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Our specialized treatments are
consistently updated to reflect advances in dermatology and aesthetic
care.We are continouously following the latest science and studies
to provide the best, most up-to-date and proven (as opposed to
hype) procedures and products.
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BOTOX® for
facial wrinkles/ ‘lines of self-expression’
(frown lines, ‘Crows feet’, and squinting)
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BOTOX®, one of the most commonly performed nonsurgical cosmetic
procedures, is used to diminish lines of self-expression that
occur over time as a result of frowning, squinting, and smiling.
Botox is particularly useful around and between the eyes, as
well as on the forehead. BOTOX® is also used to give a ‘lift’ to
the eyebrows and widen the appearance of the eyes.
It is used for the management of excessive underarm sweating
in this office as well, and there is growing use of BOTOX® in
other specialties of medicine, proving its usefulness in several
medical conditions. Notable is that many patients also report
that their migraine headaches are diminished with use of botox
when given for cosmetic purposes.
The procedure is simple and brief, and carries minimal chance
of side effects. Widely tested over two decades, botox is a natural
purified protein, and is administered locally, via tiny injections,
generally remaining only in the treated small muscles, and gradually
disappearing without breaking down or travelling thoughout the
body. Botox relaxes the muscle which has ‘sculpted’ the
lines. Its positive effects can last three to six months.
BOTOX® is derived from botulinum toxin, but ( like penicillin
derived from mold) we do not inject the actual toxin (as we do
not injest mold when we take penicillin...), but a single very
dilute protein derived from it is injected into specific muscles.
BOTOX® is also highly effective in the treatment of hyperhidrosis,
or excess sweating, as a revolutionary approach. Many people
suffer from overactive sweat glands of the underarms, and traditional
topical or surgical approaches to this embarrassing and uncomfortable
problem have been futile. BOTOX® can be injected directly
into the areas of sweating, producing a sweat-free environment
for months at a time.
Further information can be obtained at www.botoxcosmetic.com and www.botox.com.
Restylane is a safe, natural, and non-animal-based cosmetic ‘filler’ agent
made of hyaluronic acid gel. This substance is found in all cells
in the body, and is used to provide volume and fullness to the
skin. It binds with the body’s water to soften wrinkles
and correct skin folds. We also use restylane to enhance lips
by adding volume or by defining the margins more clearly. The
nasolabial folds, which are the frown lines that appear from
the nose down to the corner of the mouth, are very commonly treated
with this as well.
There is no need for allergy testing, and there are no animal
or human ingredients in restylane. The effects of restylane last
significantly longer than that of collagen, in that restylane
lasts typically six to twelve months.
Further information can be obtained at restylaneUSA.com.
Using a beam of highly concentrated light that is specifically
and selectively absorbed by blood vessels, the laser is able
to reduce the fine blood vessels and the subsequent red appearance
of the skin on the face. Patients can return to work immediately,
without any ‘down time’.
At a different wavelength,
the same principle is applied to brown spots, or freckling/ ‘lentigines’,
or to tattoos.
This ‘selective’ principle to the lasers described
above is applied in this different laser for hair removal to
destroy hair follicles at different body sites. Once this specific
beam of light is absorbed by the pigment in the hair follicle,
the hair follicle is destroyed. This procedure is fast, and typically
requires three to five treatments spaced from one to several
months apart. There is no ‘down time’ to this procedure,
as well.
Non-ablative laser treatment is used to harness the side-effects
of lasers to improve fine lines and wrinkles, without surgery
and procedures carrying any significant side effects. The laser
is used to stimulate your own skin to ‘remodel’ over
time, by inducing the skin to produce new collagen.
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The blue superficial blood vessels on the legs, called ‘spider
telangiectasias’, can be treated with injection using
a special saline solution which causes them to fade. Sclerotherapy
involves the injection of a sclerosing solution, into the
dilated vessels. This causes the lining of the vessels to
swell and close, resulting in both a lighter color and improvement
in the appearance of the vessels. In many cases, the veins
can be completely eliminated. Sclerotherapy remains the treatment
of choice for spider veins of the legs (as opposed to those
on the face, where V-beam laser therapy discussed above is
the standard for treatment). |
Glycolic acid, a natural substance derived
from sugar cane, is particularly useful in rejuvenating sun-damaged
skin. Discovered in the 1970s, glycolic acid has been widely
used in recent years to give skin a smoother, younger, fresher
look. It also can help control mild acne.
Also called the ‘lunch-time
peel’, it has a definite
role in improving the texture and quality of the skin. This is
especially noticeable after six applications spaced out approximately
2-3 weeks apart. It is usually necessary to have booster treatments
approximately every 1-3 months in order to maintain the effect.
Regular daily activities can be continued with no ‘down
time’. There is no overt ‘peeling’ after this
procedure. Shortly after the procedure make-up can be applied,
and one can return to work or other activities.
The peels enhance the skin texture improvements of the daily
glycolic acid regimen (see below). They are safe, nontoxic, and
may be used over extensive areas of the body such as the face,
neck, decolletage, hands, and back. Irritation to the skin is
usually minimal to absent.
Not all glycolic acid preparations are the same, and we have
carefully selected ingredients that optimize treatment and produce
consistent, superb results.
These are chemical peels designed to provide improvement of
skin texture, pigmentation, and laxity, with a short ‘down
time’, and extend the benefits of the daily Obaji Nuderm
regimen (see below).
They remove sun-damaged surface layers of
the skin. They can also eliminate precancerous skin lesions
and actinic keratoses, as well as fine lines and brown spots.
These peels are safe, with a healing time of five to ten days,
during which you will need to keep out of the public eye and
care for your newly exposed skin. TCA peels are a more aggressive
form of treatment than glycolic acid, and typically used for
patients with more advanced photoaging. It is an excellent, safe,
time-tested procedure in the hands of skilled physicians.
Our specialized treatments
are consistently updated to reflect advances in dermatology
and aesthetic care. We are continuously following and studying
the available science in skin care and rejuvenation regimens,
and provide various regimens and products addressing this, from
minimalist or simple, and more extensive and aggressive. These
include glycolic acid regimens, natural growth factors, and other
rejuvenation regimens.
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