Correcting Freckles and Spots with a FotoFacial

If you have the skin problems caused by freckles, sun damage, rosacea, a flushed appearance, age spots and spider veins, Ulan Medical Spa can help you. Here, Borbon-Roaquin will tell you how a color-correcting medical spa procedure called FotoFacial IPL erases freckles and other sun spots on your skin. Ulan Medical Spa offers the FotoFacial IPL (or intense pulse light) color correction procedure which can correct the signs of the problems above to your skin and even out your skin tone.

Here are some technologies in FotoFacial IPL which can help you solve these skin problems.

How does Elos technology work?
Elos combines radio light energies and frequency. This combination precisely and safely targets pigmented lesions such as age spots freckles, and sun spots. Vascular lesions such as spider vessels and vessels from rosacea are also lightened and gradually fade.

What’s the target of IPL laser?
Lasers here target the melanin in your skin and IPL laser targets the browns, reds, and pinks in your skin. The laser machine used for the FotoFacial IPL procedure is so small (only a few millimeters in diameter) that it is able to target a single freckle, but not the area around it. Then you can erase any imperfections you want, and leave others.

What does FotoFacial IPL color correction do?
The FotoFacial IPL color correction works effectively with most skin types. After about five treatment sessions, patients’ skin tone improvement can be typically achieved. They can resume their regular activities immediately. It is safer to use this laser on people with darker skin types because of its radio frequency (RF) component, as RF is believed to be “color blind,” which means that the delivery of heat is not responsive to skin color, unlike light energy.

What’s the difference between FotoFacial here and others’?
The darker the skin, the more the skin absorbs heat from the light. To preserve the integrity of the skin, light energies are often reduced, which can compromise the effectiveness of the treatment. The additional RF component can compensate for this energy reduction without compromising safety. While it isn’t common for African-American skin to experience much sun damage, we often do the procedure for Hispanic, Asian, and olive skin types. Some IPL machines can treat acne by using filters that will filter the wavelength of the blue color light known to kill acne bacteria. At Ulan Medical Spa, we use a designated blue light emitting diode (LED) machine which we alternate with red LED sessions that are designed to both kill acne bacteria and reduce inflammation.

How long will the results of a FotoFacial last?
After the treatment, your skin will be just as vulnerable to the sun. How soon the signs of damage return will depend on lifestyle changes, such as wearing sunscreen, sun exposure, wearing a hat and genetic factors. In San Diego, we find that maintenance treatments for the FotoFacial are usually done once every 3 to 4 months. Remember that after undergoing a FotoFacial IPL color correction procedure, you cannot have a fresh tan on the day of the treatment.

The information in the article is not intended to substitute for the medical expertise and advice of your healthcare provider. We encourage you to discuss any decisions about treatment or care with an appropriate healthcare provider.

Nippy & tuck; Gadget that freezes fat off is latest weight-loss wonder

A REVOLUTIONARY new machine has arrived in the UK which its makers claim can shrink love handles and wobbly bits by simply freezing fat cells.

Using “cool sculpting” technology, its developers say it can reduce fat by 20 per cent by cooling problem areas for an hour.

The extreme cold causes fat cells to die but does not harm skin or muscles, they claim.

All the patient feels is numbness. Then six weeks later, the body’s metabolism has flushed away the dead fat cells.

The pounds 80,000 machine was designed by researchers at Californian firm Zeltiq after scientists noticed children who sucked ice lollies developed concave depressions in their cheeks over time.

Known as the Zeltiq, it is aimed at people who have fatty deposits on their body rather than those who are obese.

It is thought to be a more affordable alternative to Liposuction Definition

Liposuction, also known as lipoplasty or suction-assisted lipectomy, is cosmetic surgery performed to remove unwanted deposits of fat from under the skin. , which is now the world’s most popular cosmetic surgery, plastic surgery for cosmetic purposes, such as the improvement of the appearance of the face by removing wrinkles or reshaping the nose. procedure.

At pounds 800 a go, a blast on the Zeltiq is hardly cheap, but it’s a fraction of the cost of lipo.

The machine has been approved by the US Food and Drug Administration and the first one in the UK is at the Beyond Medispa clinic at Harvey Nichols in London.

But it’s not the first fat-busting treatment available. There are a number of other revolutionary procedures which claim to reduce fat without going under the knife or under the anaesthetic. VELASHAPE: It is said to shrink fatty deposits under the skin and safely contour, shape and slim the body by reducing cellulite cel·lu·lite
n.
A fatty deposit causing a dimpled or uneven appearance, as around the thighs.


Cellulite
Cellulite is dimply skin caused by uneven fat deposits beneath the surface.  and firming problem areas in as little as four treatments. It uses an infrared light and a vacuuming technique that disperses fat and cellulite which is naturally moved out of the body. Duration: 45 minutes Cost per session: pounds 280 ACCENT RF: This wonder machine uses radio waves Radio waves
Electromagnetic energy of the frequency range corresponding to that used in radio communications, usually 10,000 cycles per second to 300 billion cycles per second.  to deliver heat and an electric current deep into the skin. It’s ideal for cellulite and facial tightening. It was used in operating theatres to stop small vessels bleeding but it’s also said to zap fat around organs. It arrived in Scotland in 2007.

Duration: 15 to 40 minutes Cost per session: pounds 100 to pounds 300 LASER LIPOLYSIS lipolysis /li·pol·y·sis/ (li-pol´i-sis) the splitting up or decomposition of fat.lipolyt´ic


li·pol·y·sis
n. pl. li·pol·y·ses
The hydrolysis of lipids.  OR SMART LIPO: This procedure does not involve open wounds or a general anaesthetic, so it’s considered safer than full-blown lipo. Lasers are fired into fat tissues 40 times a second and burst fat cells under the skin.

Performed under a local anaesthetic, it’s ideal for removing fat from chins, hips, thighs, backs or breasts. It doesn’t involve any form of suction. Instead, the fat is liquefied by lasers, then gradually metabolised into the body.

Cost per area: pounds 175 to pounds 2000 GENTLE YAG YAG  
n.
A hard synthetic yttrium aluminum garnet used in laser technology and as a gemstone.


[y(ttrium) + a(luminum) + g(arnet)1.]  SKIN TIGHTENING: Named after the Yag laser YAG laser Yttrium-aluminum-garnet laser, Nd:YAG–neodymium:yttrium-aluminum-garnet–laser. See Laser. , this treatment works just like Botox, except the toxins have been replaced with lasers. The skin is tightened by transferring heat to its deepest layer. Because it activates collagen, elastin elastin /elas·tin/ (e-las´tin) a yellow scleroprotein, the essential constituent of elastic connective tissue; it is brittle when dry, but when moist is flexible and elastic.


e·las·tin
n.  and other proteins, it reduces sagging skin. Cost per session: pounds 200 to pounds 1500 UNIVERSAL BODY CONTOUR WRAPS: Given the average woman loses 14 inches over their whole body during their first treatment, it’s no wonder this wrapping procedure is popular. Your body is bound in heated, clay-soaked bandages, before you climb into a rubber sweat-suit and are wrapped in a thermal blanket. After an hour, the bandages are peeled off and inches appear to have dropped off. Some clients say they return over several weeks, but this is regarded as the perfect quick fix before a holiday or if you want to squeeze into a tight dress. And it’s completely pain free.

Duration: 60 minutes Cost per session: pounds 60 ULTRASHAPE: This bodycontouring technique uses ultrasound to destroy fat cells by exploding them. They then convert into glucose and are released from the body. Ideal for tummy, thighs and bottom.

The treatment isn’t pain free but is less intrusive and painful that liposuction. Some people have reported losing five inches after just three treatments. Perfect for small pockets of fat.

Duration: 30 minutes Cost per session: pounds 500 POWER PLATE: Aiming to reduce cellulite and improve toning, Power Plate (or VibroGym Vibration Plate) uses the principles of Acceleration Training to stimulate the body’s natural response to vibration.

The vibrations transmit waves of energy through the body, making muscles contract between 25 and 50 times a second. It is claimed a 10-minute session on Power Plate is the equivalent to one hour of strenuous training – much easier than a full-blown gym workout.

Duration: 25 minutes Cost per session: pounds 25 BODY TITE TITE TEWS Intermediate Test Equipment : This claims to remove unwanted fat and firm the skin. It’s ideal for man breasts. Removing the fatty tissue by liposuction often leaves sagging skin, but Body Tite can tighten the skin up to 40 per cent more than traditional liposuction.

It uses radio-frequency assisted liposuction technology, similar to those found in household microwaves. The fat cells are heated, then the tissue cools down and the skin contracts more quickly to fit the new body shape. Duration: Couple of hours Cost: pounds 3500

CAPTION(S):

TALE OF THE TAPE: There are a number of treatments which claim to slim you down

Types of Acne Treatment Solutions For Your Skin

Treating your acne can be an overwhelming task what with all of the medications available these days. The best way to find treatment for your acne is to first learn about your skin. There are 3 main skin types. Knowing what type of skin you have is the first step to effectively controlling your acne. If your skin is oily a gel product is best; if it is dry, you should choose a cream based product. People with sensitive skin should choose products with lower concentrations of active ingredients.

It may be best to visit a dermatologist when choosing acne treatments. With so many different factors affecting what causes acne and there are so many treatments to choose from you may feel more comfortable getting the help of a professional when making your decision.

If you would rather control acne your own way, understand that it is very important to read all labels and always, always use as directed. As with all medications, educate yourself on any side-effects or warnings.

Acne treatments are available in several different ways including:

  • Prescription Medications
  • Creams and Gels
  • Facial Masks
  • Topical Treatments
  • Over-the-Counter Treatments
  • Home Remedies
  • LED/Photon Treatments

Prescription Medications

Oral antibiotics (tablets), taken daily for around 3 months, can be prescribed for inflammatory acne. These pills act to kill off the bacteria infecting the skin. However, it may take four to six months for the benefits to be seen. For women, a standard combined oral contraceptive pill (containing an estrogen and a progestogen) can improve acne symptoms. Antibiotics do not prevent pores from becoming blocked so treatment to prevent blackheads, such as benzoyl peroxide, is often also prescribed at the same time.

Creams and Gels

Lotions that contain benzoyl peroxide dry out the skin and encourage it to shed the surface layer of dead skin. Benzoyl peroxide also has an antibacterial action. Together, these effects make it harder for pores to become blocked and for infection to develop. When used as directed, these products can make a big difference to the overall appearance of your skin.

Facial Masks

Facial masks can be a great addition to your basic skin care regimen by offering extra deep cleaning and exfoliation to troubled skin. Masks send a concentrated dose of proven acne fighters to your skin and deliver them deep down. A good facial mask can act to keep even the most troubled skin clean and clear, reducing the frequency and severity of breakouts.

There are several benefits of using clay masks. As a facial clay mask dries it tightens the skin, shrinks the pores and naturally pulls excess oils and impurities such as whiteheads and blackheads from your skin.

Topical Treatments

Topical antibiotics work by killing the Propionibacterium acnes bacteria. This helps reduce the small infections in the pores, and also indirectly keeps the pores open.

Over the counter Treatments

Over-the-counter remedies are available anywhere from your local pharmacy to the grocery store and are intended to treat mild to moderate acne. These treatments include the creams and gels mentioned previously.

Home treatment

It’s important to keep spot-prone areas clean, so wash the affected area twice a day with an un-perfumed cleanser. Never, ever pick a zit! This could lead to scarring as well as spread the infection. No home treatments for acne will work immediately. It can take weeks, if not months, for significant effects to be noticeable. Never sleep in makeup and wash your face in the morning when you wake up and at night before you go to bed.

Photo Facial/LED Treatment

Blue lights can greatly help with acne, using a Blue LED light 4 times a week can help kill all the bacteria to causes acne.

Skin Care Chart for Multiple types of Skin and its Treatments.

Multiple types of anti-aging treatments are required to address the various etiologies of facial aging. Soft-tissue augmentation provides a minimally invasive option for patients seeking to look younger. However, due to changes in facial skin, musculature, fat and bone, anti-aging treatment requires a multifaceted approach. Injectable fillers may be combined with neurotoxins to resolve superficial wrinkles and restore facial volume. These modalities may be used with laser resurfacing or chemical peels to address epidermal and superficial dermal problems. Combining injectable soft-tissue augmentation treatments allows clinicians and patients to take advantage of the benefits of each modality and to address the multiple effects of facial aging. This review is based on clinical experience and a MEDLINE search for articles about volume replacement and soft-tissue augmentation. It provides a rationale that supports the use of combination techniques/products for soft-tissue augmentation.

Changes to the aging face result from a dynamic process involving thinning of the skin and loss of collagen, fat redistribution, muscular recontouring and bone remodeling. (1-3) The rate of change differs in the major facial compartments (skin, muscle, fat and bone) and changes in one compartment affect all compartments. (1), (3) With increasing age, more prominent wrinkles, folds and furrows arise due to further loss of skin elasticity and structural organization.

Many patients require more than one type of aesthetic treatment to address these multiple etiologies and maximize treatment outcomes. (2), (4), (5) The variety of available treatments has greatly expanded the ability to reverse the visual signs of facial aging. Because each modality has its own strengths and limitations, combinations of products may be required to achieve optimal outcomes. The purpose of this article is to briefly review available soft-tissue augmentation modalities and to discuss relevant clinical experience with possible combinations of products.

Head-to-head comparisons have not been identified for most combinations mentioned in this review. Further combinations of anti-aging treatments described herein have not been reviewed or approved by the U.S. Food and Drug Administration (FDA).

Anti-aging Treatments

Numerous treatments are available for soft-tissue augmentation (Table 1). Each treatment, used appropriately, can help restore the youthful appearance of the face; the selection of treatments with complementary modes of action may produce a synergistic effect. Furthermore, application of different modalities can be varied either spatially or temporally, potentially optimizing outcomes and improving tolerability.

TABLE 1.

Comparison of Injectable Anti-aging Treatmentsa

                 Onset of Effect   Mode of          Current Indicated
                                   Operation        Areas

Radiofrequency   4-12 weeks        Collagen         Protuberant
                                   contraction,     jowls, neck skin,
                                   collagen         nasolabial folds,
                                   synthesis        eyebrows

Neurotoxins      3-4 days          Muscular         Dynamic lines and
                                   relaxation       wrinkles, mostly
                                                    in glabella

Collagens        Immediate         Volume and       Soft-tissue
                                   collagen         contour
                                   replacement      deficiencies,
                                                    including
                                                    wrinkles and acne
                                                    scars

Hyaluronic Acid  Immediate         Water            Moderate to
Derivatives                        retention        severe facial
                                                    wrinkles and
                                                    folds, including
                                                    nasolabial folds

Intense Pulsed   1 month           Wavelengths      Lentigines,
Light                              between 550 and  telangiectasis
                                   1100 nm

Calcium          Immediate         Hypothesized     Moderate to
Hydroxylapatite                    collagen         severe facial
                                   stimulation      wrinkles and
                                                    nasolabial folds,
                                                    facial
                                                    lipoatrophy in
                                                    people with HIV

Injectable PLLA  Gradual           Hypothesized     Shallow to deep
                                   foreign- body    nasolabial fold
                                   reaction,        contour
                                   collagen         deficiencies and
                                   stimulation      other facial
                                                    wrinkles

PMMA             Rapid to          Collagen         Deep defects,
                 gradual           component gets   glabella,
                                   absorbed over    nasolabial folds
                                   short term.
                                   PMMA
                                   microspheres
                                   form permanent
                                   scaffold

Ablative Laser   1-2 weeks         Thermal in       Fine and some
                                   superficial      coarse wrinkles
                                   dermis;          and overall
                                   wound-healing    dyspigmentation,
                                   response         dark discolored
                                                    under-eye
                                                    circles, and skin
                                                    texture

Nonablative                        Primarily        Fine wrinkles and
Laser                              thermal,         skin texture
                                   focused in
                                   dermis

Chemical Peels   Depends on depth  Chemical         Superficial: mild
                 of peel           exfoliant        actinic damage,
                                                    wrinkling,
                                                    dyschromia,
                                                    actinic
                                                    keratoses, and
                                                    active acne.
                                                    Medium-depth:
                                                    severe
                                                    dyschromia,
                                                    moderate
                                                    rhytidosis,
                                                    laxity, photoaged
                                                    skin, actinic
                                                    keratoses

                 Duration of Effect  Benefits

Radiofrequency   Several months      Generally safe,
                                     limited downtime,
                                     depending on
                                     specific device

Neurotoxins      3-4 months          Rapid results

Collagens        3-6 months          Bovine: reliable,
                                     contains lidocaine,
                                     ease of
                                     administration
                                     Human: no allergy
                                     testing required

Hyaluronic Acid  3-12 months,        Reliable, well
Derivatives      depending on        tolerated, no
                 formulation         allergy testing
                                     required. Longer
                                     lasting than bovine
                                     collagen

Intense Pulsed   6-9 months          Improvement of skin
Light                                texture and
                                     irregular
                                     pigmentation

Calcium          12 months           Long-term results,
Hydroxylapatite                      no allergy testing
                                     required, no
                                     concern for
                                     antigenic or
                                     inflammatory
                                     reactions

Injectable PLLA  Up to 2 years       Safe, long-term
                                     results

PMMA             Permanent           Longevity

Ablative Laser                       Improved appearance
                                     of photoinduced
                                     rhytides and
                                     dyschromia

Nonablative                          Limited downtime.
Laser                                Superficial layers
                                     spared

Chemical Peels   Variable            Improved skin
                                     texture

                 Adverse Events

Radiofrequency   Common: pain Rare:
                 fat atrophy

Neurotoxins      Common: headache,
                 respiratory
                 infection, and
                 blepharoptosis

Collagens        Bovine:
                 hypersensitivity or
                 allergic reactions,
                 skin testing prior
                 to use,
                 reactivation of
                 herpes possible
                 with lip injection
                 Human: rare but can
                 include bruising,
                 erythema, and
                 swelling

Hyaluronic Acid  Common
Derivatives      injection-site AEs:
                 temporary pain,
                 induration,
                 bruising,
                 tenderness,
                 itching, edema, and
                 erythema. Serious
                 AEs rare

Intense Pulsed   Slight erythema and
Light            edema, immediately
                 after treatment

Calcium          Injection-site
Hydroxylapatite  bruising, edema.
                 Nodules rarely
                 develop if injected
                 superficially

Injectable PLLA  Most common AEs
                 injection-related.
                 Serious AEs
                 infrequent;
                 injection-site
                 nodule, granuloma,
                 erythema, pain,
                 inflammation,
                 edema,
                 hypersensitivity,
                 and pruritus

PMMA             Reports of
                 persistent erythema
                 at injection site

Ablative Laser   Oozing, bleeding,
                 infections.
                 Downtime. Potential
                 serious AEs:
                 postinflammatory
                 pigmentary changes,
                 scarring

Nonablative      Inconsistent.
Laser            Common AEs usually
                 transient:
                 erythema,
                 periocular edema,
                 skin bronzing

Chemical Peels   Increased downtime
                 with deeper peels

(a) References (4), (6), (13), (14), (17), (18), (21), (23-28), (35),
(36), (44), (47-50).

AEs=adverse events; HIV = human immunodeficiency virus;
PLLA=poly-L-lactic acid; PMMA=polymethyl methacrylate.

Botulinum Toxin Type A

Injection with botulinum toxin type A (BTX-A; Botox [R], Al-lergan, Irvine, CA, and Dysport [R] [abobotulinum toxin A], Medicis, Scottsdale, AZ) results in temporary denervation and relaxation of injected muscles and reduction in dynamic furrows and lines. (6), (7) BTX-A has been used widely to treat the glabellar area, crow’s feet and forehead. (4) Overcorrection must be avoided, as the full effect may not be apparent for seven to 10 days post-injection and persists for 90-120 days with BTX-A; (4) and up to 180 days with abobotulinum toxin A. (7) The safety record of BTX-A is good and most adverse events (AEs) are reversible without long-term consequences; (6) an AE profile similar to placebo was noted with abobotulinum toxin A. (7) Botulinum toxins may be used with volumizing treatments to enhance outcomes.

Chemical Peels

Glycolic, trichloroacetic and salicylic acid peels are commonly used for treating photodamage and other superficial skin problems. (4) Superficial chemical peels exfoliate the top layers of skin, where they are generally well tolerated and require little, if any, recovery time. Deeper peels stimulate epidermal growth, and dermal synthesis of collagen and elastin fibers; (8) they are used primarily to treat severe dyschromia, moderate rhytidosis, actinic keratoses, moderate to severe skin laxity and photoaged skin. Deeper peels require at least five days for recovery and require post-peel home care. (4) Peels are very effective at improving overall skin appearance; their effect lasts for weeks to months, depending on the depth and chemical used. (9)

Short- and Long-acting Dermal Fillers

Availability of the treatment options listed in Table 1 increased the opportunities for clinicians to correct age-related contour deficiencies. Preclinical studies showed that, in addition to physically occupying space, dermal fillers stretch fibroblasts, stimulate growth factors, and inhibit collagen breakdown, leading to formation and deposition of new collagen. (10), (11) Typically, dermal fillers avoid many of the risks of surgery while restoring volume, providing a more relaxed, natural facial appearance compared with traditional “face-lift” surgery. (5), (12)

Collagen loss is a cardinal feature of aging skin. Collagen replacement can restore a more youthful appearance. Bovine-derived collagen requires skin testing before use due to possible hypersensitivity reactions. (13), (14) Collagen-based fillers have been used to correct facial lines, wrinkles and contour deficiencies, (14) with immediate effects that last three to five months. (15)

Hyaluronic acid is a natural component of skin that provides structure and volume; (16) its loss leads to dermal dehydration and wrinkle formation. (16) Hyaluronic acid-based fillers are commonly used in mid to deep dermal implantation for correction of moderate-to-severe facial wrinkles and folds, including nasolabial folds. (17), (18) The effect of hyaluronic acid injection is immediate, with an average duration of approximately nine months. (19), (20) The most common AEs are injection-site related; (17) hyaluronidase can quickly correct many AEs. (17), (21)

CaHA is a biocompatible mixture of an aqueous gel carrier and synthetic CaHA microparticles. (15), (22-24) After injection, the gel is absorbed and the microparticles form a scaffold for collagen formation; (23), (25) the effect is immediate and lasts for approximately 12-14 months. (23) It is indicated for subdermal implantation for correction of moderate-to-severe facial wrinkles and folds, including nasolabial folds, with a wide variety of off-label facial aesthetic applications and is generally well tolerated. (23)

Injectable poly-L-lactic acid (PLLA; Dermik Laboratories, a business of sanofi-aventis U.S. LLC) contains microparticles of PLLA, which is a biocompatible biodegradable synthetic polymer. (22), (26), (27) Implantation of solid particles in pre-clinical studies indicated that PLLA may induce a foreign-body response that is hypothesized to lead to gradual collagen formation with effects lasting up to two years. (28) Injectable PLLA must be reconstituted with 5 mL sterile water, allowed to hydrate for at least two full hours before use, and used within 72 hours. (26) Reconstitution volumes of up to 10-12 mL have been utilized for some off-label procedures, such as hand and neck augmentation. (29), (30) In clinical practice, it is also relatively common to add 1-2 mL of lidocaine with epinephrine with 3 mL of diluent to increase patient comfort during the procedure. (29) However, reconstitution of injectable PLLA with volumes greater than 5 mL, and with lidocaine, is considered off label. Reconstituted product should be agitated immediately before and during administration to maintain an even suspension throughout the procedure. (26)

Injectable PLLA is approved for use in immune competent people as a single regimen for correction of shallow-to-deep nasolabial fold contour deficiencies and other facial wrinkles in which a deep dermal grid pattern injection technique is appropriate. (26) It has been used off label to increase volume and to reposition several facial areas, and on the hands, chest and neck. (31), (32) The most common AEs are injection-related;(26), (33) serious AEs are infrequent and include injection-site nodules and papules. (26), (33)

Injectable polymethyl methacrylate (PMMA, Artefill [R], Suneva Medical, San Diego, CA) is a suspension of 20% PMMA smooth microspheres in bovine collagen. (21) The collagen is degraded within about three months post-injection, after which collagen forms around the permanent microspheres. (21) Injectable PMMA is indicated for treatment of nasolabial folds, but has been used off label for glabellar frown lines, radial lip lines and mouth corners. The most common AE in clinical trials with injectable PMMA was unevenness at the Injection site that continued for more than one month. (34) Other AEs included persistent (more than 48 hours) swelling or erythema, increased skin sensitivity, and rash and pruritus. (34)

Ablative Therapy

Ablative laser devices are considered the non-surgical standard for improving clinical features of aging. (35) Techniques vary by type of laser, amount of energy emitted, pulse mode, and number of passes. (4) In general, ablative laser resurfacing vaporizes the epidermis and portions of the papillary dermis. Induced wounds promote a healing response, resulting in collagen formation and deposition. (35) After re-epithelialization, wrinkles, scars and blemishes are removed. (4), (35) Prolonged downtime for healing may be problematic, depending on the patient’s lifestyle and tolerance of the effects.

Non-ablative Laser and Other Treatments

Non-ablative therapies have become popular as patients and clinicians look for procedures that avoid the complications and downtime associated with ablative lasers. Non-ablative lasers induce dermo-thermal injury through a cascade reaction of molecular repair, collagen formation and deposition without epithelial damage; there is minimal healing time. (4), (35) However, aesthetic results are less consistent and predictable than with ablative devices, (35) although modest improvement in fine wrinkling and skin texture has been reported. (4)

Fractional resurfacing creates microscopic thermal zones that represent columns of photocoagulation spatially distinct from areas of unexposed skin that assist in rapid re-epithelialization. (36) The procedure has been used for a variety of indications, including facial and non-facial photodamage, atrophic acne scars, hypopigmented scars and dyspigmentation. (36) Common AEs are usually transient and include erythema, periocular edema and bronzing of the skin. (36)

Intense pulsed light (IPL) therapy uses broad-spectrum (both visible and infrared) light to treat pigmentation and vascular problems associated with chronic photodamage. (35) Vascular lesions such as rosacea, erythema, flushing, telangiectasias and postlaser erythema respond well to IPL therapy. (4)

Radiofrequency (RF) devices use impedance to convert electrical energy into heat. (35) Therapeutic energy levels are unknown (35) the critical temperature for collagen shrinkage and repair ranges from 57-75[degrees]C, depending on duration of application. (35) The epidermis is cooled before RF administration to preserve superficial skin layers. (35) RF devices have been used for treatment of periorbital rhytids, as well as thermalifting of the face, neck and brows. (4)

Recently, infrared technology has proven safe and effective in reducing facial and neck skin laxity. In one study, mobile delivery of infrared (1100-1800 nm) light significantly improved skin laxity (P<0.0001), with all subjects grading the procedure as “painless.” Erythema, which subsided within one to three hours, was the only reported AE. (37)

Combining Anti-aging Therapies

When considering combination therapy, it is essential to formulate criteria for determining which combinations may benefit specific patients. This includes evaluating areas affected by the aging process, the extent and location of volume loss and/or severity of rhytids in each target area, and the AE profile of each considered agent. Equally important in the treatment plan is assessment of the patient’s goals and expectations, timeframe, and tolerance for therapy; budgetary constraints should also be discussed and addressed before initiating treatment. (28)

BTX-A has been used in combination with chemical peels, various dermal fillers and fractional resurfacing. (8) One common combination is BTX-A injections for the upper face (including fine horizontal forehead lines and crow’s feet) plus soft-tissue augmentation for the mid and lower face. Combined use of BTX-A and filling agents can restore facial appearance by complementary modes of operation; relaxation and volume enhancement. (5) The devices are used in the same facial area, for example, to treat marionette or lipstick lines. (38), (39) BTX-A has been used in addition to fillers for adjustment of brow height, smoothing of forehead lines and nasojugal folds, and resetting of facial contours. (5) The effect of combination of abobotulinum toxin A with hyaluronic acid (Restylane) is shown in Figure 1, and combination with fractionated laser resurfacing and hyaluronic acid is shown in Figure 2.

[FIGURE 1 OMITTED]

[FIGURE 2 OMITTED]

Non-ablative lasers, IPL and RF devices immediately following BTX-A injection have proven effective for treatment of either the glabellar area or crow’s feet without loss of efficacy or other apparent negative effect. (40) BTX-A has also been used with laser resurfacing, RF and fractional ablative ([CO.sub.2) resurfacing. (4), (6)

CaHA and hyaluronic acid have been used synergistically to replace facial volume. (41) In one study, CaHA was used in the nasolabial folds, perioral and vermillion lip borders, while hyaluronic acid was used to complement the effect of CaHA as well as to augment the upper and lower lip body adjacent to the wet-dry border. (41) Overall, subjects in the combination group tended to have higher immediate and overall treatment satisfaction scores than those receiving monotherapy. (41) Combination of hyaluronic acid, collagen and injectable PLLA has been used to correct nasolabial folds, lips, the bridge of the nose and corners and body of the mouth. (14) Combination of cross-linked hyaluronic acid (Juvederm) and CaHA in a patient from this practice is shown in Figure 3.

[FIGURE 3 OMITTED]

Another combination for soft-tissue augmentation may be injectable PLLA–which provides a more gradual onset and greater longevity of effect–together with agents that provide immediate but short duration of effect, such as hyaluronic acid or collagens. In a case study, (42) injectable PLLA was used as a foundation for correcting mid-facial and temporal atrophy; hyaluronic acid was used to augment the lips, oral commissures and nasolabial folds and BTX-A was used to reduce mid-facial vertical compression. (42) Unfortunately, this report focused on the technique, and did not include outcomes. The effect of combination of injectable PLLA and a nonanimal-source hyaluronic acid is demonstrated in Figure 4. Injectable PLLA also may be combined with chemical peels; because the modalities stimulate collagen differently, synergistic effects are theoretically possible.

[FIGURE 4 OMITTED]

Dermal fillers combined with laser, IPL and RF treatments have the potential to restore tissue volume and improve facial firmness and texture. (43) Some physicians administer laser therapy before injecting filler material due to concern that the laser will degrade the filler. However, a small study in 36 patients suggests that laser, RF and IPL therapies may be administered immediately after hyaluronic acid injection with no AEs. (43)

Similarly, a small study was designed to assess the safety of RF treatment in six subjects recently treated with both hyaluronic acid and CaHA in their upper inner arm. (44) One subject served as a control and did not receive any RF treatment. After two weeks all except the control subject received two non-overlapping passes of RF treatment; three days later several assessment techniques were unable to distinguish between active and control treatments. (44) Subjects who received fillers plus RF noted a significant short-term tenderness, whereas the control subject did not. (44) Additional studies are required to assess the potential impact of more passes, lower fluence and lidocaine, and the short- and long-term efficacy.

Potential Disadvantages of Combined Anti-aging Treatments

For combination treatments, it is generally recommended that individual procedures be performed at least one week apart to allow for resolution of any AEs. Reactions that may leave the skin tender and sensitive to further manipulation, for example, could interfere with post-procedure recommendations (e.g., deep facial massage) following injection of CaHA or injectable PLLA. It is also recommended to wait at least one or two days between a chemical peel and injection of BTX-A to minimize complications, although some practitioners may administer both treatments simultaneously. Superficial glycolic acid peels are generally administered in six sessions at four-week intervals; the specific timing of peels in conjunction with fillers or BTX-A injections depends on the patient’s responses and the practitioner’s level of experience. (3)

One potential concern with combination of multiple products is the increased risk of AEs, and increased difficulty of determining causality when events do occur. Injection-site reactions (e.g., pain, bruising, erythema, swelling) and papule and nodule formation have been reported with all fillers; bovine-derived collagen is also associated with a risk of hypersensitivity reactions. (14), (15), (42), (45) Although there is currently no clinical evidence demonstrating higher rates of AEs in patients receiving combination treatment versus single therapies, it is good clinical practice to ensure that patients are informed about all possible AEs associated with each treatment and that appropriate steps are taken to minimize any such effects. (46)

CONCLUSION

The availability of an ever-increasing variety of injectable agents has made selection of facial anti-aging treatments more complex. Patients appreciate the minimal invasiveness and shorter recovery times, while physicians appreciate the versatility of modalities and the multitude of areas that can be corrected. Combining modalities can enable physicians to take advantage of the benefit of each modality and address the entire spectrum of facial aging. In the hands of an experienced clinician, and in appropriately selected patients, prudent use of combination treatment for soft-tissue augmentation can tailor therapy to optimize aesthetic outcomes.

Benefits of Facial Spa Treatments

When was the last time you treated yourself to a facial Facials are extremely beneficial for your skin – if you have a skin condition, special consultants can analyse your skin and recommend good products for your every-day routine

When was the last time you treated yourself to a facial? Facials are extremely beneficial for your skin – if you have a skin condition, special consultants can analyse your skin and recommend good products for your every-day routine. If you?re blessed with lovely skin, it still needs to be looked after and a facial can help achieve or maintain a great complexion.

Whatever your reason for a facial treatment, there are plenty to choose from and it?s important to find one that suits your skin. If you are unsure what treatment to choose, a skin therapist will always be on hand to find a treatment that suits your skin type. The texture, tone, pore size and oiliness of your skin are good indicators for what skin type you are.

Although facials are designed specifically for your skin type, they tend to follow a similar routine. Firstly, all make-up is removed, your skin is deep cleansed and exfoliated to remove dead skin cells and then a specific face mask will be used to relate to your skin type. Often head and neck massages are incorporated.

Facials are the perfect pick-me-up and help you achieve a great complexion and healthy glow. Your face is subject to the elements, and this is why it?s important to protect it. Many people use the wrong products for their skin type, this will sensitise your skin. To ensure your skin remains healthy and glowing after your facial, a skin therapist will help you find the products that are suitable to your skin.

Facials are also good for anti-aging; specific treatments can help beat wrinkles and keep your skin moist and hydrated. Anti-aging treatments use luxurious regenerating techniques especially created to combat the signs of aging and sun-damaged skin. Special massaging techniques are used on delicate areas around the eyes and effective products rich in natural anti-oxidants are used to hydrate and protect. With lots of scientific advances, the latest anti-aging treatments are an effective way to minimise lines and wrinkles, leaving your skin protected and revitalised.

For sensitive skin, specially formulated hypoallergenic creams are used to moisturize the skin. For acne, there is a treatment available for both adults and teenagers, which involves glycolic exfoliation followed by extensive manual deep pore extractions and an anti-bacterial facial mask. For people who suffer with troubled skin, these facials are normally carried out once or twice a week. Collagen facials are becoming more and more popular, especially as collagen is being used as an ingredient in lots of mainstream beauty/anti-aging products. Collagen works with keratin to provide the skin with strength and flexibility but as people age, collagen degradation occurs, which can lead to wrinkles. Collagen facials usually consist of mineral or paraffin mask over a freeze dry collagen sheet to hydrate and moisturise.

All facials are a preventative treatment against harmful environmental damage and keep your skin feeling fresh and hydrated. They also help improve circulation, stimulate skin, fight premature aging and keep skin feeling generally healthy.

Skin Care and Photo Facials

Photo facials (also called foto facials) are becoming popular skin treatments for both men and women. Some reasons for their popularity include convenience, excellent results, lack of significant discomfort, and zero recovery time. A photo facial is one which uses light waves to improve the appearance of the skin.

Photo facials (also called foto facials) are becoming popular skin treatments for both men and women. Some reasons for their popularity include convenience, excellent results, lack of significant discomfort, and zero recovery time. A photo facial is one which uses light waves to improve the appearance of the skin. The most common uses of this facial technique are for treating acne, improving skin texture and discoloration, and boosting collagen production. Photo facials are suitable for all skin types, but the best results are on light colored skin.

As we get older, our skin becomes thinner, and is not able to repair itself after damage, such as from sun exposure. Photo facials can improve the effects of aging by boosting the production of collagen cells, providing some general plumpness in the skin, improving fine lines and wrinkles, improving skin texture, and improving discoloration, effectively taking years off our appearance. In addition, treatment can kill the bacteria that cause acne, improving breakouts and appearance.

Photo facials often provide benefits that are more than just skin deep. Imagine the boost in self-confidence a young adult has when an acne prone complexion is clear and beautiful. Visualize the youthfulness an older adult gains when their skin has a vitality it hasn”t had in years. Many people gain a better outlook on life, simply from their new look.

Reasons for receiving a photo facial are as varied as the people seeking them, as are the results. One may be looking for improvement of rosacea discoloration (reddening) and another for improvement of discoloration from sun exposure (brown spots). Treatments are often performed on the face, as well as the neck and chest. For best results, a series of treatments is recommended. Together with a regular skin care routine, photo facials are an excellent way to maintain a beautiful complexion.

Regardless of the reasons for wanting one, photo facials provide excellent results for the conditions discussed. You can buy them for home or professional use, check them out at www.photofacialmachines.com

Facial and Acne

There are times when even the best facial treatments give you acne. This simply happens because you choose facial on the basis of costs, or products, or even because your friend gets it done. If you have sensitive skin or are prone to acne then you need to get acne facial treatments.

Your facial choice should be on the basis of your skin type. So those with sensitive skins should opt for facial treatment for sensitive skin and those with acne should get acne facial treatments. Acne is an acute problem, and the wrong facial would only worsen your problem.

Apart from the regular benefits of a facial including cleansing, toning, and firming, acne facial treatments are the best skin treatments for combating acne. Unlike other facials the products used here have ingredients that fight the growth of acne, and help you get rid of acne marks too.

Creams, lotions and other products, which are used in the treatment, focus on getting rid of acne, in the long run. Keep in mind that acne is the result of genetics, poor diet, hormones, and lifestyle. The best facial treatments that help in getting rid of acne include creams and lotions suitable for your skin type. As the skin is kept free from pore-clogging dust along with environmental pollution acne is avoided.

Led/Photon/Photo Rejuvenation is a excellent way to get rid of acne as well, you want a unit that has wattage at a  minimal of 15 watts to see the best results, you can find these LED units on www.Photofacialmachines.com in the Photo facial Machines categorie.

Microdermabrasion as an Alternative to Facelifts

If you are looking for a way to get a sort of “facelift,? without having to deal with the inconveniences and invasiveness of things like plastic/cosmetic surgery, Botox injections, and chemical peels, microdermabrasion may be the thing for you. This is a treatment that many in Hollywood have been using for quite sometime, but that recently began making a move into mainstream. You can get a microdermabrasion treatment in a variety of places: the spa, your dermatologist, and even in your own bathroom. Different tools and products are used to get rid of the uppermost layer of your skin and expose the newer skin beneath.

For the most part, microdermabrasion works with the help of tiny, rough grains. Some of these are crystals (which are often used in spa and dermatologist treatments) and some of them are miniscule grains that look a lot like sand (usually in facial scrubs you use at home). No matter which method is used, however, you will find that microdermabrasion works the same way, no matter where you have it done.

Your skin actually exists in many layers. The top layers are called the epidermis, and the lower layers are known as the dermis. However, the outer part of the epidermis has its own name: the stratum corneum. This layer acts to protect all of the layers of skin below from the ravages practiced by the world. Pollution, chemicals, and make-up can all affect the skin and how it looks. Eventually the stratum corneum looks rough, dull, and old. However, simply face washing is not enough to slough off this layer of skin. Something more vigorous is need to get the skin off. This is where microdermabrasion comes in. All of that dead, unattractive skin is removed with the help of these tiny particles.

When the dead skin is removed, the entire layer, a new layer is revealed beneath. This new layer is healthy, young, and bright. The dullness gives way. Additionally, this outer layer of skin is often the one on which blemishes appear. Wrinkles and age spots make their homes in the stratum corneum. When this layer sloughs off, the appearance of such blemishes is reduced. This can help you look longer, and help your face look smoother.

Additionally, this process of microdermabrasion can be used on other places on the body. Your hands, feet, chest, and neck can all benefit from this technique. Instead of rough, cracked hands, you can reduce the look by getting rid of the top layer of skin. However, it is important to use moisturizer after this sort of microdermabrasion treatment. This way you can replenish the lost water. This is especially important when you have used microdermabrasion on the face. You can look years younger and healthier when you take advantage of this non-invasive way to improve the quality and look of your skin. Whether you go to a professional to receive treatment, or whether you take care of it yourself in the bathroom, microdermabrasion can help you look and feel years younger.

Microdermabarasion come in many versions, can be a dedicated Diamond Microdermabrasion or combo units like our best seller the Nova 6 in 1 Diamond Microdermabrasion found at www.PhotoFacialMachines.com

Large Pores can cause Skin Issues

Pores are a form of opening which are usually small but if it gets enlarged then there is trouble for you. It is an opening for glands onto the surface of the skin. These pore secretes oil which lubricates also protecting the surface of your skin. If proper care is not taken then these small pores can be devastating for your face.

During the time of puberty there are always chances of the pores to enlarges as it has to remove the excess oil at that point of time. Enlarged pores are trouble for everyone and it can be undone due some plain and easy methods of skin care treatments. People having oily skin have to suffer more and with the passage of age it keeps on increasing. It can be mostly seen on the T-zone which can be due to hereditary factors too.

These pores if partially blocked pores can cause the arrival of blackheads which is mainly affected due to the dirt which causes lot of problems. You can use mainly different methods to remove these pores. Some methods of doing it would be a simple home remedy such as the use of milk which is one of the easier ways of skin cleansing. By doing this the dirt which cannot be seen by the naked eye can be cleaned and your T-zone would be new as ever, but by using regularly.

There is no better treatment for large pores then blue light producsed by a LED/Photon Rejuevenation Machine, blue lights helps shrinks large pores on the skin.  These units can be found for as little as $99 on www.Photofacialmachines.com

Anti Aging Steps for Beautiful Skin

When it comes to looking your best, the first thing on everyone’s mind is usually reversing the aging process. As we get older, our skin gets more and more wrinkled and there’s not much we can do about it. Until now, that is. Now, more products are being released to rejuvenate the skin and literally turn back the clock. These creams and vitamins reverse the aging process, reduce the appearance of fine lines and wrinkles and, put simply, make us look younger. Anti aging skin care is the use of these products and it can definitely help us to look younger, more vibrant as well as help us look our very best.

Many Products Available

There’s nothing to it, really. There are many creams, vitamins and other products available that are sold wherever cosmetics are sold. It used to cost a fortune to follow an anti aging skin care program. Now, however, their products are everywhere. You should be able to find some anti aging products that are within your budget.

It should be noted that using anti aging skin care products is only half the battle. There are other factors that have influence on how we look and feel, such as diet and how much sleep we get each night. When it comes to looking our best, nothing beats eating a healthy diet, getting plenty of sleep and drinking lots of water. If you do all that and you follow an anti aging skin care program on top of it all, you’ll be closer to looking your best than ever before.

Hollywood’s Youthful Obsession

Hollywood is obsessed with looking younger and, just as it has been throughout history, people want to emulate movie stars. For this reason, anti aging skin care products are sold in most departments and drug stores all over the world. It is the latest craze and, unless you have the money for expensive surgery and other anti aging procedures, skin care should be your first line of defense.

So, the next time you’re out with your friends and they tell you there’s something different about you, that you look great, you can either tell them about your new skin care program or you can simply shrug and tell them you’re not sure. Maybe you just started getting a little more sleep each night. You can either tell them or hold the secret to yourself. The point is, you’re going to look your best and everyone will want to know your secret

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