Skin Rejuvenation Treatments:
Aging and Wrinkles
With age, skin cells divide more slowly, and the skin’s inner layer, called the dermis, begins to thin. That starts to undo skin’s stretchiness and structure.
Aging skin also starts to lose its ability to hold on to moisture, makes less oil, and is slower to heal. That all contributes to the wrinkling process.
Facial Muscle Contractions
Lines between your eyebrows (frown lines) and lines jutting from the corner of your eyes (crow’s-feet) are thought to result from facial muscle contractions. Smiling, frowning, squinting and other habitual facial expressions make these wrinkles more prominent.
Sun Damage and Wrinkles
Getting too much sun damages your skin. That leads to wrinkles. To help prevent them, stay out of the sun between 10 a.m. and 2 p.m., and make it a habit to wear sunscreen every day, even in the winter and when it’s cloudy. Wear a large brimmed hat and cover exposed skin with clothing, such as a long-sleeved shirt and pants.
Smoking and Wrinkles
Smoking curbs your skin’s production of collagen, which is a key part of the skin’s structure. The downturn in collagen paves the way for wrinkles. That’s one more reason to quit smoking, or never to start.
Treatment Options for Skin
Ultherapy (information coming soon)
Removing skin layers is an effective way to regain smoother, more youthful looking skin. Options that we offer include:
- Chemical peels (dissolving skin away) to improving the skin’s surface. This can heal damage done by the sun. This is the least expensive option
Micro needling is a new unique ‘Type I’ FDA-approved supplemental medical tool that is ideal for non-surgical and non-ablative treatment of various skin conditions such as aging (wrinkles, stretching), scarring (acne, surgical), and hyperpigmentation. Clinical studies have shown that micro needling to be more effective than ablative treatments like laser resurfacing, dermabrasion, and chemical peel and just as effective as non-ablative treatments like IPL, CO2 laser, and Fraxel in stimulating collagen and elastin production to thicken the skin thereby erasing wrinkles and smoothing scars.
Micro needling uses 200 -300 very fine needles to injure the skin sufficiently enough to stimulate collagen/elastin production. Resulting micro-channels also aid in infusing therapeutic serums for greater penetration and increasing overall efficacy. Clinical studies from Europe, U.S. and South Korea have proven that serum absorption is increased by as much as 1,000 times when applied with a micro needle roller. Clinical studies have also shown that treatment with microneedling is more consistent in increasing the thickness of the skin than IPL and other resurfacing treatments.
There are THREE major advantages for using microneedling:
- Micro needling is revolutionary in that, they do the same job as lasers and other ablative methods by increasing the production of collagen with minimal damage to the protective layer of the skin.
- Micro needling is as effective as lasers, IPL, Thermage and other ‘machine-based’ treatments, but at a fraction of the cost to practitioners and patients.
- Micro needling is safe. “Non-surgical and non-ablative” means more ‘forgiving’ and skin-friendly treatments. Patients experience little or no pain, downtime, and risk for complications.
Micro needling is safe. “Non-surgical and non-ablative” means more ‘forgiving’ and skin-friendly treatments. Patients experience little or no pain, downtime, and risk for complications.
Micro needling leaves the entire epidermal barrier fully intact; micro-channels created by 200 precision surgical steel needles seal within hours after application: long enough for new collagen-structures to form within the lower layers of the skin and short enough to allow the patient to resume normal schedules quickly. Microneedling Rollers eliminate all common negative side effects and risks associated with chemical peeling, dermabrasion, and laser resurfacing. The skin is thicker and ready sooner for additional treatment.
Ablative treatments like dermabrasion, chemical peels and laser re-surfacing remove the protective epidermis to forcing the body to produce a new tissue layer. However, once the epidermis is removed the lower levels of skin are completely exposed and vulnerable to environmental stressors. Certain risks must be accepted with these procedures: pain, long-term discomfort, long prevailing inflammation and redness, long healing period, extreme light-sensitivity for a month or more, possible irreversible pigment changes and even additional scarring.
Ablative treatments have their limits. Due to different skin structures on neck for instance, laser re-surfacing may not be possible. Moreover, because these treatments leave the skin thinner, in some cases these procedures may actually age the skin. Micro needling is far more ‘skin friendly’ by doing far less damage and thereby encouraging faster, longer-lasting positive effects. Since the skin can recuperate faster after a micro needle treatment– often hours after treatment – the patient may see noticeable positive results sooner.
Other lasers, known as non-ablative lasers, may also help treat wrinkles. These lasers work by heating the dermis and stimulating collagen growth. This process, which leaves the outer layers of skin intact, has no downtime associated with it. However, the results are not as dramatic as the ablative lasers, which actually remove the surface layers of skin.
- Botox collagen, and other filler-type injections can also help reduce wrinkles.
Facial fillers and injectables can reduce a variety of signs of facial aging, including fine lines, wrinkles, folds, sunken cheeks and a sallow complexion. If you are concerned about mild to moderate signs of aging on your face, injectables may be a temporary solution.
Numerous types of injectables are available, and they work in different ways. Some injectables paralyze the muscles that cause wrinkles. Others, known as injectable fillers, add volume to the skin to fill in wrinkles, folds, scars and other depressions.
Cosmetic dermal fillers include collagen, hyaluronic acid, fat and other substances. Dermal filler brand names include ArteFill, Radiesse, Sculptra, Juvederm, Hylaform, Restylane, Perlane and several others.
Are cosmetic dermal fillers safe?
When prescribed by a properly qualified and trained provider and injected in an appropriate medical setting, FDA-approved dermal fillers are safe.
What potential risks are associated with cosmetic dermal fillers?
The greatest risk occurs when dermal fillers are injected by someone who is not properly qualified to perform injections. Risks include hematoma or blood pooling beneath the skin, and though rare, infection and necrosis (tissue death) or skin loss is possible.
An unsatisfactory outcome is also a risk. Semi-permanent and permanent fillers may clump: the particles form a granuloma or lump that can be felt or seen beneath the skin. Particles may also migrate or displace from the injection site. Injection of an anti-inflammatory may improve minor clumps or swelling. More significant clumping or granuloma may require surgery.
Can I be allergic to a dermal filler?
Only dermal fillers derived from animal sources have a risk of allergy. This is something your provider should cover during your consultation and the informed consent process. If necessary, a patch or allergy test can be performed. Injections will be scheduled several weeks later, after the risk of allergy has been evaluated.
Are cosmetic dermal fillers used only on the face? Can dermal fillers be used on skin of color?
Hyaluronic acid fillers, like Restylane and Juvederm, are appropriate for skin of color, as these are colorless gels that should not be visible under the skin or alter the skin color.
Will I be able to feel the dermal filler once injected into my skin?
In the first few days after injection, the treated area may feel a little firm; however, this should improve rapidly. But a risk does exist with semi-permanent or permanent fillers of particles clumping together and forming a granuloma that may be felt or seen under the skin. This risk is increased if the dermal filler was not injected properly.
What if I don’t like my results?
One advantage of most cosmetic dermal filler treatments is that they are temporary. If you don’t like the results they will diminish in time. A hyaluronic acid-based filler like Restylane, Juvederm or Perlane can be more rapidly diminished (in weeks, rather than months) with the injection of a substance called hyaluronidase in the treatment area. This substance decreases the viscosity of the original injection, promoting its absorption and dispersion.