Have You Heard of Baby Botox?

The newest injectable method involves a product we already are quite fond of, Botox. The name? Baby Botox. No, babies are not the recipients of treatment. Baby refers to getting a lesser amount of Botox injected into the target area. That way the area won’t appear as stiff as it would with a higher volume used. Learn more about Baby Botox in the article below.

“Baby Botox” (which doesn’t actually involve babies ? phew!), might just be the future of injectables.

Simply put, “Baby Botox” uses a lower volume of Botox (a.k.a. botulinum toxin injections) than a traditional injection to smooth fine lines and wrinkles. “Instead of using 25 units in an area, you may use 10 units,” Melissa Doft, a board-certified plastic surgeon in New York City, tells Allure. “I have many patients who ask for half the normal dose, as they do not want to look frozen but are tired of wrinkles in photos. First-time Botox patients are perfect for this.”

Besides the volume of product used, Baby Botox is about the technique, says Doris Day, a board-certified dermatologist in New York City and author of Beyond Beautiful. “If you’re very precise in where you put the product, you can use lower doses,” she tells Allure. These super targeted micro injections deliver the more natural, tailored look Baby Botox is so coveted for.

As compared to standard-size injections, Baby Botox lowers the risk of your features appearing to be frozen. Take the forehead, for example: “The risk is that you weaken your frontalis muscle, which causes your eyebrows to drop,” Darren Smith, a board-certified plastic surgeon in New York City, tells Allure. “If you’re getting micro doses of Botox, that’s a lot less likely to happen.”

Baby Botox can be used pretty much anywhere on your face, but it’s best to create subtle changes or to erase fine lines. “Something like this is especially nice for an area like the crow’s feet, which is a very delicate area where a subtle treatment is more effective,” explains Smith. “If someone has very deep folds, micro Botox probably isn’t going to cut it. I would offer this to someone with moderate to fine lines.”

Here’s everything you need to know about Baby Botox.

1. This is not a one-size-fits-all injection.

Botox often gets a bad rep for leaving patients looking a little frozen, but that’s the fault of bad technique, not necessarily the procedure itself, explains Day. “In many places where it’s not a trained aesthetic physician doing the injection, it’s really just inject by number,” she says. The problem with this is that no two faces, or even two sides of a face, are the same. “That cookie cutter, one-size-fits-all approach is what often gives these treatments a bad name,” says Day.

Baby Botox takes the exact opposite approach. The goal of the teeny targeted injections is all about personalization. “For me, the goal of Botox is to rebalance and restore the face so you look your most beautiful best,” says Day. “I’m so over that look of sameness.”

Of course, for your most tailored look you might need a bigger dose. When considering Baby Botox, keep in mind, “The lower dose of Botox may not remove all of the lines,” says Doft. “Sometimes patients will try the lower dose first, and if in two weeks they do not see enough improvement, we will invite them back to have the full dose.”

2. It can be used to prevent lines.

The subtle nature of Baby Botox makes it perfect for those hoping to prevent lines in the first place by starting treatment in their 20s. “Baby Botox is designed for patients who are on the younger end of the spectrum of Botox users who wish to prevent the formation of wrinkles,” says Doft.

The idea is to prevent wrinkles before they form by using Botox to manipulate the way wrinkle-causing muscles move, explains Day. “My goal is to watch how you animate and how your face is aging and redirect it.” In other words, Baby Botox can help you hold onto your baby face.

3. It can be a subtler way to maintain results.

Baby Botox can also be used as an upkeep strategy. “I really think of it as small maintenance doses of Botox over time instead of standard doses given at three- to six-month intervals,” says Smith. “The other term that describes this well is ‘tweakment’ ? subtle changes done over a longer period of time using lower doses of product at each treatment.”

Instead of letting your injection totally wear off after three to six months, monthly Baby Botox injections, which use about a quarter of a standard dose, can maintain the original look. Think of it as a bangs trim between haircuts.

If making monthly injection appointments doesn’t seem feasible, you might want to forego Baby Botox in favor of a traditional dose of Botox every three to six months, says Smith.

4. It’s potentially cheaper.

Using less product should mean spending less money, right? Maybe, but not necessarily.

In some practices, the cost of the actual product determines the price, but in others, “The cost of the treatment is based on the skill set, not the product,” says Day. In other words, seeing a trained aesthetic physician, who has the time and technique to give you tailored, micro injections, might actually be more costly than larger, more formulaic doses.

Before going under the needle, it’s important to understand the pricing structure so you don’t end up spending a fortune, stresses Smith. Monthly micro doses could end up costing you more than standard-size injections every three to six months. Talk to your doc about a Baby Botox strategy before getting injected.

Related stories:

Now, watch as a dermatologist explains lip fillers:

Source: https://www.allure.com/story/what-is-baby-botox

Lasers For Your Body

Laser technology can be used on other areas of the body besides the face. There are now laser treatments for body contouring that aim to help you lose inches in certain areas. If you take courses at the Clearskin Institute of Laser Aesthetics to become a certified laser technician, you could very well be performing these procedures one day. Learn more about laser body contouring in the article below.

Putting in very little work to lose inches off your body may sound like a Christmas miracle, but that’s what Sculpsure?the latest in non-invasive, body contouring?claims can happen in just a 25 minute procedure. After passing countless bus-stop ads for body sculpting and wondering if it’d actually be possible to get peak-Britney Spears abs, I talked to Dr. Dennis Gross, a NYC-based board-certified dermatologist and dermatologic surgeon, and founder of Dr. Dennis Gross Dermatology to learn more. Here’s how it works: The 25-minute procedure uses light-based technology to eliminate fat in areas such as the abdomen, thighs, under the chin, and love handles through lasers that heat up to 120 degrees Fahrenheit and melt the fat cells under your skin. Once they?re dead, your metabolism works to get rid of them by…eliminating the waste, if you will. Is it worth it? Read on for more about the process straight from the doctor’s mouth.

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Sculpsure is a relatively quick laser treatment

Unlike liposuction, this process “lets you do work on anywhere you have fat build up that doesn’t necessarily have to be excessive,” explains Dr. Gross. “Consider it fine-tuning or tweaking to get rid of fat that’s resistant to diet and exercise.” The fat that you lose is killed and permanently removed from the body.

The ideal candidate is already leading a healthy lifestyle

Since Sculpsure is for getting rid of stubborn fat anyone who eats right, exercises a few times a week, and leads an all-around healthy lifestyle is perfect for the process.

It takes time to see results

“You do it and you?ve got to wait six weeks to two months to see results,” says Dr. Gross. “People do it, they literally forgot they did it, and then all of a sudden they think ‘oh my gosh, I look like I?ve been dieting, but I haven?t been dieting.'”

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How much it hurts is completely subjective

It’s not comfortable, says Gross, but it’s also not horrible. For those who are more sensitive Gross suggests taking a pain killer 30 minutes before the procedure. Otherwise, it’s simply an uncomfortable feeling rather than actual pain. “It feels like a charley horse in your calf,” says Gross.

There’s zero downtime

“If you press on the area where the fat is treated you may feel a little soreness, but it?s normal and goes away in about a week,” says Dr. Gross. “There?s no recovery otherwise. You?re fine to exercise and carry on as normal.”

Sculpsure is an investment, but really works

Two to three sessions are recommended at $1600 per session, which while expensive is worth it if you have the extra cash.

Source: http://www.elle.com/beauty/a14472913/what-is-sculpsure-body-contouring/

Your Skin and Stress

If you have not thought about it, stress and anxiety can really affect your skin. Have you noticed you get breakouts when you are under pressure or going through something stressful? Other skin ailments besides breakouts can be linked to stress and anxiety too. Learn what they are and more about how your skin is affected by stress in the article below.

If you’ve been feeling super stressed, you are not alone. According to a 2017 survey of stress conducted by the American Psychological Association, over 50 percent of Americans say that now is the worst period of U.S. history in their memories. And many of us are literally losing sleep due to stress: The survey also found that 45 percent of people reported lying awake in the past month because of it.

We’ll be the first to admit that our stress can get the best of us sometimes. It not only trickles from our brains to our bodies: It can show up on our skin, too, or exacerbate existing psychological conditions that can then in turn wreak havoc on our complexions. Here’s what to know about what stress can do to your skin.

Anxiety and stress can be linked to scarring.

Tic behaviors ? for example, pulling your hair or picking at your skin ? can cause serious skin problems, says Abigail Waldman, a dermatologist at Brigham and Women?s Hospital in Boston. Sometimes, those problems can be permanent. ?There are people who cause their own balding from pulling out their hair, which is [a disorder] called trichotillomania,? she says. Waldman says that research suggests between 0.6 percent and 3.6 percent of adults suffer from trichotillomania. Researchers aren’t totally sure what causes trichotillomania, but if you do have it, stress is known to exacerbate it. Subconsciously, you might also pick at or scratch your skin, which could lead to wounds and scars.

Stress can cause flare-ups and worsen pre-existing conditions.

Eczema acting up? Psoriasis flaring again? You might be stressed out, says Waldman. A flood of the hormone cortisol can tank your immune system, a response that takes a toll on your skin and your Zen.

Stress and skin woes also have a bit of a cyclical relationship. ?Patients who have skin conditions have been shown to have higher instances of anxiety and social avoidance,? says Waldman. ?It?s all interconnected in that stress and anxiety can impact skin conditions, and having skin issues can lead to anxiety and negatively affect someone.? For what it?s worth, Waldman notes that skin freak-outs in tense times are usually NBD ? they?ll clear up in due time. But if you have chronic skin concerns that could be linked to mental well-being, check in with both a dermatologist and a psychiatric professional, she suggests.

Lack of sleep makes it worse.

Even small stressors and anxieties can add up and negatively impact the quantity and quality of your sleep. And unfortunately, skipping out on sleep doesn?t just result in you wanting to take a nap under your desk at work. It can lead to swollen eyes and dark circles, Waldman notes.

A daily moisturizer with caffeine can help lighten and tighten the eye area, says Kavita Mariwalla, a dermatologist in West Islip, New York. But there?s really no solution like getting a good eight hours of quality rest ? and not just on the weekends but through the week. ?Sleep is when our neurons recharge and our brain does its repair,? she says. ?Similarly, it?s a time when we tell patients to use medications that can also work to repair skin.?

Superanxious times can make your hair fall out.

Telogen effluvium is a condition in which the number of hair follicles that are growing hair drops, which results in hair loss. Normally, hair has a predictable pattern of growing and falling out and growing again, Waldman says. But in cases of TE, less of the hair follows this pattern and the hair on the scalp thins. The cause is not completely understood, but there appears to be a link between chronic stress and TE. Doctors speculate that if your body is perceiving anxiety as a threat, it may not view growing hair as worth the energy, Waldman notes.

Of course, on a less extreme scale, many of us have seen clumps of hair in the drain before (then gone straight to WebMD and diagnosed ourselves with anemia or bubonic plague ? or convinced ourselves we?re pregnant). But thinning and shedding hair can be normal when you’re experiencing heightened anxiety or stress. Fortunately, the effect reverses itself in calmer times, says Waldman. To help with hair growth, make sure you?re eating enough protein, Mariwalla says.


Now, find out what it’s like to sink into a red wine bath:

Source: https://www.allure.com/story/how-stress-affects-your-skin

‘Tis the Season for Plastic Surgery?

Many plastic surgeons report that business increases during the holiday season. So, why is that? The article below explains that and talks more about the most common procedures that are desired. On the other side of the coin, however, what if all those people knew that there were some alternatives that were less invasive if not completely noninvasive altogether? That’s what places like the Clearskin Institute can do. From laser treatments to facial injections, you could look like you got a facelift without going under the knife!

It’s the most wonderful time of the year?to visit the plastic surgeon. Seriously. According to plastic surgeons around the country, requests to go under the needle or knife spike during the holiday season.

“The time between Thanksgiving and Christmas definitely is a busy time of year for my practice. Patients want to look freshened-up for holiday parties,” Marina Peredo, a New York City-based dermatologist, tells Allure. “They want to look their best for the pictures and selfies that are taken during the holiday season.”

Besides the never-ending parade of holiday party photo booths, the season is also an oddly practical time of year to have a procedure, Min S. Ahn, a Boston-based facial plastic surgeon, adds. “A lot of companies shut down and people take vacation time right around the holidays,” he tells Allure. “This not only provides people with a good excuse to be away from work, but it also is the perfect amount of time to recover from a surgical procedure, which is about one to two weeks.”

So, what are the most popular holiday procedures? According to the doctors we spoke with, patients prioritize putting their best face forward during the holidays ?
face-lifts are a big pre-New Year’s trend. The kind of facelift on patients’ wish lists, however, totally depends on their yuletide schedule.

If you’re taking some much-needed time off?

Once you decide to go under the knife, find the perfect surgeon, and write the check, there’s still a major hurdle to getting any cosmetic surgery procedure: blocking off enough recovery time. “One of the most difficult parts about surgery is finding the time to recover. You have a lot of the time during the holidays, so that tends to be one of the main reasons why people do it,” Rady Rahban, a Beverly Hills-based plastic surgeon, tells Allure. “There is also the added boon of using your holiday bonus on the surgery.”

While no-downtime-needed injectables are quick, easy, and relatively affordable, going under the knife is a whole new ballgame.

Face-lifts are a holiday miracle for patients who aren’t into fillers, according to docs. “Many of my patients are tired of looking over-plumped and somewhat distorted by fillers, opting for a face-lift instead,” Melissa Doft, a plastic surgeon in New York City, tells Allure. “The procedure is performed in a surgical suite as an out-patient procedure that typically takes three to four hours.” After an incision is made in the folds of your ear, the surgeon lifts the inner layer of your face and neck muscles, giving you a more sculpted jawline.

“Patients are swollen and have some bruising after surgery,” says Ahn. “One day after the procedure, we have them come to the office to remove their dressing and after a week, they return to the office and have their sutures removed.” Typically, it takes that full week to start feeling like yourself again, he says.

While results can be dramatic ? and worth saving all year for ? the recovery for the procedure takes a full two weeks. Sipping hot cocoa on the couch while binge-watching your favorite holiday movies is advised.

If you have more holiday parties than Santa?

For some of us, however, the holidays are non-stop ? an office party here, a brunch gift exchange there. Read: No downtime to recover from the swelling, bruising, or redness that comes with a surgical procedure. In-office plumping and tightening procedures (which include ever-popular injectables) offer instant results and zero downtime ? theoretically, you could get a little plump and tighten on your way to your Secret Santa.

Peredo says she performs a lot of non-surgical face-lifts (a.k.a. the Silhouette InstaLift) during the hustle and bustle of the holidays. “This treatment gets the job done, redefines the face and is fast becoming a very popular solution for men and women who don’t want a [surgical] face-lift,” she says. “It offers little downtime and immediate results, and takes only 30 minutes to perform ? if a party is coming up, the patient is ready and feeling and looking great.”

How to book a holiday procedure

“One of the things that we see besides an uptick in procedures, is the fact people want to get procedures done immediately,” says Rahban. But, “one of things that is most important while undergoing procedures during the holidays is planning in advance. I can’t stress that enough,” he adds.

Fitting a procedure to make you feel merry and bright into a calendar that resembles a game of Tetris is fine as long as you’re not rushing your decision or your recovery. “You never want to have surgery under the gun or in a compromised fashion,” says Rahban.

Just because time off over the holidays might be convenient, it doesn’t mean it’s the only time you can book a procedure. “Remember, this is elective surgery,” says Rahban. “I would stress not to choose timing over skill set or talent. The idea is that your research tells you that this is your preferred surgeon ? if the timing doesn’t work out, it doesn’t mean you should go to your second or third choice.”

Considering the increased popularity holiday procedures, it’s perhaps not surprising that surgeons are also reporting a rise in an interesting gift: plastic surgery gift cards. But before you stuff a loved one’s stocking with the gift of a face-lift, make sure it’s something they’ve expressed interest in.

For more holiday beauty:

Now, watch as a dermatologist explains lip injections:

Source: https://www.allure.com/story/face-lift-plastic-surgery-holiday

A New Use for Sculptra

There are many different kinds of fillers and injectables on the market that people are using to fill in wrinkles, plump up their lips, or lift areas of their face that are starting to age. The latest use for the brand Sculptra, however, might shock you. Sculptra is being used for non-surgical butt-lifts. Learn more about this new use in the article below.

Fillers are having what we like to call a mo-ment. Injectables are conquering new anatomical territory every week ? from nipples to ear lobes ? so it was only a matter of time before they hit the, er, booty. Here’s what you need to know about the non-surgical butt-lift.

Given the number of injectables filling up our social media feeds, it’s no surprise the 2016 Plastic Surgery Statistics Report from the American Society of Plastic Surgeons (ASPS) lists a steady increase in the use of syringes filled with plumping formulas. Now, plastic surgeons are noting an increase in the use of Sculptra ? a poly-L-lactic acid that plumps by stimulating your body’s own collagen production ? as an alternative to surgical butt-lifts. “There has been a huge request and demand for gluteal augmentation including fillers,” Jaime S. Schwartz, a Beverly Hills-based plastic surgeon and RealSelf contributor, tells Allure.

To get a booty boost, there are three main options. “The first is fat grafting (the classic ‘Brazilian Butt-Lift’) where you take fat from other places [via liposuction] and put it in the butt. The other surgical option is butt implants where you take actual implants and insert them,? Darren Smith, a New York City-based plastic surgeon, tells Allure.

Option three is your non-invasive route to a plumper posterior. For the non-surgical butt-lift, a plastic surgeon injects your buttocks with a filler ? specifically Sculptra. “Of all the fillers around Sculptra is the one that’s best suited to this purpose because you can get a fairly significant augmentation without actually using that much product,” explains Smith. ?What it’s doing is inducing your own collagen to grow around the product.” In other words, rather than hyaluronic acid fillers, which basically just pump more volume into your skin, Sculptra triggers an inflammatory response in your body. “As part of that, you create a combination of scar tissue and fresh collagen,” says Smith.

Courtesy of RealSelf and Kristin A. Boehm

The upside

For many, the allure of fillers is that they often give subtle results that fade naturally over time, as opposed to enhancements that are more obvious. The non-surgical butt-lift is no different ? think more of a change in contour and shape than a totally-lifted look, says Smith.

Secondly, the non-surgical butt-lift is an excellent option for patients who aren’t interested in the liposuction that a Brazilan Butt-Lift requires. “A patient who does not have any fat that can be harvested via liposuction may still have an opportunity for hips and buttocks enhancement without resorting to a buttocks implant,” John Paul Tutela, a New York and New Jersey-based plastic surgeon tells Allure.

Finally, unlike a surgical procedure, this doesn’t really have any downtime at all. “You might be a little sore but that’s it,” says Smith. With a non-surgical butt-lift, you can go back to (almost) all of your normal activities same day. “I probably wouldn’t want someone going to the gym the first day, but resuming normal activities, like going back to work same day, I’d be fine with,? he says.

The downside

Though not as risky as going under the knife, the procedure does come with its own set of risks. “The big problem with Sculptra is that you can’t dissolve it like other fillers,” Smith says. “There’s actually a fairly high incidence ? some literature suggests as much as 8 to 10 percent ? of lumps and bumps with Sculptra.” In that case, you’re either stuck with a bumpy behind for a few years until the effects of the Sculptra naturally fade or faced with the possibility of surgery to cut the affected areas out ? not ideal.

Then, of course, there is the risk of infection, which is present any time a needle is. “Injections can also damage overlying skin if the filler gets into blood vessels,” says Smith. “But these are both extremely remote possibilities.” The most common side effect is a few days of soreness near the injection site, adds Schwartz.

The fine print

Like many fillers and non-invasive procedures, the non-surgical butt-lift requires a few sessions to get the full effect, unlike a surgical butt booster. “I would plan on three or four sittings spaced every two or three months,” says Smith.

Cost can vary, but typically a vial of Sculptra runs around $1,000. Most patients end up using four to seven vials total, but other surgeons reported patients requesting 10 and up. (For comparison, the average price of a traditional butt-lift is $4,571, according to ASPS’s 2016 statistics report.

Despite the growing interest in backside injectables, some surgeons say the Brazilian butt-Lift (BBL) is still the gold standard. “More popular is the BBL, which not only provides patients with a fuller, more-lifted, and shapely buttocks but with better overall body contour as well, as it requires liposuction to harvest the fat for transfer,” Stephen T. Greenberg, a New York-based plastic surgeon tells Allure.

The bottom line? Deciding which option is the best for you ultimately comes down to the look you’re going for. “Each patient must be evaluated individually and it is important to have an honest conversation about what the patient’s ultimate cosmetic goal is,” says Greenberg.

For the best bottom results, make sure you consult with a board-certified plastic surgeon who is familiar with both butt-lifting methods.

You can see plastic surgeon Jamie Schwartz perform a non-surgical butt lift, here:

For more plastic surgery news:

Now, watch as a dermatologist explains lip fillers:

Source: https://www.allure.com/story/non-surgical-butt-lift

Laser Hair Removal for People of Color

It’s true that laser treatments are not one-size-fits-all. For years and years people of color were told that they could not receive laser hair removal treatments because of the melanin levels in dark skin. Today, however, proves different. Laser treatments are for everyone! But like we said, they are not one-size-fits-all so it is important to have a consultation with a dermatologist or your preferred laser technician to talk about what you want accomplished and to learn what to expect during and after treatment. Continue reading to learn more about this:

Laser hair removal is a godsend for those who want to eliminate fuzz permanently, but it can be complicated for people of color. A common misconception is that laser hair removal is not safe for skin with high levels of melanin. I personally never thought I could benefit from laser hair removal. I was told by two facilities that they could not accommodate my skin tone because the advancements in the industry had not been updated to serve people of color. This was in 2009. According to Christian Karavolas, the owner of Romeo and Juliette Laser Hair Removal in NYC, and Andrea Young, the founder and owner of Beam Laser Spa, the laser game has significantly changed since then.

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Karavolas reiterated that a number of his patients have assumed laser was not safe for people of color. Young added that the myth stems from a time when patients of color would be treated with the Alexandrite laser and would encounter adverse reactions and side effects?like hyperpigmentation and hypopigmentation?from being treated with the incorrect wavelength.

Here, Karavolas and Young break down what to look for, how to prepare, and the perfect lasers for all people of color, including multiracial and albino individuals.

What to look for in your laser hair removal provider:

People of color should look for a certain laser called the Nd:YAG. ?For women or men of color interested in doing laser hair removal, the most important thing is to make sure they are getting treatments with a YAG laser,? says Young. Karavolas explains that the laser operates differently to make it safe for people of color. ?Nd:YAG lasers have a long pulse wavelength and bypasses the epidermis. Since it bypasses the epidermis, it does not hurt the epidermis, meaning it does not burn the skin,? explains Karavolas. ?With that laser you are able to effectively disable the reproductive cycle of the hair within the follicle meaning you can effectively remove hair without hurting the skin.?

A good specialist will test your skin tone:

When in doubt, get tested. Because skin tones can differ from person to person, it?s important that the setting is chosen specifically for your skin tone. Karavolas at Romeo and Juliette Laser Hair Removal uses the Fitzpatrick skin typing test to determine the patient?s skin color and the appropriate laser. The patient will receive a score from one to thirty-six to determine what wavelength laser to use.

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The results of the Fitzpatrick skin test decide which laser to use, but it?s also important to notice the settings. ?Once you decide which laser to use, obviously the darker the person you have to make the settings a little gentler to not burn the skin,? says Karavolas.

Prepare your body for laser:

Just like any treatment or procedure it?s important to prep the area that?s about to get blasted. ?Make sure the area that will be lasered has not been waxed, threaded, plucked or used any other method of hair removal that pulls out the root for at least 8 weeks,? Young notes. ?Abstain from using any harsh products on the area to be lasered for at least two weeks before getting lasered and subsequently after the treatments. These include retinols, alpha, beta and glycolic acids, or topical acne medications.?

What about albino and multiracial individuals, are they candidates?

?On albinos, on somebody who has discoloration or hyperpigmentation, light therapy like an IPL treatment are recommended to bring the pigment up,? explains Karavolas. ?We do treat albino clients but we do test patches and wait a few days to make sure they react well.?

A special process also exists for multi-racial candidates. ?We have a lot of bi-racial clients who have mixed parents, Italian mother, African American father from Kenya, Uganda,? Karavolas says. ?The cooling of the skin is very important because if you don?t cool the skin, no matter what the energy is, you might give somebody a temporary burn which would resolve itself but it?s best to avoid that and take precautions like we do.?

Skip the at-home lasers and treatments:

Karavolas puts it bluntly: ?They don?t work, they?re really toys.? It?s even more important for people of color to avoid them, our experts say. ?If you?re dark-skinned and have skin type four or above, I would be very cautious with at-home lasers,? Karavolas adds.

If you really can?t resist, Young urges potential at-home laser users to proceed with caution. ?I recommend researching the specific device of interest, look for specific verbiage that it is safe on skin of color, and certainly do small test patches before using on a large area, even if the device says it?s ok to use on skin of color,? she says.

If you?ve had a bad experience with laser, help exists:

There are ways to treat yourself if you?ve already tested a laser and walked away with bad side effects. ?There are certain creams that can actually heal the area,? says Karavolas. ?Microdermabrasion may help, but again, we have ways to help clients but we would have to see them.? If something has gone wrong with a laser treatment, Karavolas urges patients to see a laser specialist who can create a personalized plan to help the area recover.

Romeo & Juliette Laser Hair Removal

Beam Laser Spa

Source: http://www.elle.com/beauty/a13149098/laser-hair-removal-people-of-color/

Botox For TMJ

A lot of people have temporomandibular joint (TMJ) disoder which affects the jaw bones and muscles around it. If left untreated, TMJ can contribute to headaches and migraines. The good news is that there are many different things people can try to find relief from TMJ, including botox. The story below is one writer’s personal account of getting botox for TMJ pain. It goes to show that botox is good for more than hiding wrinkles! Learn about this use for botox in the story below.

My crash course into the mysterious world of Temporomandibular joint disorder began one fateful fall evening, during my junior year of college. The day started off, as usual, packed with classes and followed by a seven-hour shift at one of my two part-time jobs. What began as a dull ache early in the day, suddenly turned into a searing hot pain that shot through my head as the lights from oncoming traffic flashed across my field of vision during my drive home. It was my first migraine.

At that point, I’d been experiencing jaw pain for a while but didn’t ever associate the two. Soon after the migraine hit, my jaw became so swollen and lopsided that I decided to go to a doctor who thought I had a lump that needed a biopsy. Turns out, I had a super-strong masseter muscle (the muscle that helps facilitate chewing) after years of stress-induced clenching, which was like weight-lifting my jaw muscles for eight hours every night. Many doctor’s visits, X-rays, and CAT scans later one doctor said, “You might have TMJ.” It wasn’t definitive, but at least it was something to work with. 
What’s TMJ? The temporomandibular joint (TMJ) is where the jaw bone (mandible) connects to the skull (temporal bone). “When people say TMJ, they are often referring to pain or discomfort anywhere along the jaw, which may also include some neck muscles,” says Jennifer P. Bassiur, doctor and director of the Center for Oral, Facial and Head Pain at Columbia University. But because the pain isn’t just located at the joint, a more accurate term for the condition may actually be “TMD,” or temporomandibular disorder. This refers to the conditions involving pain or dysfunction in the jaw point and/or surrounding tissues, she says.

The National Institute of Dental and Craniofacial Research estimates that more than 10 million Americans are affected by the disorder, reporting pain in and around the ear and jaw ? on one or both sides of the face ? as well as headache, tension, inability to open and close the mouth comfortably, and painful clicking, popping, or grinding sounds when speaking, chewing, or yawning.

Curing, well, managing, TMD first depends on identifying the underlying cause. For me, it was clenching, which only worsened when I was stressed (i.e. always). For TMD, doctors advise avoiding sticky or chewy foods (like gum), applying ice and/or heat to the jaw, medications (steroids, nonsteroidal anti-inflammatories, and muscle relaxants), a custom-fitted orthotic that fits over the upper or lower teeth, injections into the muscle or joints, physical therapy, cognitive behavioral therapy, or in severe cases, surgical intervention may be required.

And, unfortunately, TMD is often a chronic condition. There’s no cure for my pain. After attempting several treatments, I decided to get a night guard and start what I affectionately refer to as “the mush diet,” which is exactly what it sounds like ? eating without chewing. I had a bit of relief (and an excuse to eat avocados and smoothies all day), but I knew the diet would only be short-lived because eventually I wanted to, well, chew while eating. I’d lost all hope until I was working on an article with New York City-based plastic surgeon David Shafer, when our conversation turned to my horrible TMJ.

“You know, Botox is good for that,” he told me. “I’ve injected patients (and myself), and there’s relief from the pain and swelling. Shafer explained that eight years ago, he went to Japan with Allergan (the makers of Botox) to help teach the doctors U.S. techniques. During his time there, he noticed doctors were injecting Botox into the jaw to slim the lower part of the face. But a happy accident occurred after patients started reporting that they felt relief from jaw pain. By injecting directly into the muscle, Shafer says, Botox limits muscle function, and decreases TMD symptoms. Thrilled at the chance to (gently) sink my teeth into a new remedy ? without the pain, swelling, and a lopsided jaw ? I immediately booked an appointment with Shafer and began researching this new treatment.

As it turns out, the treatment isn’t that new in other countries, according to Melissa Kanchanapoomi Levin, a board-certified dermatologist and clinical professor at New York University Langone and Mount Sinai Hospital in New York City. “I grew up in Thailand and saw Botox being injected into hypertrophic masseter muscles over 15 years ago,” she tells Allure. “Asian aesthetics sometimes will favor an ovoid facial shape that can be accomplished either by surgical reduction or botulinum toxin, which offers a less invasive approach.”

Kanchanapoomi Levin injects Botox into the masseter muscle for two reasons. For those like me, who experience chronic facial muscle pain and headaches from persistent grinding/clenching, Botox can relax the muscles involved and relieve pain, and people with an enlarged muscle near the angle of the jaw for sculpting the lower face. She also notes that although there are more than 600 studies evaluating injecting botulinum toxin into the masseter muscle, this treatment is not approved by the Food and Drug Administration and is considered an off-label indication.

If it is performed by someone that doesn’t know what they are doing you can have functional impairment, pain, spasms, lockjaw, and difficulty chewing, Kanchanapoomi Levin says. It’s important to go to a board-certified dermatologist or facial plastic surgeon who understands the anatomy, is well-trained, and performs this procedure routinely.

Sitting in the chair at Shafer’s office, armed with my new arsenal of knowledge, a wave of fear hits me. The thought of injecting a toxin that will cause partial muscle paralysis in my jaw is terrifying. Shafer assures me that the procedure will be just three little injections on each side of my jaw, and swelling or bruising occurs in less than 1 percent of his patients. I hardly felt the tiny injections in my jaw and have no visible mark.

Now, following the procedure, I sometimes notice my jaw getting tired while chewing gum ? something I haven’t been able to do in years, so I’m okay with that. “One of the great things about Botox is, if for whatever reason you don’t like it, it goes away,” says Shafer. “But one of the bad things about Botox is, if you like it, it still goes away.”

Generally, Botox lasts anywhere from three to five months, depending on how each person metabolizes it. As for how quickly I can expect relief, when Botox is used for cosmetic purposes, it’s injected into smaller muscles so it works quickly. The masseter muscle is much larger, so it may take up to one to two weeks.

After one week, I notice that my headaches are not as frequent and my jaw hurts less, but it’s still swollen and lopsided. By week two, I’m sleeping better and can chew real food without wanting to rip my face off. I still have some swelling and occasional pain, which Shafer explains will get better over time. Since it took many years to create this issue, I am excited to see such a big change after only one treatment. Who would have thought that the life-changing solution to my chronic TMJ pain would be Botox? Spoiler alert: Not me.

For more Botox:

Now, watch as a dermatologist explains lip injections:

Source: https://www.allure.com/story/botox-injections-for-tmj

Get Ready For The Game Changer!

Do you work for or own and operate a dermatology office, medical spa, or skin aesthetics center?  If so, are you looking for new ways to revamp your consultations, get patients excited about treatments and services, and/or bring in and retain new clientele among other things?  You need to come to The Game Changer!

When you attend the Game Changer you will learn how to:

  • Change and grow your team and office culture
  • Raise your standards to eliminate competition
  • Close more consultations using skill and psychology
  • Develop new revenue streams through innovation

And be blown away by the 7 Pillars of Profit and much, much more!

The renowned Clearskin Institute of Laser Aesthetics is offering three opportunities to bring success to your practice like never before. In December, 2017 join us at our institute, and in the Summer 2018, join us two different times at the world-class Sanctuary Resort & Spa!

The upcoming session will be Saturday December 2, 2017 from 8:30 am to 5:00 pm at the Clearskin Institute of Laser Aesthetics’ very own campus.  If you can’t make it to that session, then mark your calendars for June 16 or August 25, 2017 when the Game Changer will be held at the Sanctuary Resort and Spa in Paradise Valley, AZ.

Bring yourself or colleagues from your practice!  See pricing and enroll today at http://clearskininstitute.com/gamechanger or call (602) 274-8254.


Inflammation Might Not Be So Bad

After your skin experiences an injury like a burn or cut, the area usually shows inflammation as part of your body’s natural healing process.  Some people might think that it isn’t a good sign, however new research shows that an area that has had inflammation in the past might heal faster after future injuries. Learn more about this in the article below.

Inflammation trains the skin to heal faster

Date: October 18, 2017
Source: Rockefeller University

Stem cells (green) migrate into a three-day-old wound to repair it. Credit: Laboratory of Mammalian Cell Biology and Development/The Rockefeller University

Scars may fade, but the skin remembers. New research from The Rockefeller University reveals that wounds or other harmful, inflammation-provoking experiences impart long-lasting memories to stem cells residing in the skin, teaching them to heal subsequent injuries faster.

These stem cells, which replenish the skin’s outer layer take their cue from inflammation, the body’s own response to injury or infection. The first bout of inflammation sensitizes these cells: the next time they sense it coming on, they respond more rapidly.

This research, described October 18 in Nature, provides the first evidence that the skin can form memories of an inflammatory response — a discovery that senior researcher Elaine Fuchs says could have major implications for better understanding and treating a range of medical conditions.

“By enhancing responsiveness to inflammation, these memories help the skin maintain its integrity, a feature that is beneficial in healing wounds after an injury,” says Fuchs, the Rebecca C. Lancefield Professor. “This memory may also have detrimental effects, however, such as contributing to the relapse of certain inflammatory disorders such as psoriasis.”

Healing memories

Whether burned by the sun, attacked by microbes, nicked by a paper cut or worse, the skin quickly becomes inflamed — red, swollen, and painful — as the body seeks to halt the damage and initiate repair.

It has long been known that the immune system maintains a memory of inflammation to mount faster responses to recurrent infections. But scientists in the Fuchs’ lab suspected that other types of long-lived cells might similarly remember inflammation. Skin was a logical place to investigate: as the body’s protective barrier, it endures frequent assaults.

It quickly became apparent that most of the cells in the skin’s outermost layer, the epithelium, don’t stick around long enough to form such memories. Instead, they migrate up through the epithelium and eventually slough off. Deeper within the epithelium, however, reside the stem cells that are responsible for continually replenishing it. These stem cells remain in place long after the skin has recovered from inflammation; and as the team found, this experience changes them.

In experiments with mice, Shruti Naik, a postdoc, and Samantha B. Larsen, a graduate student, showed that wounds closed more than twice as fast in skin that had already experienced inflammation than in skin that had never been damaged — even if that initial inflammatory experience had occurred as long as six months earlier, the equivalent of about 15 years for a human. Healing sped up, the team determined, because the inflammation-experienced stem cells were better at moving into the wound to repair the breach.

In other experiments, the researchers uncovered the basic mechanisms that rewire these cells. They showed that inflammation triggers a process that physically opens up distinct sites within the cell’s chromosomes, making certain genes accessible for activation. Some of these sites remain open long after the skin has recovered, allowing the genes to be turned on faster during a second round of inflammation.

A gene called Aim2, which encodes a “damage-and-danger” sensing protein, appeared particularly crucial: an initial bout of inflammation prompts a sustained increase in its expression. A second assault quickly activates the protein, resulting in the production of an inflammatory signal that boosts the stem cells’ ability to migrate into the wound.

A new culprit

Inflammation can sometimes run amok, as happens in autoimmune diseases like psoriasis, a disorder marked by scaly, red patches that often flare up repeatedly in the same spot. The new results suggest the skin itself could contribute to this recurring reaction.

But in fact, the implications go more than skin deep. The team’s findings may also be relevant to inflammatory disorders that affect other parts of the body, such as the linings of the gut and bowel, which, like the skin, are replenished by epithelial stem cells.

“Inflammatory diseases have long been blamed on immune cells that turn against the body. However, that is clearly not the only cause: Stem cells may also be important contributors,” Larsen says.

And because the healing capacity of stem cells diminishes with age and goes completely awry in cancer, reprogramming through inflammation may have significance for these conditions as well.

“A better understanding of how inflammation affects stem cells and other components of tissue will revolutionize our understanding of many diseases, including cancer, and likely lead to novel therapies,” Naik says.


Source: Rockefeller University. “Inflammation trains the skin to heal faster.” ScienceDaily. ScienceDaily, 18 October 2017. <www.sciencedaily.com/releases/2017/10/171018132831.htm>.

Everything You Need to Know About Microneedling

Microneedling is one of the latest facial treatments to grow in popularity. It is exactly what it sounds like – very small needles puncturing the surface of your skin. But, don’t get intimidated by that because it only feels like little pricks and it brings incredible results. We offer this treatment at the Clearskin Institute! The article below describes more about it. Give it a read and then schedule your appointment with us!

What Is Microneedling And Should You Do It?

The multi-purpose treatment targets everything from acne scars to hair loss.

By Julie Schott   Oct 18, 2017

For those looking to improve the look of scars, boost collagen, or encourage hair growth, microneedling might offer a minimally invasive solution. The practice of microneedling dates back to 1995, but it has gained significant traction in recent years thanks to new technology—and YouTube, where the mesmerizing—albeit bloody—process calls up tens of thousands of videos. Here, Yale dermatologist Macrene Alexiades, MD PhD who has published extensive research on microneedling, along with fellow Yale dermatologist Mona Gohara PhD demystify the multi-purpose treatment.

Microneedling creates microscopic punctures in the skin.

Simply put, microneedling is the insertion of very fine short needles into the skin for the purposes of rejuvenation, explains Dr. Macrene. The most popular (and cost effective) microneedling device, known as a dermaroller, is made up of micro-fine needles that range in diameter from 0.5 and 2.5 millimeters. But if the prospect of multiple needle wounds sounds slightly ominous, rest assured, the punctures are more like pin-pricks that enter only skin deep.

Microneedling offers fairly immediate results.

“From microneedling alone, you will look plump, pink and luminous for a couple of weeks. On a short-term basis, it plumps the skin and makes the skin look more radiant from inflammation and very superficial swelling,” Dr. Macrene says.

But microneedling also promises improvement over time.

According to a 2008 study, skin treated with four microneedling sessions spaced one month apart produced up to a 400% increase in collagen and elastin six months after completing treatment.

Microneedling stimulates dormant hair follicles.

Which equals new hair growth, confirms Dr. Gohara. In a recent study, 100 test subjects were divided into two groups; one set was treated with minoxidil lotion and the other received minoxidil lotion plus microneedling. After 12 weeks, 82 percent of the microneedling group reported 50 percent improvement versus 4.5 percent of the minoxidil lotion-only group.

Your dermaroller plays well with other skincare treatments.

Dr. Macrene recommends pairing microneedling with topical treatments (like her 37 Extreme Actives anti-aging cream or serum) and lasers. “Oftentimes, we use this as an opportunity to apply anti-aging preparations that will penetrate better through the needle punctures. When you combine with topicals, you have a shot at some collagen building. When combined with radiofrequency, you can see tissue tightening over the course of months,” she says. “Microneedling alone has not been shown to yield much in the way of long-term results.”

DIY microneedling is legit…

As long as it’s blessed by your dermatologist, says Dr. Gohara, who cautions those with eczema, rosacea, acne, and perioral dermatitis against rolling at home, as it might cause flare-ups. For a gentle introduction to at-home microneedling, try the Beauty Stamp from celebrity skincare guru Nurse Jamie. The handheld tool works just as the name suggests, by stamping the skin with ultra-fine pin-pricks designed to increase the efficacy of your topical treatments and boost collagen (just like a traditional dermaroller).

It’s possible to OD on microneedling.

Frequent microneedling can lead to broken capillaries “and predispose skin to a plastic look if you over abuse it with repeated microneedle insults,” says Dr. Macrene. Instead, curb dermaroller dependency by sticking to a once-a-month plan and always allow time for full recovery between roll-sessions.

Source: http://www.elle.com/beauty/makeup-skin-care/a12773502/microneedling-faq-facts-cost/