those with rough or irregular texture on the surface of the skin. The #nofilter treatment also works to improve the appearance of fine lines and wrinkles on the skin.

#nofilter Demonstration



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What should I do after a #nofilter treatment?

After a #nofilter treatment avoid heat exposure, alcohol consumption, and strenuous exercise for a few days. Avoid hot or spicy foods such as soup, hot coffee, or hot tea. Iced coffee and iced tea are okay. Redness and swelling are normal for a few days and comfort can be provided by applying cold compresses such as ice packs. Sometimes the dark spots get darker before they get lighter; this is normal and can take up to two weeks. Prolonged discoloration beyond this can be treated with creams. We will provide an aftercare kit including a special facial cleanser, the Avene Thermal spray water, and an intense moisturizer with specific instructions on how to use them. Apply sunscreen daily with a minimum SPF of 30 with broad spectrum (UVA and UVB) protection. Dr. Alex recommends an initial series of six monthly treatments followed by one maintenance treatment every three months.


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Dr. Alex has performed over 10,000 cosmetic treatments with many satisfied patients. For a limited time, we are offering a promotional price on the new #nofilter treatmentContact us to schedule a free consultation with Dr. Alex in our Encino, CA office.

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16311 Ventura Bl. Suite 845 Encino, CA 91436