Skin Wellness

Center for Advanced Dermatology and Laser

The Doctor's Blog

Our very own Skin Wellness Dermatologist, sharing her insights and actual clinical experience on skin care and treatments.

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What is TCA CROSS?

Posted on July 26, 2016 at 9:45 PM Comments comments (3)

What is TCA CROSS and how does it work?

 

TCA CROSS is the chemical reconstruction of skin scars (CROSS) using trichloroacetic acid (TCA). It is used as an inexpensive outpatient clinic procedure to treat atrophic acne scars. Acne is a common inflammatory skin condition and may result in atrophic, hypertrophic or keloid scars. Acne scars can cause significant psychological distress and social impact.

 

The TCA CROSS procedure involves depositing small amounts of TCA at high concentration (70–100%) onto the surface of the atrophic scar. This causes a local inflammatory reaction leading to the formation of new collagen fibres. The aim is to improve the appearance of the scar by increasing collagen reflectance and reducing shadows cast over scar depressions. Complete resolution is unlikely to be achieved with this treatment method alone.

 

What are the indications for TCA CROSS?

 

The decision to perform TCA CROSS depends on:

 

The type and severity of acne scarring

Patient preference and expectations

Clinician experience and expectations

TCA CROSS is useful in the following types of atrophic scar:

 

Boxcar acne scars

Rolling acne scars

Ice-pick acne scars

Boxcar acne scars

Boxcar scars Rolling acne scars

Rolling scars Ice-pick acne scars

Ice-pick scars

Acne scars

Assessment of acne scars

 

Acne scar severity can be graded using Goodman and Baron’s qualitative acne scar grading system to allow objective pre and post-treatment comparisons.

 

1. Macular scars

 

Macular scars can be erythematous, hyperpigmented (brown) or hypopigmented (pale) flat marks. They do not represent a problem of contour like other scar grades but of color.

 

2. Mild atrophic or hypertrophic scars

 

Mild atrophic (thin) or hypertrophic (thick) scars may not be obvious at social distances of 50 cm or greater and may be covered adequately by makeup or the normal shadow of shaved beard hair in men or normal body hair if extrafacial.

 

3. Moderate atrophic or hypertrophic scars

 

Moderate atrophic or hypertrophic scarring is obvious at social distances of 50 cm or greater and is not covered easily by makeup or the normal shadow of shaved beard hair in men or body hair if extrafacial, but is still able to be flattened by manual stretching of the skin (if atrophic).

 

4. Severe atrophic or hypertrophic scars

 

Severe atrophic or hypertrophic scarring is evident at social distances greater than 50 cm and is not covered easily by makeup or the normal shadow of shaved beard hair in men or body hair if extrafacial and is not able to be flattened by manual stretching of the skin.

 

How is TCA CROSS performed?

 

TCA CROSS is technically straightforward to perform and can be undertaken in a matter of minutes, depending on the number of scars to be treated.

 

The patient should be in a comfortable semi-recumbent position and remain still during the procedure.

The skin is cleansed with chlorhexidine/saline soaked gauze.

A fine blunt end-point instrument (such as a tooth-pick) is dipped into TCA and the excess is removed.

TCA is focally applied to the base of the atrophic scar.

The instrument is removed at the start of frosting of the skin surface (usually within 10 seconds).

The procedure is repeated for appropriate remaining scars.

The skin is intermittently cleansed using saline/chlorhexidine soaked gauze.

Great care should be taken to avoid sensitive surfaces (eyes, mucosal surfaces). Eye covers may be used. Emergency eye irrigation equipment should be at hand.

 

Trichloracetic acid for TCA CROSS procedures Applying trichloracetic acid for TCA CROSS procedures Frosting after applying trichloracetic acid in TCA CROSS procedure

TCA CROSS procedure for acne scars

After the procedure

 

The patient should be advised:

 

Frosting of the scar surface will last up to 12 hours

The skin around the treated sites will be red and sore for 24 to 48 hours

After 2 to 3 days a small scab will develop, which falls off after 3 to 7 days

He or she may wash as normal, and may apply make-up if desired

Sunscreen is recommended to reduce the chance of pigmentation

Most patients require 3 to 6 treatments with TCA CROSS for optimum improvement. Treatments may be repeated at 2 to 8 week intervals over 6 months.

 

Complications of TCA CROSS

 

TCA CROSS is generally well tolerated . Complications are rare when treatment is undertaken by an expert. They may include:

 

Prolonged local irritation and erythema

Damage to mucosal surfaces, ie lip, nostril, conjunctiva or cornea (eye) leading to painful ulceration and potential scarring, if TCA is inadvertently deposited on these sites

Post-inflammatory hyperpigmention (usually transient) or hypopigmentation (may be permanent)

Coalescence of adjacent scars to form larger scars

Sub-optimal response or lack of improvement in scarring

Treatments combined with TCA CROSS

 

Treatments that can be combined with TCA CROSS for acne scars include:

 

Topical retinoids

Microneedling — Dermaroller, Dermapen

Fractional laser treatment

Subcision

What is the outcome following TCA CROSS?

 

When used correctly, TCA CROSS is moderately effective for atrophic acne scars. Patients may expect a 1 to 2 grade improvement in their acne scars over a 6-month period.

 

Greater levels of patient satisfaction are associated with more severe pre-treatment scarring.

What is SUBCISION?

Posted on July 26, 2016 at 9:40 PM Comments comments (0)

Subcision

 

What is subcision and how does it work?

 

Subcision is a minor surgical procedure used for treating depressed cutaneous scars and wrinkles. It is also called subcutaneous incisional surgery.

 

Subcision is performed using a special hypodermic needle inserted through a puncture in the skin surface. The sharp edge of the needle is used to break fibrotic strands that are tethering the scar to the underlying tissue.

 

The release of the fibrotic strands and new collagen deposition caused by wound healing leads to cosmetic improvement of the scar. Subcision can be safely performed in the outpatient setting and is usually well tolerated.

 

What are the indications for subcision?

 

The decision to perform subcision will depend on the type, location, and severity of scarring; patient preference and expectations; and clinician experience and expectations.

 

Subcision may be used for the treatment of:

 

Depressed distensile scars (due to acne, trauma, surgery )

Depressed bound down scars (due to acne*, varicella (chickenpox), trauma, surgery )

Depressed skin grafts

Wrinkles

Cellulite dimples

*excluding deep ice-pick scars

 

Acne scarring

Rolling acne scars © Dr Ph Abimelec

dermatologue Acne scarring

Boxcar acne scars

Acne scars

What are the contraindications to subcision?

 

Subcision may not be suitable in the following circumstances:

 

Patients with a history of hypertrophic or keloid scars

Current or recent (within 6 months) systemic oral retinoid (eg acitretin, isotretinoin)

Bleeding or blood clotting disorders (coagulopathy)

Active bacterial or viral infection

Assessment of acne scars

 

Acne scar severity can be graded using Goodman and Baron’s qualitative acne scar grading system to allow objective pre and post-treatment comparisons.

 

1. Macular scars

 

Macular scars can be erythematous, hyperpigmented (brown) or hypopigmented (pale) flat marks. They do not represent a problem of contour like other scar grades but of color.

 

2. Mild atrophic or hypertrophic scars

 

Mild atrophic (thin) or hypertrophic (thick) scars may not be obvious at social distances of 50 cm or greater and may be covered adequately by makeup or the normal shadow of shaved beard hair in men or normal body hair if extrafacial.

 

3. Moderate atrophic or hypertrophic scars

 

Moderate atrophic or hypertrophic scarring is obvious at social distances of 50 cm or greater and is not covered easily by makeup or the normal shadow of shaved beard hair in men or body hair if extrafacial, but is still able to be flattened by manual stretching of the skin (if atrophic).

 

4. Severe atrophic or hypertrophic scars

 

Severe atrophic or hypertrophic scarring is evident at social distances greater than 50 cm and is not covered easily by makeup or the normal shadow of shaved beard hair in men or body hair if extrafacial and is not able to be flattened by manual stretching of the skin.

 

How is subcision performed?

 

The procedure of subcision is described below.

 

The area to be treated is cleansed to remove dirt and make-up

The scar margins may be defined with a surgical marker, adjusting overhead lighting to delineate depressions.

Local anaesthetic is infiltrated.

A tri-bevelled needle (number 18 or 20 gauge) or a Nokor needle (fig.3) is inserted at an acute angle adjacent to the scar with the bevel upwards and parallel to the skin surface. Smaller gauge needles (25–27) may be used for small superficial scars and wrinkles.

The needle is advanced through the dermis and moved back and forth in a fan-like motion. A snapping sound is heard as fibrous bands are transected in the deep dermis and deep dermal subcutaneous plane.*

The needle is rotated 90 degrees and moved again in a fan-like motion through the dermal scar (fanning subcision).

The needle is removed and squeezed circumferentially around the exit point to prevent large haematoma formation due to bleeding.

Manual pressure is applied to the wound for several minutes.

*A common pitfall is to fan too deeply in a plane below the dermis

 

Nokor needle Subcision procedure Subcision procedure Subcision procedure

The fanning subcision procedure used to treat acne scars

After the procedure

 

Immediately after subcision:

 

Pressure and ice are applied to the operated site to maintain haemostasis and reduce the risk of bleeding.

Make-up may be applied to camouflage bruised areas.

Some authors recommend antibiotics and anti-inflammatory medication.

The number and intensity of subcisions should be limited on the first treatment to review the patient’s response, particularly when treating areas with a predilection for a hypertrophic reaction after subcision.

 

How many treatments are required?

 

Individuals vary in their ability to form collagen (scar tissue). The number of subcisions required to correct a depression will depend on the type, location, severity of depression, and intensity of treatment.

 

Three to six visits suffice for the majority of cases of moderate scarring. Intervals of at least one month in-between treatments are generally recommended.

 

What are the complications of subcision?

 

The risks and complications of subcision include:

 

Haematoma due to bleeding (a small haematoma is normal)

Pain/tenderness of treated sites

Hypertrophic scars (5–10%) or keloid scars, which are most likely in periorbital skin, glabella, labial commissure and upper lip

Infection; this usually presents as localised acneform papule or pustule

Temporary post-inflammatory hyperpigmentation (advise sun protection/avoidance)

Sub-optimal response or lack of improvement in scarring

Injury to nerve or blood vessel, which is most likely in mandibular, temporal and pre-auricular sites

Treatments combined with subcision

 

Subcision as an acne scar treatment can be effectively combined with:

 

Topical retinoids

Microneedling — Dermaroller, Dermapen, which may be safely performed > 1 day after subcision

Acid peels, eg 15% trichloracetic acid applied every 4 weeks

TCA CROSS

Fractional laser treatment

What is the outcome after subcision?

 

In appropriate cases, the results can be excellent. Treatment may need to be repeated.

MICRONEEDLING, is it worth it? Realistic expectations from the Skin Wellness Dermatologist

Posted on September 7, 2015 at 1:20 AM Comments comments (0)

Microneedling, is it worth it?

 

 

Disclaimer:

 

 

Skin Wellness has its own effective Graded, Automated and Fractionated protocol for Microneedling (Collagen Induction therapy), from the preparations and post procedure care , and of course the doctor's expertise and experience. With this protocol and clinical setting, results are more consistent.

 

 

The described results cannot be expected from do -it -yourself dermarollers. We also advise the public against these DIY procedures since we have seen patients who came in to the clinic asking for recovery treatments from infection, uneven hyperpigmentation , needle marks, acne brought about by unexperienced hands.

 

 

Please prioritize proper skin care.

 

Treating acne scars is like painting a rainbow, to be realistic, it is never possible to use just one color.

 

Microneedling is just the indigo in a rainbow. An effective acne scar treatment will be needing different treatments, different approaches and these can only improve a scar, erasing a scar is a false promise.

 

Acne scars are common dermatologic complaints. One of the accessible treatment or instrument nowadays is a dermaroller, however, doing it yourself may not be a practical thing to do. Home use is never comparable to Clinical Setup performed by dermatologists especially when it comes to results.

 

We will be sharing with you our experience on the effectivity of Clinical Microneedling using the Skin wellness Protocol.

 

Let us give you a simple run through of the different types of acne scars and the effect of the dermaroller on each type.

 

 

Rolling scars or soft contoured scars are those that you can see right away, but you cannot point out where it exactly starts and end. This type of scar responds best to microneedling, it can sustain more stabs, more inflammation, more repair, and more collagen.

 

Box scars, are quite sharp and well defined. This definitely needs some subcision, to release the retracting fibers on the base of the scar.

 

Ice pick scars are the very small scars that may seem to be just open pores, especially at the sides of the nose, but they area actually ice pick scars. This definitely needs a better treatment, like TCA cross, or a fractional laser.

 

Atrophic scars, are thin surfaced scars, just like cigarette paper. These can also be depressed scars. Microneedling with the help of some infusions of the epidermal growth factor can help improve the surface and add volume for a more even surface.

 

The other types of acne scars, the red hypervascular scars and hypertrophic scars are nice to mention, but they need a different set of treatment.

 

The severity is the depth of the acne scar, and will be described as mild, moderate and severe.

 

We have seen astonishing results with some of our patients, 80 to 90 percent subjective improvement in just 4 sessions. On the contrary, two patients, out of more more a hundred, seemed resilient to the wounding effect of the microneedling, less penetration, less bleeding, less repair process, thus getting poor effects, and shifted to different treatment options after 4 sessions.

 

Some patients with severe scarring, despite doctor's advise, are so hopeful on single session of microneedling combined with subcision, some with very deep mixed scars expect dramatic results after 3 sessions of basic microneedling and ended up heart broken.

 

Mild to moderate scarring

 

For mild to moderate acne scars, comprising mostly rolling scars, a reliable quality microneedling session, essential infusions and good doctor’s skill and experience can deliver 50 to 70% overall improvement on the average after 6 sessions. And you will notice substantial improvement as early as the second session.

 

Severe scarring

 

For severe acne scars, this is a different story, microneedling can help start up new collagen formation, but definitely needs support from other treatments, combining subcision together with microneedling in a single session is a good option. This lessens the overall downtime. Alternating microneedling and fractional laser is also being done. You will need at least 4 sessions to see significant improvement.

 

 

 

So what made the difference? These are some factors that we noticed giving favorable results.

 

Combination of different acne scar treatment modalities always give better results.

 

Age, the younger the better. Skin Repair is better too. Old , wrinkled skin needs way more collagen to correct wrinkles, then the acne scars.

 

Newer acne scars improve faster than the older ones.

 

Smooth contoured improves the fastest , then the box scar (if combined with subcision) , lastly the ice pick scars.

 

Genetics really play a role, there are people who have good healing process and collagen formation.

 

Intake of Vitamin C and E, helps in the repair process.

 

Chubby faces respond better. wider and better plane and surface area for needle penetration.

 

Scars on the cheeks improve first .

 

Non smoking patients get faster healing time.

 

Microneedling is a good starter treatment, it only has 3 days downtime, practically the shortest amongst the other acne scar treatments, minimally invasive, well tolerated and improves the 3 common types of scars, gives 50 to 70% improvement on mild to moderate scarring, long intevals between treatments, and now made more affordable.

 

A good discussion with your dermatologist is essential in knowing realistic expectations.

 

 

 

Disclaimer:

 

Skin Wellness has its own effective Graded, Automated and Fractionated protocol for Microneedling (Collagen Induction therapy), from the preparations and post procedure care , and of course the doctor's expertise and experience. With this protocol and clinical setting, results are more consistent.

 

The described results cannot be expected from do -it -yourself dermarollers. We also advise the public against these DIY procedures since we have seen patients who came in to the clinic asking for recovery treatments from infection, uneven hyperpigmentation , needle marks, acne brought about by unexperienced hands.

 

Please prioritize proper skin care.

 

 

Dermaroller (Microneedling) Realistic Expectations

Posted on April 3, 2012 at 1:05 PM Comments comments (3)

Microneedling, is it worth it?

Disclaimer:

 

Skin Wellness has its own effective Graded, Automated and Fractionated protocol for Microneedling (Collagen Induction therapy), from the preparations and post procedure care , and of course the doctor's expertise and experience. With this protocol and clinical setting, results are more consistent.

 

The described results cannot be expected from do -it -yourself dermarollers. We also advise the public against these DIY procedures since we have seen patients who came in to the clinic asking for recovery treatments from infection, uneven hyperpigmentation , needle marks, acne brought about by unexperienced hands.

 

Please prioritize proper skin care.

Treating acne scars is like painting a rainbow, to be realistic, it is never possible to use just one color.

Microneedling is just the indigo in a rainbow.  An effective acne scar treatment will be needing different treatments, different approaches and these can only improve a scar, erasing a scar is a false promise.

Acne scars are  common dermatologic complaints. One of the accessible treatment or instrument nowadays is a dermaroller, however, doing it yourself may not be a practical thing to do. Home use is never comparable to Clinical Setup performed by dermatologists especially when it comes to results.

We will be sharing with you our experience on the effectivity of Clinical Microneedling using the Skin wellness Protocol.

Let us give you a simple run through of the different types of acne scars and the effect of the dermaroller on each type.

 

Rolling scars or soft contoured scars are those that you can see right away, but you cannot point out where it exactly starts and end. This type of scar responds best to microneedling, it can sustain more stabs, more inflammation, more repair, and more collagen.

Box scars,  are quite sharp and well defined. This definitely needs some subcision, to release the retracting fibers on the base of the scar.

Ice pick scars are the very small scars that may seem to be just open pores, especially at the sides of the nose, but they area actually ice pick scars. This definitely needs a better treatment, like TCA cross, or a fractional laser.

Atrophic scars, are thin surfaced scars, just like cigarette paper. These can also be depressed scars. Microneedling with the help of some infusions of the epidermal growth factor can help improve the surface and add volume for a more even surface.

The other types of acne scars, the red hypervascular scars and hypertrophic scars are nice to mention, but they need a different set of treatment.

The severity is the depth of the acne scar, and will be described as mild, moderate and severe.

We have seen astonishing results with some of our patients, 80 to 90 percent subjective improvement in just 4 sessions. On the contrary, two patients, out of more more a hundred, seemed resilient to the wounding effect of the microneedling, less penetration, less bleeding, less repair process, thus getting poor effects, and shifted to different treatment options after 4 sessions.

Some patients with  severe scarring, despite doctor's advise, are so hopeful on single session of microneedling combined with subcision, some with very deep mixed scars expect dramatic results after 3 sessions of basic microneedling and ended up heart broken.

mild to moderate scarring

For mild to moderate acne scars, comprising mostly rolling scars, a reliable quality microneedling session, essential infusions and good doctor’s skill and experience can deliver 50 to 70% overall improvement on the average after 6 sessions. And you will notice substantial improvement as early as the second session.

severe scarring

For severe acne scars, this is a different story, microneedling can help start up new collagen formation, but definitely needs support from other treatments, combining subcision together with microneedling in a single session is a good option. This lessens the overall downtime. Alternating microneedling and fractional laser is also being done. You will need at least 4 sessions to see significant improvement.


So what made the difference? These are some factors that we noticed giving favorable results.

Combination of different acne scar treatment modalities always give better results.

Age, the younger the better. Skin Repair is better too. Old , wrinkled skin needs way more collagen to correct wrinkles, then the acne scars.

Newer acne scars improve faster than the older ones.

Smooth contoured improves the fastest , then the box scar (if combined with subcision) , lastly the ice pick scars.

Genetics really play a role, there are people who have good healing process and collagen formation.

Intake of Vitamin C and E, helps in the repair process.

Chubby faces respond better. wider and better plane and surface area for needle penetration.

Scars on the cheeks improve first .

Non smoking patients get faster healing time.

Microneedling  is a good starter treatment, it only has 3 days downtime, practically the shortest amongst the other acne scar treatments, minimally invasive, well tolerated and improves the 3 common types of scars, gives 50 to 70% improvement on mild to moderate scarring, long intevals between treatments, and now made more affordable.

A good discussion with your dermatologist is essential in knowing realistic expectations.


Disclaimer:

Skin Wellness has its own effective Graded, Automated and Fractionated protocol for Microneedling (Collagen Induction therapy), from the preparations and post procedure care , and of course the doctor's expertise and experience. With this protocol and clinical setting, results are more consistent. 

The described results cannot be expected from do -it -yourself dermarollers. We also advise the public against these DIY procedures since we have seen patients who came in to the clinic asking for recovery treatments from infection, uneven hyperpigmentation , needle marks, acne brought about by unexperienced hands.

Please prioritize proper skin care.

 

Laser Tattoo Removal, How many sessions exactly?

Posted on March 4, 2012 at 4:15 AM Comments comments (21)

"THINK BEFORE YOU INK"

LASER TATTOO REMOVAL EXPERIENCE AMONG FILIPINOS.

 

At Present, Skin Wellness has performed one thousand laser tattoo removal cases and counting.

 

 

Everytime we meet a new client who wants a tattoo removed, an essential question always include the ' number of sessions’. A very basic question, but needs several considerations and an intelligent yet easy to understand explanation. Getting inked is so easy but removing it involves a cascade of processes , time and cost play an important factor.

 

A group of American dermatologists made this descriptive study which can predict the number of sessions needed to remove the ink. Big thanks to them. This made long discussions , guided and easy to comprehend.

 

The Kirby Desai Scale is a very good presentation of how Q Switched Nd Yag works to remove a tattoo, and how well and how fast it works. Considerations include : the skin type, the anatomy, the intensity of ink, history of scarring, colors of ink and the quality or design of the tattoo.

 

Actual clinical procedure entails detailed passes of the laser, the right settings and power, the pain threshold of the patient. Pain with anesthesia cream is bearable. Taking pain reliever tablets before the procedure helps. Laser shots are described as having small , warm needles and rubber band snaps on the skin. Bony areas are more sensitive than the muscular parts.

 

A good immune system plays a major role to make laser tattoo removal more efficient.

 

Based from actual results of Skin Wellness Clinic, an eyebrow tattoo can be erased in 3 to 5 sessions, a 10 year old amateur tattoo is hard to decipher after 5 sessions , an intricate design with thin shadow tattoo in 5 to 8 sessions, but embossed colored very graphic ones can take 10 sessions or more.

 

We have encountered tattoos which have had cover up made by tattoo artists and left devastating keloids , this will make the laser tattoo removal more complicated and less effective. Cover ups make the darker ink sink into the deeper layers of the skin. Q Switched NdYag will not leave any scarring, but it cannot reverse the scars made by tattoo cover ups.

 

Let me share with you the Kirby Desai Scale, the BEST AND ONLY predictor of how many sessions will be needed to totally removal a tattoo using the Q Switched Nd Yag Laser.

 

http://www.drtattoff.com/images/articles/Laser-Tattoo-Removal-Scale-The-Kirby-Desai-Scale-JCAD.pdf

 

Email us a photo of your tattoo with the dimensions in inches, and we will help you get your Kirby Desai Scale and the number of sessions needed.

 

And think twice before having a tattoo cover up.

"THINK BEFORE YOU INK" ... but we will help you get rid of it anyway.


For inquiries please email us a photo of your tattoo with a ruler beside it and send it to [email protected] We keep emails and photos private.

We have a newly acquired Q Switched Ndyag that delivers stronger pulses, faster results. 


ELOS laser technology

Posted on February 21, 2010 at 8:47 PM Comments comments (2)

ELOS IPL+RF - The Complete Facial Aesthetic Solution

Powered by the revolutionary elōs™ Technology,  is the complete Light solution for the successful treatment of all skin textures and all skin tones. ELOS empowers you to meet patient demand for non-invasive, aesthetic facial improvements with zero downtime.

 

 

PHOTO RFirme™ Skin Tightening

•Non-invasive treatment for skin via Wrinkle Treatment

•Superior performance and patient comfort

•Virtually painless skin tightening — without surgery

•Firm and tighten lax skin

 

Skin Rejuvenation

•Enables the only FotoFacialRF™ procedure

•Treat superficial benign vascular and pigmented lesions, including telangiectasias, symptoms of rosacea and angioma

•Resolve stubborn and resistant superficial benign pigmented and vascular lesions on lighter skin colors

 

Hair Removal

•Offer patients the most in-demand aesthetic procedure today

•Treat even minimally-pigmented hair colors and all skin colors

 

Acne Treatment

•Clinically proven, safe, effective acne treatment

•Reduce sebaceous gland activity and destroy active acne

•Significantly less energy required than conventional lasers and IPLs

 

Sublative Rejuvenation™

•Tunable fractional technology – 3 programs which emulate the tissue effects of common ablative and coagulative fractional laser technologies.

•Radio frequency energy is suitable for all skin types and has the clinical benefit of enabling lateral heat spread -- leading to the appearance of skin tightening.

•Quick treatments - full face (20 minutes), neck, chest and hands (10 minutes).

 Short treatment protocol: 3 treatments, 4 weeks apart.

--------------------------------------------------------------------------------

The Beauty of elōs

elōs equals Efficacy, Safety & Satisfaction

 

•Uses significantly less energy than conventional lasers and IPLs by combining optical energy with Fractional Bipolar radio frequency energy while delivering efficacious results.

•Features Active Dermal Monitoring™ and electrode contact check

•elōs means better results, patient comfort, and patient satisfaction

 

Skin Wellness is proud to have the ELOS technology in our clinic.

 

 

 

 

Types of Acne Scars

Posted on November 17, 2009 at 9:40 PM Comments comments (8)

Types of Acne Scars and the Effective Treatments Available

 

Most people who scar after the acne clears see soft, saucer-like depressions or pits on their skin. Sometimes the skin loses its underlying support and develops a wavy texture. As we age, these scars often become even more noticeable. The good news is that no one has to live with these scars.

3 Types of Depressed Acne Scars

1.Rolling acne scars or Soft Contoured scars

These scars cause a wavy texture in the skin.

Rolling acne scars

2. Boxcar acne scars

Often looking like large pores, boxcar scars cause boxlike walls to form on the skin.

Boxcar acne scars

3. Icepick acne scars

When these scars form, it looks like a tiny ice pick punctured the skin. Icepick scars leave deep pits with narrow openings.

Icepick acne scars

 

 

TREATMENT OPTIONS FOR ACNE SCARS AT THE SKIN WELLNESS DERMATOLOGY AND LASER CLINIC

 

 COLLAGEN INDUCTION THERAPY - FRACTIONAL MICRONEEDLING (MICROFRAX) / DERMAROLLER 

Collagen induction therapy can give us 50 to 70% over all improvement once performed under clinical settings. Most patients choose this modality primarily because of the fast downtime (2 to 3 days) and very good results.

  FRACTIONAL CO2 LASER - The GOLD STANDARD for Skin Resurfacing. Delivers faster result than other treatment modalities.Improves almost all types of scars and it rejuvenates, tightens the skin as well.

 TCA CROSS  -  FOR ICE PICK SCARS

 

 SUBCISION - FOR ROLLING, BOX SCARS

 

 MICRODERMABRASION FOR  DARK /HYPERPIGMENTED SCARS

 

 CHEMICAL PEELS FOR HYPERPIGMENTED ACNE SCARS

 

 ELOS LASER FOR RED ACNE MARKS

 

DERMAL FILLERS - DRAMATIC RESULTS FOR DEEP ACNE SCARS

 

photos of actual patients are property of Skin Wellness Dermatology and Laser Clinic


Consult our dermatologist to know the best treatment for you.


 

 

Skin Care Secrets of Hollywood Stars

Posted on November 17, 2009 at 9:24 PM Comments comments (0)

 

Skin Care Secrets of Hollywood Stars ... made super affordable.

 

Halle Berry is in her 40s, but you would never know it to look at her. And there are others just like her. Think Heather Graham, Jennifer Lopez, Ellen Pompano and Jennifer Aniston. How do they look so young?

Cosmopolitan magazine wanted to find out, so they called the dermatologists to the stars for the inside secrets to ageless skin. Here's the bottom line: It's not just what they do now. It's also what they did when they were a lot younger. "These women started taking care of their skin decades ago," Beverly Hills dermatologist Harold Lancer told Cosmo. While 20-somethings don't have to worry about wrinkles and brown spots, what you do in your 20s and 30s will determine if you have such worries in your 40s and 50s.

Here are four skin care secrets of the stars, according to Cosmopolitan magazine:

1. Celebrities are obsessive about sunscreen.

They may spend lots of time outside in exotic, sunny places the rest of us only dream about, but they never go outside without wearing sunscreen--even if it's the middle of winter. "They don't live in a cocoon to avoid rays, but they also don't lie out in the sun for hours, and believe me, they are always putting on sunscreen," New York dermatologist Albert M. Lefkovits, who treats celebrities and supermodels, explained to Cosmo.

• The takeaway: Look for a broad spectrum sunscreen with SPF 15 or higher. Apply it about 15 minutes before you go outside and again a few hours later. Also, protect your eyes and prevent crow's feet by wearing sunglasses, preferably with large lenses with UVA/UVB filters.

 

SKINWELLNESS SPF 45 SUNBLOCK GEL 15 GRAMS : P200
SKINWELLNESS SPF 45 SUNBLOCK LOTION 30ML : P350

 

 

2. Celebrities have always used retinoids.

Many scientific studies have proven the benefits of retinoids, which are vitamin-A derivatives that speed up cellular turnover. First available in the early '70s as an acne medication, Retin-A was used by today's 40-something celebrities when they were teenagers to control their pimples. It was decades later that the anti-aging benefits were realized. Retin-A encourages the production of collagen, reduces fine lines and improves elasticity.

• The takeaway: Creams with retinoids are worth the money. You don't even need a prescription anymore. Apply nightly.

 

 SKINWELLNESS RETINOID CREAM STARTS AT p350 (GOOD FOR 6 WEEKS)

 

 

3. Celebrities are exfoliating queens.

If you really care about looking younger, you need to banish the old, dull cells to look fresh and dewy. Dr. Lancer says that requires diligence about removing the top dead-cell layer by using derm-abrasion, peels or scrubs so products can penetrate better. It also increases blood flow and that in turn brings more oxygen to the skin's surface and spurs collagen production.

• The takeaway: Get a professional facial once a month to exfoliate your skin. Maintain the results in between appointments with an at-home scrub.

 

SKINWELLNESS DIAMOND PEEL 

MICRODERMABRASION  STARTS AT

p900 PER SESSION

SKIN WELLNESS GLYCOLIC ACID PEEL STARTS AT P300 PER SESSION

SKIN WELLNESS FACIAL CLEANSER WITH MICRO CRYSTALS SCRUB : p300

 

 

 

4. Celebrities never tolerate a skin freak-out.

When perfect skin is a job requirement, you quickly learn that even a single pimple just will not do. At the first sign of a skin problem, be it acne or a rash, celebrities see a dermatologist.

• The takeaway: Don't pick at your pimples, since that can cause inflammation. Do treat blemishes with an acne spot-treatment that contains salicylic acid. Wash your face every night, fully removing all your makeup, and do use the right moisturizer.

 

SKINWELLNESS ACNE REPAIR SYSTEM

STARTS AT p750

SKINWELLNESS ACNE SURGERY CHEMICAL PEEL TREATMENT STARTS AT p800 PER SESSION

ACNE INJECTION p50 PER PIECE

Botox - 10 years off in 10 minutes

Posted on March 29, 2009 at 9:40 PM Comments comments (0)

BOTOX® Injections

The cosmetic form of botulinum toxin, often referred to by its product name BOTOX®, is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. Studies have also suggested that BOTOX is effective in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.

 

Botox® for frown line reduction

There is nothing new about worry lines, frown lines, crow?s feet or other wrinkles caused by smiling, laughing or frowning and there is a very effective non-surgical way to treat them. Botulinum Toxin (BOTOX®;) is the name of the product used for a variety of medical conditions. It was discovered by accident almost 20 years ago. When doctors were using it to treat people with facial tics around the eyes they noticed it also made their wrinkles improve. The treatment has now been approved for cosmetic use under the name Vistabel®. BOTOX®. Using a micro-needle, minute amounts of Botulinum Toxin are injected into specific facial muscles. It relaxes those muscles and stops them forming lines and wrinkles, resulting in a more youthful appearance.

The treatment is virtually painless. However, it isn't a permanent remedy; periodic re-treatments are needed to achieve long lasting results.

This treatment is ideal for:

> Frown Line Reduction(forehead, eyes and crow?s feet)
> Migraine & Tension Headaches
> Hyperhydrosis (Excessive Sweating)

Botox may also be used in conjunction with cosmetic surgery including a brow lift, face lift, eyelid surgery & laser skin resurfacing to enhance and maintain results for longer periods of time.

Botox for Over Sweating (Hyperhidrosis)

Posted on March 29, 2009 at 6:32 PM Comments comments (2)

BOTOX®™ for Hyperhidrosis

Treatment of Hyperhidrosis with BOTOX®™

Hyperhidrosis is a troublesome problem that results in awkward social situations for those that are affected. For example, salesmen with sweaty palms are at a distinct disadvantage. Unfortunately, topical and oral medications, iontophoresis, and surgery have not proven to be efficacious in the majority of patients. In fact surgery can result in compensatory hyperhidrosis in other parts of the body.

 

Because the eccrine glands are innervated by sympathetic nerves that use acetylcholine as the neurotransmitter, BOTOX®™ is effective in temporarily reducing or abolishing sweat production in treated areas. Although hyperhidrosis is generally not considered a cosmetic problem, many patients will present to the cosmetic dermatologist for treatment of this embarrassing disorder.

 

 

 

 

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