MedSpa

Dermal Fillers
(AKA Cosmetic Fillers)

Dermal fillers help to diminish facial lines and restore volume and fullness in the face. As we age, our faces naturally lose subcutaneous fat. The facial muscles are then working closer to the skin surface, so smile lines and crow’s feet become more apparent. The facial skin also stretches a bit, adding to this loss of facial volume.

There are several different types of dermal fillers. The most common types are:

  • Calcium hydroxyapatite (Brand names: Radiesse)
  • Hyaluronic acid (Brand names: Captique, Esthélis, Elevess, Hylaform, Juvederm, Perlane, Prevelle, Puragen, Restylane)
  • Polyalkylimide (Brand names: Aquamid)
  • Polylactic acid (Brand names: Sculptra)
  • Polymethyl-methacrylate microspheres (Brand names: Bellafill)
Why You May Want to Consider Dermal Fillers?
  • If you want plump lips
  • If you want to enhance shallow contours
  • If you want to soften facial creases and wrinkles
  • If you want to improve the appearance of recessed scars
  • If you want to decrease or remove the shadow of the lower lids

Pros:

  • Short treatment time
  • Fast recovery time
  • Noticeable results right away
  • Less likely to cause allergic reactions due to the absence of added fillers

Cons:

  • Blocks the signal from the nerve to muscles, so may feel numbness or temporary loss of feeling in the treated area
  • Some possible side effects include redness, bruising, and swelling, but this is common and can be concealed with makeup products.

What Makes You a Good Candidate for Dermal Fillers?

  • You are physically healthy
  • You are a non-smoker
  • You have a positive outlook and realistic goals in mind for the improvement of your appearance
  • You are committed to maintaining good skin health
  • You want to deconstruct contour deformities in the face
  • You want to reverse the early signs of aging, sun exposure, and heredity.
How Should You Prepare for Treatment?

Schedule your treatment appointment out at least two weeks from any event or special occasion and discontinue use of any retinol products for two days before and two days after your treatment.

How is Treatment Performed?

A dermal filler procedure includes the following steps:

  • Strategic points on your face may be marked as the appropriate injection sites for the filler.
  • The injection sites will be cleansed with an antibacterial agent.
  • Injection usually takes only a few moments per site.
  • Depending on the number of areas to be treated, the whole process may be as short as 15 minutes, or as long as an hour.
  • Any markings will be cleansed off.
What Will Recovery Involve?

Recovery time varies for each patient and for each type of filler injected. You can resume most activities right away, but it is generally recommended that you avoid intense physical activity for the first 24-48 hours to minimize swelling and bruising.

An ice pack is good to use to reduce swelling and alleviate discomfort. Although the area may feel a bit tender for a day or two, it is usually not painful enough to require any medication.

Your initial appearance after treatment with any dermal filler may include:

  • An “overfilled” appearance to treated areas
  • Swelling or bruising ranging from mild to severe
  • Temporary numbness or redness
  • Palpable lumps or hard areas at the injection sites
  • Hypersensitivity reaction that can seem like an allergic reaction with hives and swelling
How Long Will the Results Last?

Dermal fillers can last up to 2 years or more before you have to repeat the process.

Laser Skin Resurfacing
(aka CO2 Laser)

Laser skin resurfacing, also known as a laser peel, laser vaporization, and lasabrasion, can reduce facial wrinkles, scars, and blemishes. Newer laser technologies offer a new level of control in laser surfacing, permitting extreme precision, especially in delicate areas.

Why You May Want to Consider Laser Skin Resurfacing?
  • If you have lines or wrinkles around or under your eyes, forehead, or mouth
  • If you have scars from acne or chickenpox
  • If you have non-responsive skin after a facelift
  • If you have aged or sun-damaged skin
  • If you have liver spots
  • If you have yellowish or grayish skin tones
  • If you have warts
  • If you have birthmarks such as linear epidermal nevi
  • If you have enlarged oil glands on the nose

Pros:

  • Minimizes sun damage, acne scars, and fine lines.
  • Improves skin texture and evens skin tone.
  • Stimulates collagen for firmer, more youthful skin.
  • May help treat pre-cancerous skin lesions.
  • Minimal downtime.

Cons:

  • Treatment can be painful
  • Care must be taken to avoid sun exposure
  • Darker skin tones are not good candidates

What Makes You a Good Candidate for Laser Skin Resurfacing?

  • You have active acne
  • You have deep acne scars
  • You have deep wrinkles
  • You have excessive or sagging skin
How Should You Prepare for Treatment?

For best results, your technician may first start you on a series of skin treatments to prepare your skin for your laser procedure. Often these treatments begin 6 weeks or more before your scheduled procedure. These skin treatments are customized for your particular skin type to minimize complications and obtain the best result from your laser resurfacing.

How is Treatment Performed?
  • In preparation, your face will be thoroughly cleaned, and you might be given eye protection.
  • Your skin will be numbed with local anesthetics. You may also receive a sedative to help you relax.
  • Two types of lasers are commonly used in laser resurfacing: carbon dioxide (CO2) and erbium. Both works to vaporize superficial, damaged skin cells.
    • CO2 lasers deliver very short pulsed light energy or continuous light beams. This type of laser precisely removes thin layers of skin with minimal damage to your surrounding tissue.
    • Erbium laser resurfacing is typically used to remove superficial and moderately deep lines and wrinkles on your face, but can also be used on your neck, chest or hands.
  • Cosmetic laser resurfacing typically takes between 30 minutes and 2 hours.
  • After laser resurfacing is completed, your technician will apply specialized dressing to protect the treated tissues.
What Will Recovery Involve?

Skin that’s treated with laser resurfacing may react in different ways. But most of the time, it will feel like a mild sunburn. You’ll have some redness and swelling. You may also experience itching or stinging for a few days after the procedure.

Clean the treated areas two to five times a day with saline or a diluted vinegar solution as directed by your plastic surgeon. Usually, about five days to a week after laser skin resurfacing, your skin will become dry and peel. Apply protective skincare treatments that are recommended by your doctor to help your skin heal. The new, rejuvenated skin will be pink, but it will gradually lighten over two to three months. It may take up to a year for the pinkness to go away.

Once your treated areas have healed, makeup may be used to tone down the color. Try green-based makeup to neutralize the red color. Be sure to opt for oil-free makeup. You’ll also need to use sunscreen, particularly one that’s formulated for the sensitive, rejuvenated skin on your face. Every day. Use a liberal amount of moisturizer each day on your new skin.

How Long Will the Results Last?

Some people who have laser resurfacing may see an immediate difference in the treated skin. That will continue to improve for up to a year. While the effects of laser resurfacing can last for many years, the normal aging process means that wrinkles and expression lines will reoccur. You may repeat laser resurfacing as necessary. It’s possible that your skin may stay red or pink for up to several months after laser skin resurfacing. You may also be extra sensitive to sunlight for up to a year. Make efforts to minimize sun exposure and use that sunscreen liberally, every day.

Dark Spot Removal

Dark spot treatments remove excess pigment safely to reveal clearer, younger-looking skin. Unlike superficial skin care products, dark spot removal treatments use powerful energy to reach deep below the surface of the skin and blast away age spots. The energy breaks up the dark spots resulting in sloughing off of the skin to reveal your new beautiful skin.

Even if you try to stay out of the sun, it is impossible to completely avoid its damaging UV rays. As a result, you can look older as dark spots and freckles appear on your face, chest, and arms.

Why You May Want to Consider a Laser Dark Spot Removal?
  • If you have sunspots
  • If you have dark freckles
  • If you have acne scars
  • If you have a patch of psoriasis

What Makes You a Good Candidate for Laser Dark Spot Removal?

  • You want to remove acne scars
  • You want to remove age spots
  • You want to remove results of psoriasis
  • You have a skin injury
  • You have reactions to hair and skin care products
  • You have sun damage
  • You’ve experienced hormonal changes
  • You’ve had side effects of medication
How Should You Prepare for the Procedure?

Avoid the sun or indoor tanning salons for 4-6 weeks before your treatment. If you will be in the sun, use sunblock with 50 SPF on your face. Do not use self-tanning products. If you come in with a tan or sunburn, for safety reasons, you will need to come back in for your treatment at a later time. Do not apply any products to your face. This includes makeup, lotion, and toner. Discontinue the use of any topical prescription medications 7 days before treatment. You cannot have this treatment done if you are on a photosensitizing medication. If you have a history of cold sores you must take antiviral medication 3 days prior to your appointment. If you had botox you must wait 4 weeks to be treated, if you recently had filler, you must wait 6 weeks.

How is Procedure Performed?
  • In preparation, your face will be thoroughly cleaned
  • Your skin will be numbed with local anesthetics.
  • A pen like device emitting plasma energy that is absorbed by the dark skin cells killing off the cell
  • Treatment time will last approximately 30 minutes
  • After treatment is completed, your technician will apply specialized dressing to protect the treated tissues.
What Will Recovery Involve?

After the treatment your skin will feel slightly tight and will feel as if you have a mild sunburn, this will subside in a few hours. Cooling agents will be applied to your face for comfort. The dark spot will be slightly red, and any dark spots treated will be darkened. During your first week of recovery, your dark spot will appear as dark brown speckles, and then will start to flake off. In two to three weeks, you’ll notice your dark spot has significantly faded or has completely disappeared.

For 48 hours post-treatment, you must refrain from adding “extra” heat from other sources which can cause a burn. This additional heat can come from the sun, working out, hot showers, saunas, and hot tubs. Do not work out, participate in strenuous activity, use a hot tub, or use a sauna during this period. You may use make-up after 24 hours post-treatment as well as a moisturizer. Avoid going in the sun for one week after treatment, if you will be in the sun, use a sunblock with 50 SPF 

How Long Will the Results Last?

Results will be noticeable immediately after treatment, but the full results may not be apparent for up to six months as the skin continues to heal itself. Depending on your skin type and dark spot size, this will determine how many treatments will be needed. Most people are able to resume their regular activities immediately following treatment.

Ultherapy

For those who are not ready for a surgical facelift, Ultherapy provides proven results in a single treatment for most patients. It relies on ultrasound therapy to go deeper than other noninvasive treatments for collagen stimulation. Through ultrasound imaging energy is delivered precisely to the place where it will benefit you most for natural-looking results that improve over time. Ultherapy is the only FDA-cleared, non-invasive procedure that lifts the neck, chin, and brow, and improves lines and wrinkles on the upper chest.

Why You May Want to Consider Ultherapy?
  • If you feel that your face does not reflect your youthful spirit and energy level
  • If you determine that your facial sagging and excess skin is a social or career obstacle
  • If you show signs of facial aging but still have some skin elasticity

Pros:

  • Ultherapy is non-invasive
  • Treatment is customizable
  • No downtime
  • Natural-looking results
  • Long-lasting improvement
  • Treatment is quick
  • Minimal discomfort

Cons:

  • No effective on significant sagging
  • Takes time to see results

What Makes You a Good Candidate for Ultherapy?

  • You are healthy and do not have medical conditions that impair healing
  • You have a positive outlook and realistic expectation
  • You are a non-smoker
How Should You Prepare for Treatment?

Preparation for the procedure is minimal. Regular eating, drinking, exercise, and work routines can be maintained before and immediately after the procedure. You should remove makeup and other skin care products from the target area prior to treatment.

How is Treatment Performed?
  • In preparation, your face will be thoroughly cleaned
  • Ultrasound gel will be applied to the treatment area.
  • Using the treatment applicator tiny amounts of energy will be deposited on the skin
  • A sensation of heat and/or tingling may be felt as the energy is being delivered.
  • Treatment time will last approximately 30-90 minutes
What Will Recovery Involve?

You can return to your normal activities immediately after your procedure without any post-treatment restrictions or requirements. Your skin might appear flushed at first, but the redness should disappear within a few hours. Some patients experience slight swelling, tingling, or tenderness to the touch, but these are mild and temporary in nature.

How Long Will the Results Last?

Results appear over two to three months, they can last up to a year or more. Since the procedure stimulates a person’s own collagen production, how long the results last depend on the individual. The treatment produces new collagen on the inside, but the individual’s natural aging process will dictate how long that translates into visible results on the outside. Future touch-up treatments can help provide more control over the aging process, which varies by individual.

Microneedling

Micro-needling is one of the most innovative treatments used to improve the liveliness of the skin through texture. When aging starts occurring in our body, our skin loses elastin and collagen. These are the main proteins in the body that give the skin its buoyancy and thickness. They are also responsible for the thickness and strength of the skin. Microneedling is used to create microchannels on the skin so that it is used to re-generate these proteins to provide anti-aging capabilities in the human skin. For this reason, the skin will start appearing smoother because of the production of these essential building blocks.

Why You May Want to Consider Microneedling?
  • If you want to remove acne scars
  • If you want to reduce surgical scars
  • If you want to diminish the appearance of wrinkles and fine lines
  • If you want to eliminate brown spots
  • If you want to even out skin texture

Pros:

  • Will stimulate skin renewal
  • May speed up the healing process

Cons:

  • There are some side effects such as swelling, redness or discomfort

What Makes You a Good Candidate for Microneedling?

  • You have large pores
  • You have reduced skin elasticity
  • You have stretch marks
  • You have hyperpigmentation
  • You have sun-damaged skin
  • You have uneven skin texture
How Should You Prepare for the Procedure?

Avoid Accutane in the six months prior to beginning your treatment sessions. Do not use topical agents that may increase the sensitivity of your skin such as retinoids, exfoliants, topical antibiotics, or acids 5-7 days prior to your treatment. Do not take anti-inflammatory medications such as ibuprofen, Motrin, or Advil for at least 3 days prior to your micro needling session. These will interfere with the natural inflammatory process that is critical for your skin rejuvenation. Avoid IPL/Laser procedures, unprotected sun exposure, or sunburn for at least 2 weeks prior to your procedure. No waxing, depilatory creams, or electrolysis to the area being treated for 5-7 days prior. Do not shave the day of the procedure to avoid skin irritation. If there’s dense hair present in the treatment area, shave the day before you arrive for your appointment. If you’re prone to cold sores, take an antiviral agent for 2 days prior to and the day of the treatment. Avoid blood-thinning agents for one week prior because bruising is a common side effect of micro needling.

How is Procedure Performed?
  • In preparation, your face will be thoroughly cleaned
  • Your skin will be numbed with local anesthetics.
  • Fine needles to precisely puncture your skin stimulating the body’s natural healing process, which then triggers collagen production.
  • Treatment time will last approximately 60 minutes
What Will Recovery Involve?

After microneedling, you may experience mild swelling and redness. Some patients develop a little bruising. It takes time for your body to produce collagen and elastin and for new skin cells to come to the surface. As a result, you’ll gradually see smoother, tighter skin over a few weeks.

Facial redness may last up to 2-3 days post-treatment. Avoid strenuous exercises that cause sweating as well as whirlpools, saunas, and steam baths for up to 48 hours. Make-up may be used 24 hours post-procedure to reduce any visible redness. Most patients can resume normal activities immediately after treatment.

Peeling may start 3-5 days after the treatment. You’ll notice skin dryness and flaking which is due to an increased turnover of skin cells. Do not pick, scratch, or scrub at treated skin! Within a week, you may start your regular skin care products again once your skin no longer feels irritated. Most of our patients have noticed continued skin improvement over the months following their last treatment.

How Long Will the Results Last?

Results appear over two to three months, they can last up to a year or more. Since the procedure stimulates a person’s own collagen production, how long the results last depend on the individual. The treatment produces new collagen on the inside, but the individual’s natural aging process will dictate how long that translates into visible results on the outside. Future touch-up treatments can help provide more control over the aging process, which varies by individual.