Microneedling is an effective procedure for improving a variety of skin conditions. There are many techniques and devices currently in use. Microneedling can treat fine lines, pigmentation, acne, stretchmarks, scars, and skin texture. Also known as collagen induction therapy, microneedling isn’t limited to the face, it can also be used to treat other areas of the body, including the neck, abdomen, and arms. CIT continues to be a popular treatment for its effectiveness and affordability. There is no topical numbing in superficial microneedling, and a series of treatments spaced 2 to 3 weeks apart are recommended. For vertical devices which are more invasive, a topical anesthetic is applied before the procedure. A series of treatments spaced 5 to 6 weeks apart are recommended. If you’d like to see how this skin rejuvenation treatment can help improve your skin, call our NYC office for more details!
Botox, an approved brand of neuromodulator, is used to temporarily improve appearance of dynamic wrinkles (caused by movement), between the brows and crow’s feet. Its cosmetic approval for use in 78 countries, has made it a highly sought after wrinkle eraser. It has been safely used for over 20 years, and due to its longevity, it has been studied and evaluated many, many times. Botox has also been approved for medical uses, including treatment of migraines, hyperhidrosis (overactive sweat glands), and muscle spasms. At SD Aesthetics, Botox and other injectables are only performed by highly skilled physicians and plastic surgeons with superior level of training. Our physicians have done thousands of injectables and dermal filler treatments, very important for desired results. At our practice you will never find a non physician injecting these products. There are laws that designate who can and cannot administer neuromodulators and dermal fillers. Whether you’re considering Botox for wrinkles or medical reasons, you might be overwhelmed with information. So let us take a look at some common myths:
Myth: Botox can cause botulism
Fact: Even though it is derived from botulinum toxin (bacteria that causes food poisoning), amounts are very small, intended to work only at injection site, where wrinkles form.
Myth: Botox is not safe
Fact: As previously mentioned, Botox received approval by the FDA over 20 years ago to treat certain medical conditions. It has been used on millions of people. Keep in mind that any injectables for appearance enhancement are safest under the hands of a physician and recommended doses. It is of essence finding a doctor with experience to ensure safety and desired results.
Myth: My face will look frozen
Fact: Wrinkles will relax at the point of injection, usually glabellar lines and crow’s feet.
Myth: All of my wrinkles will disappear
Fact: Dynamic wrinkles are treated, that is, those lines that occur during facial expression. Botox doesn’t respond to static wrinkles- wrinkles that are already set on your face, usually a result of sun exposure and other lifestyle factors. I’ll discuss that topic on my next blog.
Myth: Injections are painful
Fact: There is some mild discomfort as with any injections, but needles are super fine. Most clients report a pinching sensation.
Myth: I will get addicted
Fact: It’s most likely you’ll become addicted to your younger, smoother appearance, making you to come back for repeated injections. Neuromodulators do not have any addictive properties.
Myth: My skin will look worse over time
Fact: Once it wears off, your wrinkles will become just how they were originally. The aging process is inevitable, so lines will continue to progress unless it is slowed down by any other anti aging treatment.
Myth: Botox has immediate effects
Fact: The onset of Botox is between 2-14 days, peaking at about two weeks. Depending on some factors, Botox lasts between 3-4 months.
Myth: Botox can be injected in any area of my face
Fact: Botox is approved for lines between the brows and crow’s feet, even though there is off label use for other areas like the neck. .
Chemical peels utilize chemical solutions to penetrate the dermis to correct damaged cells, restoring a youthful and vibrant appearance. Scarring, texture, acne, and photodamage are improved after only a few sessions. Even though there are a few chemical peels available, at SD Aesthetics we utilize TCA and salicylic chemical peels. TCA is classified as superficial to medium depth chemical peel and is highly efficacious in the treatment of wrinkles, photodamage, pigment changes, and scarring. TCA chemical peels range in concentrations from 15% to 50% and may be combined with other chemicals. TCA provides more dramatic results than superficial chemical peels. The skin is first degreased and prepared, then solution is applied. Many factors determine different levels of peeling, including concentration of chemical peel, amount of strokes applied, how hard solution is rubbed in, and even post treatment care. These are all important to consider, as this will also affect results. TCA chemical peels causes coagulation of proteins which lead to collagen deterioration. This is evidenced by frosting occurring at initial application. Erythema and edema are likely as well, with skin healing occurring around seven days. Salicylic acid is a beta hydroxy chemical peel treatment for grades III and IV acne. At SD Aesthetics a 20% or 30% concentration is used. Salicylic acid is considered superficial with comedolytic and sebostatic properties that can safely treat inflammatory and non-inflammatory pustules, with studies confirming its efficacy. Take note however, that even though salicylic acid is safe and beneficial for any skin type, those with aspirin allergies should avoid this kind of chemical peels done. After skin is degreased, salicylic acid is applied, causing mild stinging sensation, then the peel will be neutralized. Since clogging is brought to top of epidermis, more pimples will be seen, but this is only temporary. After any chemical peel skin is sensitive to the sun, so using high quality sunscreen is important.
Microneedling is a minimally invasive skin rejuvenation treatment. Microneedling improves skin’s texture, and when performed properly, microneedling is safe and benefits skin. There are few microneedling devices, basically they work similarly, delivering similar results to one another. Microneedling size is what determines extent of results. Let’s compare 0.5 and 1.0 mm microneedles.
0.5mm needle size: If fine lines, mild scarring, and hyperpigmentation is your concern, then using this micro needle size is the right fit. There is also added benefits of skin product absorption. This is specially desirable when using prescription topicals. However, this holds true for any micro needles since micro channels are being created on the skin. These are less painful than longer sizes. Numbing cream is usually not necessary. Patients describe this microneedling length as “velcro” being rolled on their skin. Erythema will most likely be present post treatment, however, recovery time is approximately a day or two. Peeling and some dryness have also been reported as well. This micro needle size can actually produce impressive results, however, it triggers mild collagen production. Therefore, six to perhaps ten treatments are required. There is minimal risk of pin point bleeding, this is normal.
1.0mm needle size: Just like other micro-needle lengths, the goal is to create micro injuries to the skin. In return, the body stimulates collagen and elastin which are the skin’s structural matrix, giving skin its resilience. This reverses and prevents the signs of aging. Micro needles work the same way lasers would, without heat (there is mcroneedling with radio frequency energy using heat, but this is not discussed here). Applying numbing cream prior to 1.0mm microneedling treatments is necessary. Erythema on the skin will be more noticeable and may last a few days longer than 0.5mm treatments. As previously mentioned, outcomes will depend on micro needle size. Now let us recap the multiple benefits of microneedling:
*Reduces fine lines and deep wrinkles using the body’s own natural healing mechanism.
*Reverses hyperpigmentation and photodamage.
*Helps aging skin.
*Improves pore size appearance.
*Increases product absorption.
Just like other skin treatments, individual results vary, however, microneedling technique has been demonstrated to be highly effective in treating signs of aging and prevention.
|At SD Aesthetics our approach to dermal fillers targets aging, and enhances your natural beauty. Dermal fillers describes treatment that restores volume to the face. Dermal fillers smooth fine lines, hollows, resulting in a more youthful look. Hyaluronic acid dermal fillers, such as Juvederm and Restylane attract moisture within the skin, keeping it hydrated. Synthetic dermal fillers such as Radiesse and Sculptra, can stimulate your own cells to produce more collagen.
Aging: As we age our body produces less collagen and elastin, that gives your skin its supple look. Lines begin to form and overall loss of volume occurs. Aside our genetic composition,extrinsic factors also yield to premature aging, including sun exposure and smoking.
Why choose SD Aesthetics? Dermal fillers should be done in a medical facility and performed by a board certified dermatologist or plastic surgeon with special and ongoing training. Choosing the right physician can determine the difference between natural looking results or “done” results. Our providers at SD Aesthetics have the experience and knowledge to discern the right filler for your face, and we use every FDA approved dermal fillers.
What happens during treatment? Fillers are injected into the skin via an ultra fine needle or cannula. Sometimes lidocaine is used to ensure a comfortable experience.
How long will I keep my results? Results vary by patient and dermal filler used. On average, results may last between five and 24 months. Dermal fillers will be absorbed by the body over time.
When will I see results? Results are immediate and may take two weeks to fully “settle”.
Which areas can be treated? Nasolabial folds,marionette lines, lips, cheeks, under eyes and tear troughs, horizontal lines on forehead, and vertical lines between eyes.
Is there downtime? No, you may return to your daily activities. You may experience mild swelling and bruising. You can minimize this by avoiding aspirin, ibuprofen, and vitamin E for a week prior to treatment.