As we age our skin changes. Perhaps the most important factor causing these changes is exposure to ultraviolet (UV) light from the sun. When these UV rays hit the skin they produce harmful free radicals. Free radicals are certain molecules that damage the skin in a number of ways. They cause the breakdown of collagen, the protein in the skin that holds it together, giving it a youthful and tight appearance. This leads to the formation of fine lines, wrinkles, laxity, and enlarged pores. It also thins out the deeper layer of the skin called the dermis. This makes the skin looks and feel thinner. UV rays also produces broken capillaries which become visible to the naked eye. Additionally, UV rays lead to formeation of sun spots by causing certain cells in the skin called melanocytes to produce a molecule called melanin, the pigment that gives the skin its color. This is what happens when we get a tan. Also excess melanin is seen in freckles, age spots, and melasma.
There are many of things we can do to protect ourselves from and correct this damage. Using suncreen every day is the most basic way to prevent sun damage. Dr. Alex recommend using a sunscreen with SPF of at least 30 with broad spectrum (or UVA and UVB) protection. Our most popular sunscreens are the Elta MD UV Clear sunscreen and the Alastin Hydratint sunscreen. Other skin care products to use include antioxidants (such as vitamin C and green teat extract) to block the harmful free radicals, retinoids (such as retinol and retin-A) to stimulate collagen production and a firm appearance, and brightening creams (such as the A E Skin Brightening Cream) to remove the dark discolorations. Brightening products include ingredients wuch as hydroquinone, kojic acid, arbutin, licorice extract, and many more. Treatments include facials, microdermabrasion, chemical peels, and various laser treatments. These are designed to exfoliate or target specific things in the skin such as dark discolorations and broken capillaries. Dr. Alex recommends a combination approach by using products at home and getting treatments that focus on your specific concern. This combination approach provides the best results and a continued youthful appearance.
Vertical bands on the neck can often be seen slowly over time as we mature. Botox is an easy solution for these bands.
What is Botox?
Botox is a purified protein used to address wrinkles that are associated with facial expressions. These include the horizontal lines seen on the upper forehead when we raise our eyebrows, the vertical lines seen between the eyebrows when we frown, and the crow’s feet seen around the eyes when we smile or quint. When placed in the skin, Botox will relax the muscles and smoothen out the overlying wrinkles.
How does Botox work on the neck?
A common concern on the neck is what are called vertical neck bands. These are caused by contraction of a muscled in the neck just under the skin called the platysma. They can be seen or accentuated when the neck is contracted, often times by slightly lifting the chin and moving the lips to show your lower teeth as seen in the photograph shown here. Just like any other muscle on the body, over time the more it is used the stronger it gets. This leads to muscle definition, which is seen as neck bands. Botox works for neck bands in the same way it works for frown lines, forehead wrinkles, and crow’s feet: by relaxing muscles. In this case Botox relaxes the platysma muscle in the neck, preventing it from contracting and forming the bands. The results from a Botox treatment for neck bands are outstanding. Usually 10 units of Botox are used in each of the four bands, for a total of 40 units of Botox.
Additionally, Botox can be used in the neck for what is called the Nefertiti neck lift. Nefertiti was an Egyptian queen known for her long and beautiful neck. In the Nefertiti neck lift Botox is placed just under the jawline from one side to the other side. This relaxes the upper part of the same platysma muscle that is treated for vertical neck bands. When this part of the muscle contracts it pulls down on the lower face. Once it is relaxed with Botox it is unable to pull down on the lower face. This provides a subtle lift of the lower face and improves jawline definition. Sometimes a small amount of Botox is placed in a muscle called the DAO in the lower face. This muscle goes from the corners of the mouth to the jawline and when it contracts it pulls down the corners of the mouth. When the DAO muscle is relaxed with Botox the corners of the mouth are elevated about one or two millimeters. This really helps with a sad face appearance. The Nefertiti neck lift can be complemented by placing fillers in the mid-face, laser skin tightening, and Kybella for the double chin.
Botox for Neck Bands
When will I see the results of by Botox treatment?
Although some people notice the results of their Botox treatment in a few days, it can take up to two weeks to see the full results of your Botox treatment. Therefore, patience is important. We take baseline photographs of you making facial expressions before your Botox treatment and have you return tow to three weeks later to take the same pictures. If you receive the recommended dose of Botox and the results are not perfect, we provide complimentary additional Botox units. This way you don’t have to worry about the possibility of diluted Botox.
How long does Botox last?
Most people enjoy the results of their Botox treatment for three to four months. Dr. Alex recommends a maintenance Botox treatment at that time. We participate in the Brilliant Distinctions Program. This is a rewards program designed by Allergan, makers of Botox, Juvederm, Voluma, Vollure, Volbella, Kybella, and Latisse, where you get points for each treatment. These points are then used toward discounts at your next Botox (or other) treatment.
What are the side effects of Botox?
With any injection there are risks including pain, bleeding, bruising, redness, swelling, infection, and tenderness. We take special precautions to minimize these risks. Dr. Alex uses a painless Botox injection technique where cold air is blown on the skin to numb the skin. We also place a vibrating distractor called the Beauty Bar nearby for further comfort during your Botox treatment. Bruising is rare with Botox treatments and bruises can last up to two weeks after a Botox treatment. If you get a bruise after a Botox or other treatment we are able to treat it with a laser as early as the next business day. This makes the bruise go away much faster, typically in one to three days, although it may still last two weeks and sometimes it gets darker before getting lighter. Headaches can occur for up to a few days after a Botox treatment. Dr. Alex recommends taking over-the-counter strength Tylenol for pain relief. There is also a very small risk (less than one percent) that some of the Botox spreads to nearby muscles. Depending on the area treatment, the spread of Botox make lead to things like droopy eyelids or an asymmetric smile. Such side effects are always temporary and often times treatable.
What should I do after a Botox treatment?
After a Botox treatment, Dr. Alex recommends avoiding heat exposure, alcohol consumption, and strenuous exercise for 24 hours and maintaining an upright posture without bending forward or lying flat for four hours. These activities can lead to the movement of Botox, leading to side effects, and/or increase the risk of bruising.
Patient Review - Botox
Patient Review - Botox
I had a wonderful experience I'm 33 years old and I had Botox for the very first time I was so scared but after he explained it to me the painless procedure, NOW that was quite the experience I highly recommend Dr.Alex he is amazing and trustworthy not only that the stuff is very friendly. Thank you so much Dr. Alex
— Iris Sanchez
I was referred to Dr. Alex by friend. At first I was afraid of getting Botox injections because I thought it would make me look weird. But Dr. Alex and his wonderful staff explained that it is a purified protein and the results will be natural. And they were right. It looks completely natural, the treatment was painless, and I did not even get a bruise. If you want great results and outstanding service I highly recommend A E Skin.
— Rod Fani
One of the most common questions is “Do I need to apply sunscreen even if I don’t go outside?” The answer is yes and the reasons are described here.
How does the sun affect the skin?
The sun provides light and heat to allow us to live. The light emitted from the sun has many different colors or wavelengths, some of which are harmful to the skin. Specifically, UV rays (or ultraviolet rays) damage the skin over time. When UV rays reach the skin, they cause changes in the skin. The cells in the skin produce something called free radicals. Free radicals lead to a number of changes in the skin. They damage and degrade collagen, the protein in the skin that keeps the skin tight, firm, and youthful. As a result, the skin becomes loose and saggy and fine lines, wrinkles, and enlarged pores are seen. Another change is the formation of dark discolorations, sometimes called sun spots. The harmful free radicals stimulate the skin to form these unsightly dark spots. Other effects include thinning of the skin, decreasing the skin’s protective barrier function, and leading to the formation of broken capillaries or generalized redness. In order to prevent all of these changes it is important to protect ourselves from the harmful UV rays.
What sunscreen should I use?
Dr. Alex recommends using a sunscreen with an SPF of at least 30 every day. Also make sure it has broad spectrum (or UVA and UVB) protection. Ingredients such as zinc oxide and titanium dioxide provide such protection. If outdoors for long periods, reapply sunscreen every one to two hours. Also reapply if your skin gets wet such as when swimming. Avoid direct sun exposure and try to stay in the shade as much as possible when outdoors, especially during the middle of the ray when the UV rays are the strongest.
When should I apply sunscreen?
Many people feel that it is only necessary to apply sunscreen when doing certain activities such as going to the beach. But exposure to harmful UV rays occurs even with short exposure to the sun such as going outside to get the mail. It is also important to understand that the temperature is not related to the amount of UV rays. For example, although it may be cold in the winter months, there is still sun exposure so it is important to apply sunscreen during all four seasons. At the same time rainy weather does not block all UV rays. Many people do not apply sunscreen when it is overcast or raining. However, the harmful UV rays can penetrate the clouds and still damage the skin. Therefore, it is important to apply sunscreen on rainy days too. Also, UV rays penetrate through glass such as car windows and windshields. Although not technically outside when driving, you are getting exposure when driving. Additionally, many people work in offices where sunlight enters through windows, exposing them to harmful UV rays.
So even though you may think you’re not outdoors, you are still getting a lot of sun exposure. Over years, this exposure to harmful UV rays damages the skin, leading to changes associated with aging such as fine lines, wrinkles, uneven color, and redness. Applying sunscreen every day will prevent these changes.
Loose 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
The aging process is a natural part of life, but you don’t have to accept the appearance of sagging skin thanks to the advanced treatments available at A E Skin in Encino, CA. The Juvederm family of products (Voluma, Vollure, and Volbella) is helping patients achieve smoother and younger looking skin. Discover the benefits of going to A E Skin for a Juvederm consultation.
What Is Juvederm?
As time goes by, the skin changes in appearance and fullness. The facial muscles move as you make certain expressions, like smiling, laughing, or frowning, causing deep lines to form. You lose volume and the skin begins to sag. Injecting the skin with the Juvederm family of products (Voluma, Vollure, and Volbella), which is composed of hyaluronic acid, will rejuvenate its appearance by giving it a plumper look and filling in some unwanted lines. This proprietary dermal filler is also used to add volume to aging hands and lips.
Juvederm is an FDA-approved skin solution that provides results without the need for an invasive plastic surgery procedure. These are some of the benefits of choosing this treatment to revitalize your skin:
- The appointment is quick and easy (about 15 minutes for the treatment).
- The formula includes a numbing agent to decrease the chance of discomfort during the procedure.
- You will enjoy your results for up to two years.
- This solution can make you look several years younger.
Juvederm: During and After the Appointment
Expect your entire visit to A E Skin in Encino, CA, including the pre-treatment, to take about an hour. After numbing cream is applied to your skin and left on for about 15 minutes, Dr. Alex will carefuly place the product into the cheeks and the middle of the face. The gel is very smooth and easily delivered beneath the skin. It’s normal to see minor swelling or irritation in the injection areas, but it should subside in under a week. Avoid doing anything strenuous, stay out of the sun, and avoid drinking alcohol after the appointment. Please contact us at your convenience should you have any complications or questions.
Set Up a Skin Consultation
After a short consultation, Dr. Alex will let you know if Juvederm is the right way to get the softer, younger looking skin you desire.
Does the appearance of your breasts affect your self-confidence? Over time, gravity, natural aging, breast feeding, and weight loss lead to changes in the size, shape, and firmness of the breasts. Additionally, some women have under-developed breasts which are not proportional to the rest of their body.
"I could not believe my results! My breasts are back to how they looked at 24!! For anyone looking for a natural lift and enhancement look no further. There is zero downtime and you can see a difference right away! I love how firm they are now!! Xo"
What is Laser Breast Enhancement?
Laser Breast Enhancement is a new and innovative non-surgical alternative to improve the appearance of the breast. Traditional breast augmentation and breast lift are surgical procedures designed to address these issues. Although surgery provides outstanding and long-lasting results, it is associated with risks. The laser breast enhancement is a non-invasive treatment to improve the appearance of the breasts without anesthesia, scars, or recovery time.
Laser Breast Enhancement Demonstration
How does Laser Breast Enhancement work?
The Laser Breast Enhancement treatment works by slowly and gently heating the skin for about 15 minutes. This firms and lifts the breasts, providing fullness and projection.
What is the Laser Breast Enhancement treatment like?
Gentle micro-pulses of infrared light are used to slowly and gently heat the skin over about 15 minutes. The Laser Breast Enhancement treatment is very comfortable and numbing cream is not required. Most people say it feels like a hot stone massage.
What should I expect after the Laser Breast Enhancement treatment?
You may experience some mild redness in the treated area immediately after treatment and this should return to normal within minutes. Many women see immediate enhancement in terms of size and firmness and a lift. Since the procedure is noninvasive there is no downtime so you can resume regular activities immediately following treatment.
What results should I expect after a Laser Breast Enhancement treatment?
Unlike surgery where a significant increase in size is possible, results from a laser breast enhancement are more natural. Women can expect a half cup increase in size and a noticeable lift, allowing them to wear new and different clothes. Results vary from person to person and are seen slowly over time. Full results are seen three to six months after the final session.
How many Laser Breast Enhancement treatments will I need?
Dr. Alex recommends an initial series of six to eight Laser Breast Enhancement sessions, which are performed every one to two weeks. After that Dr. Alex recommends a single maintenance Laser Breast Enhancement session every three months after that.
What aftercare do I need?
It is important to carefully follow the aftercare instructions. No special skin care regimen is required following treatment. However, you should always protect your skin from direct sun exposure and use a sunscreen with SPF at least 30 with broad spectrum coverage every day.
As an introductory promotion, for a limited time we are offering 50% OFF a series of six Laser Breast Enhancement treatment sessions. Click below to make an investment.
Melasma is a common condition characterized by the appearance of dark patches on the skin. Any area on the skin can be affected; the most common areas are the forehead, upper cheeks, and above the lips. Melasma is caused by an imbalance of hormones on the inside which makes the skin very sensitive to the sun. When exposed to the sun, the patches appear and become dark. The pigment that is produced in the skin can be deposited either in the surface layers, deep layers, or most commonly both. The dark patches are seen more frequently in the summer months when the suns rays are stronger and when people are outdoors more. Melasma affects women more frequently than men and is common when hormone levels change such as during pregnancy, after delivery, and when going on or off birth control pills.
Since the cause of melasma is internal, unfortunately there is no cure. So melasma is a condition that is controlled, not cured. Treatment is multi-factorial and can often be frustrating. The most important aspect of treatment is applying sunscreen every day and minimizing sun exposure. Look for a physical sunscreen with active ingredients such as zinc oxide or titanium dioxide that has an SPF of at least 30. These provide broad spectrum coverage, meaning they protect against UVA rays which causes aging and UVB rays which cause burns. The next step in treatment includes the use of a good skin care regimen that prevents the skin from producing excessive pigment. Dr. Alex recommends the A E Skin Brightening Cream, Exfoliating Serum, Triple Antioxidant Serum, and Hydrating Serum. Look for products that reduce pigmentation. Active ingredients in such products include hydroquinone, kojic acid, vitamin C, alpha-arbutin, licorice extract, and a variety of others. Ingredients such as retinol, retin-A, salicylic acid, glycolic acid, and lactic acid will help to exfoliate the skin to get the pigment out faster. Often times these products will dry or irritate the skin so it is important to moisturize the skin twice daily. Lighter moisturizers work well for youthful skin, while heavier moisturizers work better for mature skin. Adding products with hyaluronic acid to the regimen will increase the hydration and benefit the skin. It is important to use a good skin care regimen for three months prior to having any treatments. This will correct the skin before the treatment and prevent the risk of worsening of the melasma with treatments.
There are a variety of treatments available for melasma. After having a good skin care regimen in place, the most important aspect of melasma treatment is to be conservative. Treatments must be mild and six to eight sessions are often required. Treatments are usually performed every four to eight weeks. The mildest treatments include basic facials and microdermabrasion. Microneedling and Ultra Microneedling are also effective treatments. Chemical peels and laser peels serve to exfoliate the skin and get the pigment out to the surface faster. Contrary to what most people hear, IPL photofacials can be used to treat melasma. Such treatments are useful especially when the pigment is closer to the surface. Not all IPL photofacial devices are versatile. But the Forever Young BBL IPL photofacial by Sciton that Dr. Alex uses has many settings that can be adjusted for safe treatment of melasma. Dr. Alex uses higher wavelengths of light, lower energy settings, longer pulse widths (the time that the light is on), and colder temperatures to ensure safe treatments. When the pigment is in deeper layers of the skin, fractional lasers such as Pro Fractional or fractional CO2 can be used. These create tiny hole sin the skin which allow the pigment in the deeper layers to come out. Again, many people say not to use such devices for melasma. But they can be effective when appropriate settings are used, the dwell time should be minimized and treatment densities should be low. Combining multiple of such modalities will provide even better results.
We are excited to announce that A E Skin has moved to a new office. Don’t worry it’s only three blocks away.
Where is the new office?
The new office is located three blocks west of our previous office (15840 Ventura Bl. Suite 106, Encino, CA 91436). The new address is: 16311 Ventura Bl. Suite 845 Encino, CA 91436
Our new location is exactly three blocks west of the previous location on Ventura Bl. The building is on the north side of the street and the cross street is Libbit Ave. In terms of landmarks, there is an HSBC bank and ABC Pharmacy on the ground floor of the building. The parking garage is accessed via Libbit Ave. and our patients will enjoy complimentary valet parking when they arrive at the building.
What is the new office like?
We built our new office completely from scratch so it is customized for the exact needs of our patients. The grand entrance to the suite will have our name and logo. Upon entering our office, our patients will be greeted in our elegant reception area. The reception desk is customized for our needs and is beautifully displayed in front of our tile wall. Our designer has paid a significant amount of attention to detail. The office will feature marble flooring in the reception area that extends into the hallway. To compliment this, the rooms will have an elegant grey hardwood flooring. Our luxurious reception area is designed to welcome our guests with modern furniture and chandeliers. We will have refrigerated bottled water, coffee, and refreshments available at all times. Many pieces of colorful and modern artwork provide a beautiful contrast to the grey and white floors, walls, and ceilings. The consultation room has a spectacular view of the Santa Monica mountains. Modern sinks are placed in multiple rooms for our patients' convenience. The suite was designed with the needs of our patients and staff at mind. For patient privacy, all walls are sound proof. We will have dedicated rooms for photography and for patients to relax while they are numbing so they do not sit in the reception area. There is another room dedicated for consultations and our treatment suite will be more spacious. The office will also feature more administrative space for staff and storage.
We are excited to welcome our patients to the new office as of September 1, 2018. Even if patients arrive at our previous location, we have directions to the new office available; and it will take just a few minutes. To celebrate, we are offering a number of specials for the month of September 2018. Please see the promotions below.
$199/one treatment (normally $350) save $151
Soft and Smooth Rejuvenation
Combines an IPL Photofacial with a Micro Laser Peel
$299/one treatment (normally $700) save $401
Tight and Bright Rejvuenation
Combines an IPL Photofacial with a Laser Skin Tightening treatment
$299/one treatment (normally $700) save $401
Combines an IPL Photofacial with a Laser Skin Tightening treatment and a Micro Laser Peel
$399/one treatment (normally $1,050) save $651
New #nofilter Treatment
Improve the color, texture, and tone of your skin all in a single treatment with less than 24 hours of recovery time. Combines an IPL Photofacial with an Ultra Microneedling Treatment
$399/one treatment (normally $800) save $401
Non-refundable. Non-transferable. Not to be combined with other promotion(s). Previous credit may not be applied toward this promotion. Valid until September 30, 2018. Treatment must be performed by October 31, 2018. Both syringes must be used at the same treatment session. All sales are final.
The amount of sleep you get each night can have an effect on the appearance of your skin. While everyone is different, most people require seven to eight hours of sleep per night. Not getting enough sleep affects the appearance of the skin. This is seen commonly as puffiness under the eyes because the blood vessels around the eyes open up and bring fluid into that area. Additionally, when you do not get enough sleep your body releases the stress hormone cortisol. Cortisol leads to breakdown of collagen in the skin, the protein that gives the skin its tightness. Over time, this leads to fine lines, wrinkles, and laxity. At the same time, when you get enough sleep your body produces an adequate amount of human growth hormone, which thickens the skin. A recent study by Estee Lauder demonstrated scientifically that inadequate sleep speeds up skin aging. Specifically, poor sleep correlates with increased amounts of fine lines, wrinkles, laxity, and discoloration. So before starting a new skin care regimen or doing treatments, be sure that you are treating your body and skin right by getting enough sleep, eating a healthy diet, getting regular exercise, protecting yourself from the sun by applying sunscreen daily, and avoiding bad habits such as smoking and drinking alcohol.
As we age our skin changes. Perhaps the most important factor causing these changes is exposure to ultraviolet (UV) light from the sun. When these UV rays hit the skin they produce harmful free radicals. Free radicals damage the skin in a number of ways. They cause the breakdown of collagen, the protein in the skin that holds it together, giving it a youthful and tight appearance. This leads to the formation of fine lines, wrinkles, laxity, and enlarged pores. It also thins out the deeper layer of the skin called the dermis and produces broken capillaries which become visible to the naked eye. Additionally, UV rays will cause certain cells in the skin called melanocytes to produce a molecule called melanin, the pigment that gives the skin its color. This is what happens when we get a tan. Also, excess melanin is seen in freckles, age spots, and melasma.
There are a number of things we can do to protect ourselves from and correct this damage. Using sunscreen every day is the most basic way to prevent sun damage. Other skin care products to use include antioxidants to block the harmful free radicals, retinoids to stimulate collagen production and a firm appearance, and brightening creams to remove the dark discolorations. Treatments include facials, microdermabrasion, chemical peels, and various laser treatments. These are designed to exfoliate or target specific things in the skin such as dark discolorations and broken capillaries. People that get the best results are those that combine a good at-home skin care regimen with regular treatments in the office. For this reason Dr. Alex's philosophy is to have a combination approach, by preventing and correcting in multiple ways for a sustained youthful appearance.
This website includes materials that are protected by copyright, or other proprietary rights. Transmission or reproduction of protected items beyond that allowed by fair use, as defined in the copyright laws, requires the written permission of the copyright owners.