Cosmetic Dermatology Cosmetic dermatology treatments, find cosmetic dermatologists and protect your skin

5Feb/14Off

Differences between Dermal Fillers and BOTOX

If you are considering injectables for your anti aging solution, chances are that you have wondered about the differences between BOTOX and dermal fillers. The biggest difference between the two is that BOTOX is a muscle relaxer and products like Juvaderm and Collagen are fillers.

BOTOX is more for dynamic wrinkles or creases caused by movement, like frowning or squinting. Bototulinum toxin, which is in BOTOX, temporarily impairs the nerve functioning of the muscle, so the relaxed muscle is unable to produce the movement that results in the wrinkle.

Dermal Fillers are best for wrinkles or creases when your face is relaxed, also known as static wrinkles. These static wrinkles form over time as the skin loses its elasticity. Dermal fillers help to reduce these type of wrinkles by adding volume to plump up the tissue, providing a natural, more youthful look. There are also fillers like Radiesse and Sculptra that jump start your bodies natural production of collagen, which delivers longer lasting results.

Both of these two solutions have different products that yield different results, depending on your goals. In addition to BOTOX, there is another product called DYSPORT which works very similar to BOTOX, however DYSPORT can spread a little further and may show results slightly faster.

Similarly, dermal fillers also have several different product options, such as, Juvederm, Restylane, Scuptra and Radiesse. Juvederm or Juvederm Plus is the “next generation” smooth gel filler that has become very popular due to the ease of insertion and minimal discomfort. Juvederm Plus is a little thicker than Juvederm, which works better on deep folds and creases. Restylane is also made of a substance called hyaluronic acid (HA), which is naturally found in our body, but similar to collagen, we also lose HA as our age matures. Restylane allows physicians to subtly “sculpt” your face to restore fullness. Sculptra is a collagen replacing dermal filler that is injected a bit deeper. This is a great option for those who have lost excessive fat in their face, filling out hallowed temples and for shallow wrinkles. Radiesse is similar to Sculptra in that it is also a collagen replacer that also stimulates your bodies natural production of collagen. This calcium-based dermal filler is thicker than most fillers and is especially good at adding volume to deeper wrinkles and folds.

Since everyone’s body is different, it would be wise to consult a physician at your local Medical Spa to get more information on the best solution for your goals.

31Jan/14Off

Cosmetic/Medical Dermatology

I have severe acne and new wrinkles, where should I go?

In this day and age, there are more cosmetic procedures available to you than there has been ever before. If you have ever been concerned about your appearance and sought out on remedying your imperfections, discovering the best treatment for you can certainly be an uphill battle. This is because there are many many services offered by either certified medical or cosmetic dermatologists, or people that pretend to be so.

Your first step in seeking treatment for dermatological imperfections is to search locally. Search yelp and discover the local places that treat your issue. Next, you want to vet that location through their website. Ensure their physicians are board certified cosmetic or medical dermatologists. For example, this cosmetic dermatologist in Manhattan Beach lists her Board Certified status right on the home page of the website as well as within her bio. You can also take the step to ensure your dermatologist has Board Certified standing by searching for them in directories such as The American Society of Dermatological Surgery (www.asds.com). Also take some time to ensure past patients were satisfied with their results through the testimonials/reviews or the photo gallery.

Do I need a medical dermatologist or a cosmetic dermatologist?

This depends on what your concerns are with your skin. Medical dermatologists diagnose, treat, and prevent diseases that affect the skin, hair and nail, for example, skin cancer. While a cosmetic dermatologists treats the skin, hair, or nails using a treatment that is meant to improve the patient’s appearance rather than treat a disease. For example, a cosmetic dermatologist can treat wrinkles or acne while a medical dermatologist can treat skin disease and also acne. Many times, Cosmetic dermatologists are also medical dermatologist and sometimes even surgical dermatologists. This just means that they have the skills and experience to treat all of your dermatological needs.

Does this mean a cosmetic dermatologist can perform surgery?

Yes, IF that cosmetic dermatologist is also a surgical dermatologist. As mentioned, many dermatologists practice not only medical dermatology but cosmetic dermatology, surgical dermatology, as well as medical dermatology. Some examples of treatments dermatologists perform that fall into cosmetic dermatology are surgery to diminish acne scars, injecting dermal fillers such as Juvederm Voluma or injectables such as Botox to give the aging face a more youthful appearance. Another example would be laser surgery such as the Intese Pulsed Light (IPL) Photofacial to diminish or remove small veins, age spots, tattoos or wrinkles.

What examples fall under medical dermatology?

Medical dermatology is the diagnosis, treatment, or prevention of diseases that affect the skin. Diseases such as acne, lumps or growths, moles, rosacea, skin cancer, uneven pigmentation, or melasma are some examples that medical dermatologist can treat.

26Nov/13Off

Men and Cosmetic Surgery – Infographic

The number of male patients undergoing cosmetic procedures has been growing exponentially. Every year more and more  men of all ages and all walks of life are requesting plastic surgery for cosmetic reasons. Minimally-invasive cosmetic procedures and facial rejuvenation procedures fueled the growth. Check out this Infographic provided by a cosmetic surgeon in Beverly Hills specializing in minimally invasive cosmetic procedures to learn more about the most popular cosmetic procedures among male patients.

Men and Cosmetic Procedures

23Oct/13Off

Non-Surgical Revolution

We’ve all heard about plastic surgery, you go under the knife and come out with a different nose, face, arm, legs or breasts! Though traditional plastic surgery comes at a costly price, not only do you pay out of pocket but you also pay in pain and time out of work so sometimes having plastic surgery can be a little more difficult than we would actually like it to be. So what are our other options? Not necessarily knew to the cosmetic world but also not as popular are Non-Surgical cosmetic treatments. Non-surgical treatments have become ever so popular in the United States as well as internationally because of the convenience these non-surgical treatments offer.

Injectables and Dermal Fillers

Non-surgical treatments can include anything from injectables/dermal fillers, to laser treatments, and even body contouring which is why they are gaining popularity rapidly. These types of non-surgical treatments claim to have little-to-no downtime, or time away from the office or being active, little-to-no pain, non-invasive (no knives!) and for the most part, cost significantly less than traditional plastic surgery.

Non-surgical procedures such as injectables and dermal fillers like Botox, Dysport, Radiesse, Restylane, Juvederm, and Sculptra improve the appearance of aging on your face. Botox and dysport are very simple treatments that can temporarily smooth and reduce the appearance of deep folds, wrinkles, crow’s feet and frown lines. Botox is also FDA approved to help improve excessive sweating and severe migraines. Dermal fillers such as Restylane, Juvederm and Radiesse work to restore volume and fullness to the skin and to correct moderate to severe wrinkles and folds. These dermal fillers have become increasing popular because of their safety, the dramatic and immediate effects, and they have the ability to last up to a year. Sculptra is another injectable that is known for replacing lost collagen in the face. This protein is responsible for skin strength and elasticity and can also help improve sagging skin.

Laser Treatments

Other popular non-surgical treatments include laser treatments that work to treat many different areas of the body from the face down to your legs. Skin tightening therapy with the Sciton BBL laser technology offered at this dermatology practice in Torrance, CA  uses a combination of cooling and pulsed light treatment to create a rise in temperature used to activate the collagen in your skin. Results can be seen immediately after treatment with a series of treatments ever 2-4 weeks while the skin continues to improve over the next six months. Other types of laser treatments include laser acne treatment, laser hair removal, and even spider vein treatments that traditional plastic surgery cannot repair.

15Oct/13Off

Anti-aging Non-Surgical Cosmetic Procedures at Any Age

As we age, our bodies change and so do the expectations about how we look. Whether the focus is on rejuvenating the skin or restoring definition to the face, you can be beautiful at any age with the help of non-surgical cosmetic procedures. begging from the teenagers years, this Infographic offers suggestions on what types of non-surgical and non-invasive procedures would be beneficial to your skin.

 

Non-invasive cosmetic treatments Encinitas

3Sep/13Off

ASAPS Trends: Non-Surgical Cosmetic Procedures

Every year the American Society for Aesthetic Plastic Surgery compiles statistics on the year’s before trends in cosmetic surgery. The statistics vary through the years but typically include “Plastic Surgery Timelines”, “Top 5 Surgical and Non-Surgical Cosmetic Procedures”, “Economic, Regional and Ethnic Information” and “Top 5 Cosmetic Surgeries for Women and Men”. These statistics are great for understanding the Plastic Surgery industry and even for consumers to know the most popular treatments offered in the industry. The following is a quick rundown of the top non-Surgical treatments in the plastic surgery industry and why they rank at the top of the list.

Since the ASAPS began the statistic of “Top 5 Non-Surgical and Surgical Cosmetic Procedures” in 2000 there have been three major contenders that have ranked the top three within the non-surgical category for at least 9 years. These top contenders include Botox, Hyaluronic acid (Dermal Fillers), and Laser hair removal known for their effectiveness and low cost. The last two places in the top 5 rankings usually change between different laser treatments, microdermabrasion, and chemical peels known also for their value and effectiveness. The 4th and 5th positions in the ranking can be determined by new trends within the industry in those years as laser technology has soared in the most recent years.

Botox and Hyaluronic Acid

Botox and Hyaluronic has continued to rise to the top of the ranks every year popular for its cosmetic uses particularly as the number one solution for wrinkles, crow’s feet, and other unsightly facial lines. Botox is a prescription medication while hyaluronic acid (dermal fillers) does not require a prescription. Hyaluronic acid as actually found naturally in the body which makes it a good choice as a dermal filler because of its compatibility with your body. Botox is also FDA approved for migraine headaches and excessive sweating but also used for other surprising uses not FDA approved such as Gummy Smile, Botox “boob job”, and hair rejuvenation.  Botox is ranked #1 and used widely for many different reasons because of its easy access, application, length of treatment benefits, and the effects of the treatment. Hyaluronic acid is found in naturally in the soft connective tissues and in the fluid surrounding your eyes. When this gel is injected it behaves like cushion or pillow to support your facial structure that might have lost volume and elasticity due to aging. Hyaluronic acid is also currently used to treat aching joints of those with arthritis to ease pain. Botox is supplied in almost every city, has an 82% improvement rate within a week, takes 30 minutes to apply, and lasts an average of 4 months. Dermal fillers are also immediately available in most cities. Hyaluronic acid comes in a few different forms unlike Botox such as Juvederm, Radiessse, Restylane, and Sculptra. The application is similar to Botox, taking only 30 minutes however the efficacy of the treatment can last from 9-24 months depending on the hyaluronic acid brand. The usability, accessibility, and ease of Botox and hyaluronic acid makes it easy to see why Botox and hyaluronic acid still ranks in the top 3 non-surgical treatments for the last decade.

Chemical Peels and Microdermabrasion

Chemical Peels and Microdermabrasion have also landed a few spots on the ASAPS Top 5 Non-Surgical Cosmetic Procedures over the last decade however their strength is not as great as that of Botox and hyaluronic acid. They are however still on the top 5 because of their ease of access and they are the least invasive procedures to improve the appearance of your skin. Chemical peels improve acne and acne scars, age and liver spots, fine lines and wrinkles, freckles, irregular skin pigmentation, rough skin and scaly patches, scars, and sun-damaged skin. Chemical peels use a gentle chemical solution to smooth skin while Microdermabrasion uses a minimally abrasive instrument to gently sand the skin to remove the thicker, uneven outer layer. Microdermabrasion is used to treat light scarring, discoloration, sun-damage, and to lessen the appearance of stretch marks.  Unlike chemical peels, the microdermabrasion technique also helps to thicken collagen, resulting in a younger complexion.  Both microdermabrasion and chemical peels work to make your skin look smoother, younger, and smooth by gently removing the damaged outer layers. Microdermabrasion application can last for about 30 minutes with very minimal discomfort while a chemical peels, depending on the strength can last from 10 minutes to 2 hours with some resulting temporary redness, hyperpigmentation and stinging.  Microdermabrasion and chemical peels are widely used and continue to rank on the top 5 lists because of their ease of access, no downtime and effective results.

Laser Treatments

Laser treatments have also been a staple of the ASAPS Top 5 Non-Surgical Cosmetic Treatment Statistics. More specifically, Laser hair removal has continuously ranked on the chart at the # 3 top ranked non-surgical procedures over the last few years. Other laser treatments such as the IPL treatment and laser skin resurfacing treatment have grazed the charts over the last few years as advanced laser technology begins to soar. Laser hair removal is an obvious choice for a top rank on the ASAPS statistics as men and women from young to old benefit from the treatment effects. Laser hair removal works by producing beams of highly concentrated light into hair follicles. The pigment in the follicles then absorbs this light destroying the hair. Laser hair removal is so common because of its precision, speed of treatment, and predictability. The laser can treat an area the size of a quarter every second while some areas can be treated in less than a minute and a larger area up to an hour. 90% of patients have permanent hair loss after an average of three to five sessions making laser hair removal more appealing than waxing, shaving, or tweezing. Laser skin resurfacing such as the Fraxel re:store Dual system has grazed the statistics with its presence here and there over the years however, time will tell as this laser has a 66% “worth-it” rating from Realself.com, a educational community of patients, dermatologists and cosmetic surgeons. The Fraxel laser skin resurfacing provides skin resurfacing with minimal downtime using wavelength technology used to address pigmentation, acne scars, photo-damage, and discoloration with fast recovery pain-free.  This laser skin resurfacing is similar to the benefits of a chemical peel or microdermabrasion with less redness and pain.

Well, there you have it, the most common treatments in the non-surgical cosmetic statistics by the ASAPS and why they make the charts. Only time will tell what will be on the charts next year but we have a very good feeling that Botox, hyaluronic acid, and laser hair removal will still rank top 3 on the statistics. With laser technology advancing, it’s very possible next year we will see a bigger trend in the laser non-surgical cosmetic industry.

 

23May/13Off

Should 20 Somethings Have Botox?

Recently there's been a lot of noise about younger people choosing to have Botox Cosmetic and whether or not this is a good thing for them to do at this young age. The mindset that these 20 something year old's are taking is that they want to prevent wrinkles before they happen and they feel that Botox is something that can help them in the fight against aging.

And if you're not familiar with Botox, where have you been!  It's a neurotoxin that is injected into wrinkles, and/or little folds in the face that relaxes the surrounding muscles and nerve endings causing the wrinkles to smooth out.  It's become a beauty secret among many women across the world today.  Actually, I shouldn't leave the men out as many men are now choosing this simple treatment to get rid of unwanted facial wrinkles.

The Media's Spin On 20 Somethings Having Botox

The media has chosen to highlight 2 main issues; safety and effectivness of having the treatment at 20 something versus having it later in life to treat existing wrinkles or problem areas.  The main story goes on to say that of the 6.1 million Botox injections performed in 2012 almost 100,000 of those injections were for patients in their 20's which represents about a 10% increase from the previous reporting period.

A dermatologist is quoted as saying, "the younger you start the younger looking you will stay."  Which I'm quite sure not all dermatologists will agree with.

Should 20 Something Year Old's Start Botox Treatments Before They Begin To Age?

There's been no real definitive conclusions on this, some have started as early as 18 but many dermatologists say they refuse to inject anyone under age 30.  It's really a personal decision between you and your doctor that you'll need to make if you're considering it and you're in your 20's (or even younger).  More information on the ABC new story here.

22May/13Off

Botox Cosmetic – Is it Right For You?

Only you and a qualified doctor can determine if it's right for you, and if you're looking for  Botox Cosmetic in the Manhattan beach area this blog post will provide some very relevant information for  you.  First, let's talk about what Botox is and how you go about having the procedure done.

First and foremost just be aware that it involves injection of Botox directly into the skin, so if you're squeamish about needles or shots you'll want to know that up front.  It's the price of beauty, right?  Overall, the goal is to reduce the visible signs of aging, specifically to treat wrinkles, fine lines and crow's feet. I recommend this procedure to patients who want younger, more vibrant skin. Botox is a great alternative to other cosmetic treatments because it does not require general anesthesia or cutting.

Who Is A Good Candidate for Botox?

The ideal candidate for Botox cosmetic is someone who is between the age of 18 and 65. Interested candidates should also be in good physical and mental health. Additionally, people who want to get Botox cosmetic should have realistic expectations.  It is important to note that Botox is not recommended for women who are pregnant or breastfeeding.  I always perform a thorough evaluation on my patients to make sure that they are good candidates for Botox.

How Long Do The Results of Botox Last?

For most patients, the results of Botox will last anywhere from four to six months. However, it is important to note that individual results can vary. Patients will have to periodically get Botox injections if they want to maintain the results.

What Are Some of The Potential Side Effects of Botox?

Botox is a very safe procedure, and the vast majority of my patients do not have any problems with it. Temporary bruising is one of the most common side effects, but it will usually subside with two weeks. Eyelid drooping, headache and allergic reaction are other potential side effects, but those are extremely rare.

How Do I Prepare To Get Botox?

Patients who consume alcohol should avoid drinking for at least one week prior to their procedure. I also recommend that patients avoid taking anti-inflammatory medications at least two weeks prior to their procedure. Anti-inflammatory medications have been shown to increase the risk of bleeding.

Is Botox Painful?

Patients may experience discomfort during this procedure, but it is usually brief and minimal.  If the patient is concerned about the discomfort, then I will numb the area with a topical anesthetic or cold pack prior to administering the injections.

How Long Does This Procedure Take?

The entire Botox procedure can be completed in about 10 minutes. In fact, many of my patients come in my office during their lunch break, get the procedure done, and then go right back to work. There is no downtime necessary.

15Apr/13Off

The Effects of Stress on The Aging Process

It's not exactly clear whether or not chronic stress can cause wrinkles and grey hair but it certainly does seem to be the case.  When you look at photos of presidents as they start their presidency versus the end of the term, the differences are amazing (and not in a good way).  In just four years President Obama looks like he's aged at least 8 years.  George W. Bush looked as if his 8 years in office aged him 16.

So what do you do if you have a high stress job, or just a stressful life for some reason?  Are you doomed to looking old and wrinkly because of your stress?  Not if you know a good doctor who knows how to wield weapons of anti aging like dermal fillers or even Botox Cosmetic.

Dermal Fillers and The Fight Against Aging

Juvederm is a dermal filler used the most and your doctor can use it to fill in those laugh lines, wrinkles and even those marionette lines around the mouth.  Juvederm can erase the visible signs of stress and aging by simply filling in those little tell tale signs.  Even if you don't have a stressful job (or life for that matter) you will undoubtedly still show the normal wear and tear on your face as you age.

Age Gracefully or Fight it With Your Doctor?

That's the question.  You've seen it done well either way, right?  You've seen some people who wear wrinkles and aging well.  Think Clint Eastwood, he looks rugged and still good with these visible signs of aging.  You've also seen the people fighting it too much as well.  Think Bruce Jenner or any of the Real Housewives of Beverly Hills, they look strange and it's obvious they've simply had too much Botox.

Find your balance with it...  find a good doctor who won't let you overdo it.  Keep some of the fine lines and smooth out only those that detract from your overall appearance.

 

 

27Mar/13Off

What’s the difference with the ‘Toxins on the Market?

When doctors, nurses and injectors use the term 'toxins' they aren't referring to anything bad for you.  Well, at least we don't think so.  What they are referring to are a class of neurotoxins affectionately referred to as toxins.  Currently the neurotoxins on the market are Botox Cosmetic, Dysport and Xeomin.

So What's The Difference Between Botox, Dysport & Xeomin?

For starters they are each made by different manufacturer's, although they are each considered large pharmaceutical companies.  Allergan makes Botox Cosmetic, Medicis makes Dysport and Merz Aesthetics makes Xeomin.  The way they work is the same though which is why they are all in the same class of drug.  They paralyze the nerve endings in the areas in which they are injected (frown lines, crows feet and between the eyebrows).

It's tough to say which one works the best as it really just depends on which product your body happens to respond to best.  Botox and Xeomin are dosed at the same strength while Dysport normally takes twice as much product to get a good effect.  Again, it just depends on your body and which particular product you respond to the best.

Where Do You Get Botox, Dysport or Xeomin?

See your doctor, dermatologist and/or medispa.  These products are administered only under the care of a qualified injector so you'll want to do your homework.  The skill level of the injector will play a role in how good your result is.