Posts Tagged ‘facial peels’

Get Your Face Holiday Ready

Nonsurgical facial procedures to get your face holiday ready. Emory Aesthetic Center can help you glow this holiday season.With the weather getting colder and the holidays approaching, this is a great time for facial procedures that will give your skin a special glow. There are several nonsurgical treatments that can leave you radiant and require little to no downtime.

Injectables (BOTOX®, Dysport®) – Botulinum toxin

Botulinum toxin is an injectable substance that helps smooth facial lines caused by normal movements of expression, like when you lift your brows, frown or smile.

What can I expect?

The short injection session gives results that last about four months. There is no real downtime, you can usually go back to your normal routine immediately following the injections. You’ll see full results in 5-10 days.

Dermal fillers

Dermal fillers are injectable products used to fill deep wrinkles or add volume to the face, including the cheeks, eyelids, lips, nose, chin, jawline and temporal area. They are popular non-surgical options to rejuvenate and reshape the face. Hyaluronic acid fillers (including Restylane®, Juvederm®, Voluma® and Belotero®) are most commonly used.

What can I expect?

The injection session takes about 30 minutes, depending on the areas being treated. You’ll see results immediately and you can resume your activities the same day. You might have mild swelling, redness or bruising for a few days following the procedure, but it can usually be covered with makeup.

Fractional laser resurfacing

Fractional laser resurfacing uses a gentle laser that penetrates beneath the top layers of skin to promote collagen production. It’s ideal to treat minor wrinkles, large pores, uneven skin pigmentation and poor skin tone. Although you can see results with just one session, you’ll see the best results if the procedure is repeated every 4-6 weeks.

What can I expect?

Fractional laser resurfacing takes about 45 minutes and requires a numbing cream or local anesthetic to reduce discomfort. You can expect some swelling and redness for about two days. Your skin tone will be darker (like a sun tan) for about three days. Sun protection is recommended after the procedure. In 5-7 weeks you’ll notice rejuvenated skin.

Photofacials/IPL therapy

Intense pulsed light (IPL) is used to treat redness, brown spots, spider veins and rosacea. It prompts the body to produce collagen and can reverse signs of sun damage like dull skin and fine wrinkles.

What can I expect?

You should refrain from sun exposure and tanning for at least 4-6 weeks before the treatment to avoid hyperpigmentation. During the procedure, your skin will be cooled to help prevent discomfort. Depending on the areas being treated, a session lasts 30-60 minutes. There may be mild swelling or redness for a few hours. You should limit your time in the sun and use sunscreen after the procedure.

Hydrafacial

Hydrafacial involves a multi-step treatment that cleanses, exfoliates and removes impurities and dead skin cells. It then infuses nutrients in the skin including antioxidants, peptides and hyaluronic acid. This medical facial treats environmental damage, reduces fine lines, firms the skin and increases skin hydration. A light chemical peel is included to improve skin texture without any post-procedure skin flakiness.

What can I expect?

A Hydrafacial session is very relaxing and lasts about 45 minutes. There’s no downtime and your skin immediately looks cleaner and more hydrated.

Facial peels

Facial peels, also known as chemical peels, are used to remove layers of damaged skin. It treats signs of skin aging caused by sun damage and other environmental conditions. Two to three days after application, the old skin will gradually flake and “peel” off to reveal more even and fresh skin. There are several kinds of chemical peels, including glycolic acid, salicylic acid, retinoid acid, TCA and modified Jessner’s peel.

What can I expect?

A chemical peel session typically lasts 30-45 minutes. If you get a superficial peel, you may have flakey skin for 2-3 days. If you get a medium peel, you may require 5-7 days of downtime as your skin recovers and sheds the superficial layer. Crusting and scabbing may occur; you’ll be instructed how to clean and moisturize your face. Limited sun exposure and sun protection is recommended after the procedure. Within a week you’ll see bright new skin.

Emory Aesthetic Center

The expert cosmetic surgeons and licensed aestheticians at Emory Aesthetic Center can help you choose the best facial procedures to address your goals. During your consultation, you will learn about different options and choose one based on your needs, lifestyle, and budget. Let us help you get holiday ready.

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Facial Rejuvenation- Secrets to Defying the Aging Process

Learn the secrets to defying the aging process with facial rejuvenation. Renew your face with tips from a board-certified cosmetic surgeon.Aging is a part of life. And yes, your appearance will change as you get older. But that doesn’t have to be a bad thing. Aging gracefully is about allowing the best version of yourself to shine through, and there are countless facial rejuvenation tools to help you do just that.

Facial Rejuvenation Starts with Skin Care

Skincare is the first and most important step of facial rejuvenation. You don’t need to ditch your current products and spend a fortune on complete skin care “systems” to get good results.

A licensed aesthetician can help. Find someone who’s willing to listen to your concerns and offer advice to help you get the results you want within your budget.

These products can help you look your best:

• Sunscreen. Use sunscreen every day to prevent aging sun damage, such as dark spots and fine lines.
• Vitamin C. Apply Vitamin C to your skin to reduce the effects of sun damage and significantly brighten your complexion.
• Tretinoin (Retin-A). Use a Retin-A product to penetrate the deeper layers of your skin and stimulate collagen production. It also works as a mild daily exfoliant.
• Prescription medicine. Ask a dermatologist about certain prescription medicines (such as hydroquinone), which can lighten dark brown spots, patches and hormone-induced darkening.

Chemical Peels and Micro-Needling

Minor procedures for facial rejuvenation such as mild to medium facial peels (also known as chemical peels) and micro-needling can do wonders to kick-start a healthy routine and help your skin care products to work even better. Regular peels can help keep your skin texture looking younger as you age.

Injectable Treatments

You may get great results from fillers and/or Botox© if you have these early signs of aging:

• Mild volume loss
• Fine, early creases around your forehead and/or between your eyes
• Crow’s feet

Most patients have more than one of these signs, plus others such as loose skin and fat build up. You may need a multi-step action plan for facial rejuvenation to tackle multiple concerns.

Cosmetic Surgery

If you’re trying to use fillers or Botox for something that really requires cosmetic surgery, you probably won’t be happy with the results.

For example, if you have extra skin or fat around your eyelids and use Botox to lift your eyebrows, you may end up with an unnatural, arched expression. If you use an injectable filler to add a significant amount of volume to your jawline, you may look more “puffy” than youthful.

There are many surgical procedures that can help you put your best face forward. Talk to a board certified cosmetic surgeon to learn which procedures may be right for you.

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About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

How to Prevent and Treat Crows Feet

happy-ladyCrow’s feet, or laugh lines around the eyes, can be a challenging area to treat from a cosmetic perspective. On one hand, expressions of joy transmitted through the eyes are beautiful in their own right, but deeper lines and creases in this area can often draw attention to the changes associated with aging and loose skin.

My personal approach is to attempt as much as possible to prevent the lines from becoming deep, or in some cases, even forming to begin with. There are two main methods to achieve this – skincare to plump and stimulate collagen (such as tretinoin or Retin-A©), and Botox® (or equivalent Xeomin® or Dysport®) to reduce the muscle movement in the area and thereby reducing crease patterns. These options can be started at any time, even in the early 30s before real creases have begun. A combination of treatments early can prevent the formation of obvious deeper creases. At this stage, Botox can be performed as little as twice a year before creases have actually formed.

Once the creases are present, the above combinations of skincare and Botox can still make a significant impact and can lessen the appearance of lines around the eyes. Often, this is all that patients are interested in so that they can still appear to have movement while improving their overall appearance. If a more drastic improvement is needed, a series of peels or even fractional laser treatments can be undertaken. The choice of intervention depends on the comfort level of the surgeon and the amount of downtime or recovery the patient is able to give.

If a week of downtime is tolerable, fractional laser resurfacing can be performed relatively aggressively to specifically treat the area around the eyes. Makeup can typically be worn to reduce the appearance of redness during the recovery period. Because we usually cannot be aggressive enough with one treatment to wipe out these lines, a repeated treatment may be needed 3-6 months later. During that period of recovery, Botox can be used to give the skin a continued break from creasing as well.

Facial peels can also be performed, often at varying depths, depending on the amount of recovery or downtime afforded. Often, a peel will have 3 days of recovery and can be repeated every 4 to 6 weeks for a total of 3 to 4 treatments to allow improvement in this area. It is a slower, but less intensive treatment plan. Continuing skincare and Botox through this period will also boost results.

All in all, a multi-pronged approach is often needed to treat the eye area. The good news is that crow’s feet respond to treatment quite well if all options are utilized. Other treatments, such as fillers, can be used as well if indicated, but are not routine as they can be fraught with unexpected complications. With judicious use of Botox and a rigorous skincare routine early, an ounce of prevention is definitely worth a pound of cure.

Come meet with one of the board-certified physicians of the Emory Aesthetic Center. We can discuss your goals and determine what combination of treatment is right for you.

appt

or call us at 404-778-6880 to schedule a consultation.

About Dr. Sethna

anita-sethna-avatarDr. Sethna understands that facial plastic and reconstructive surgery demand a marriage of science and artistry, and she enjoys using precision, skill, and vision to make her patients’ dreams reality. Dr. Sethna’s meticulous attention to detail and her passion for maintaining a natural look ensure optimum results for her patients.

A dedicated teacher, Dr. Sethna is devoted to assisting residents in facial trauma or reconstructive cases at Grady Hospital. She relishes the opportunity to educate residents and medical students in all aspects of patient care. Dr. Sethna has a strong interest in several areas of facial plastic surgery research and has presented at national meetings on the importance of resident and fellow education in rhinoplasty techniques and adjunctive measures to decrease discomfort during cosmetic procedures.

Skin Care throughout the Stages of Life

Skin Care StagesOne thing my experience as an aesthetician for over twenty years has taught me is that each client/patient has individual cosmetic concerns and needs. As you age, as seasons change, and as you go through different transitions of life, your skin will change as well. It is important to have a relationship with an aesthetician so that he/she can help you look your best through every phase of your life. As skincare specialists, we are trained to provide the proper treatments and ingredients to your skin to allow it to be at its optimal health. Below are some general skincare guidelines we recommend for the different stages of life:

  • In your thirties it is time to get serious about your skin care. Stop using bar soap on your delicate skin. Now is the time to begin using a facial cleanser morning and night. It is imperative to wear sunscreen daily with an SPF of 30 or higher – be sure to look for one that has a blend of antioxidants and moisture. For night, we recommend using a light moisturizer containing antioxidants, retinol or Alpha Hydroxy Acid (AHA) to give your skin the help it needs to stay rejuvenated.

Having regular facials every six to eight weeks will help keep the pores clean and hydrate the skin. Also, microdermabrasion is a great way to have your skin exfoliated and give it a very refined and polished look.

With our doctors, Botox®  may be a consideration if you are starting to see fine lines around the eyes and forehead.

  • In your forties you need to step up the game on your skin care. It is time for more advanced active ingredients. You will find these products at your cosmetic surgeon or dermatologist office. It is time to utilize the assistance of a skin care specialist to recommend proper products based on an evaluation of your skin. Washing your face with a cleanser containing AHA will help with exfoliating the skin to give it a nice glow. Using an antioxidant serum like will fight against the free radicals we expose our skin to everyday. Regular use of prescription grade retinol or tretinoin will boost collagen and elastin, as well as help to slow down the hands of time.

Intense Pulse Light (IPL) is a wonderful in office treatment that can assist in removing unwanted brown spots and broken blood vessels caused by sun damage. Medium depth facial peels are also an option to help give the face a lighter, brighter, and more supple appearance.

With our doctors, dermal fillers such as Restylane® , Juvederm®  and Voluma®  can be added to the face to help soften fine lines around the mouth and other areas of the face where needed. Botox®  can soften the appearance of lines around the eyes and forehead. Deeper chemical peels performed in the operating room are done for more advanced sun damage.

  • In your fifties it’s time to fight back the hands of time. Keep in mind that at this stage the skin is dryer and more fragile. Wash your face with a gentle hydrating cleanser morning and night. Never forget your daily sunscreen with an SPF of 30 or higher. Use products with DNA repair, growth factors and stem cells that will help trigger new cell growth. Make sure to continue your prescription retinol or tretinoin to slow down the aging affects. Always use night creams rich in hyaluronic acid that will help retain moisture in your skin.

Fractional Resurfacing is a noninvasive laser treatment that can help in smoothing fine lines and wrinkles. It can assist in tightening the face and neck multiple treatments are required for best results. Intense pulse light can help the appearance of rosacea and brown spots caused by the sun. Micro-needling with a growth factor is also a great choice to help stimulate collagen production in the skin. We recommend facials every four to six weeks to help with hydration and circulation.

It may be the time to build a relationship with a cosmetic surgeon to weigh the options of a liquid facelift using dermal fillers and Botox®  injections versus taking the plunge and having surgery. Finding a physician that you trust and feel 100% confident in is very important. Take the time to get to know your surgeon so that if and when you make the decision to have surgery you will be comfortable with your choice.

  • In your sixties your skin may be much more sensitive so protection and hydration is very important. Use gentle cleansers to wash your face morning and night. Wear a sunscreen with an SPF 30 or higher daily. Using antioxidants and hyaluronic acid will help protect and hydrate the skin. Using a mild exfoliate once a week will help give your skin a nice glow. Using products with DNA repair, growth factors and stem cells will help trigger new cell growth. Applying moisturizers with ceramides will bring long lasting hydration to the skin.

Having facials on a regular basis will ensure hydration and stimulation for your skin. Hydrafacials are a wonderful way to gently exfoliate the skin and infuse the face with antioxidants and hyaluronic acid using a special machine that helps penetrate deep into the skin. For an overall rejuvenation to tighten the skin, regain elasticity, minimize pores, and soften fine lines and wrinkles, we recommend micro-needling.

With our doctors, deep chemical peels can soften or remove lines and wrinkles around the mouth and tighten the skin. Botox®  and dermal fillers are a great non-surgical way to plump up thin lips, fill the lines around the mouth and soften the lines around the eyes and forehead. Discuss surgical options with your physicians if you considering facial surgery.

Call today for a complimentary skincare consultation with one of our licensed aesthetician at the Emory Aesthetic Center Spa.

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Facial Peels versus Lasers: Which is Better?

Peels vs. LasersFacial peels and lasers fall under the category of skin resurfacing, which includes treatments that improve skin quality. The improvements range from enhancing the complexion to the elimination of deep wrinkles, and everything in between.

Skin resurfacing is recommended to improve the quality of the skin, skin discoloration, wrinkles and even to some extent to tighten the skin. These treatments are not a substitute for facial surgical procedures or even injectables and dermal fillers, but instead, are regularly recommended as an adjunct to them.

Although the final effect on the skin may be the same for facial peels and lasers, they are very different processes and there is no simple answer as to which one is best.

Both lead to the shedding of the top layer of skin and stimulation of collagen in the deeper skin layers. Facial peels do this through the application of “acid “to the skin, while lasers do it through “heat “energy released by the laser. The acid and the heat result in a “controlled burn” of the upper skin layer. The upper skin layer is then replaced by new or regenerated skin which is smoother in appearance and more even in color. The depth of this “controlled burn “is adjusted according to the condition of the skin and the depth of the wrinkles. The more marked the skin changes, the deeper the treatment and the longer the recovery.

Facial peels are compounded chemicals that are general less costly, and have changed very little if at all over time. There is a variety of peels available ranging from Glycolic acid (fruit acids) to Trichloracetic Acid (TCA) to Phenol and Croton oil peels. The type of peel, the concentration and how it is applied to the skin regulate the degree and depth of the “acid burn”.

Lasers are sophisticated and expensive machines which improve with each new model. There are a variety of lasers such as CO2, Erbium, etc., and the application can be fractioned. The energy level, degree and depth of the laser treatment can be adjusted by turning dials on the laser machine.

Both peels and lasers rely on the experience and knowledge of the practitioner applying the peel or the operator of the laser machine. Lighter peels such as Glycolic acids and lighter TCA peels, as well as some laser treatments may be undertaken in medi-spas and skin spas. However, the deeper and more invasive lasers, and higher concentrations of TCA and Croton oil peels should only be performed by a trained physician in a medical facility.

So which is better? The end results are similar and you should follow the recommendation of your doctor who will choose the modality that will, in their experience, provide you with the best results and the lowest risk. The physicians and aestheticians at the Emory Aesthetic Center are experienced in both modalities and can provide an evaluation and recommendation based on your individual skin needs.

About Dr. Nahai

Foad Nahai, MDFoad Nahai, MD, FACS is internationally recognized as an innovator in the field of plastic surgery where he has developed and refined many procedures. He has co-authored ten books and published over 190 scientific articles on all aspects of plastic surgery. The latest book he authored and edited, published in 2011, is the second edition of his three volume text entitled The Art of Aesthetic Surgery.

He has been invited to lecture and demonstrate plastic surgical procedures all over the world. In addition to numerous professional honors and awards, he is listed in the “Best Doctors in America”, the “Best Doctors in the U.S.”, Town & Country Magazine, Good Housekeeping, More Magazine and Atlanta Magazine as one of the country’s top plastic surgeons. He has been listed in W Magazine as one of the top plastic surgeons in the world. Dr. Nahai is in demand internationally to speak at plastic surgery meetings and to demonstrate surgical procedures.

Dr. Nahai served as the 2008-2010 president of the International Society of Aesthetic Plastic Surgery (ISAPS), he is a past president of the American Society of Aesthetic Plastic Surgery (ASAPS), a former director of the American Board of Plastic Surgery, and is currently Editor-in-Chief of Aesthetic Surgery Journal.

His primary area of expertise is in Face, Neck and Eyelid surgery where he has made significant contributions to the advancement of the art and science of Facial Rejuvenation.

Chemical Peels 101

Are you looking to obtain brighter, younger looking skin – diminishing those fine lines and wrinkles, skin discoloration and a dull complexion? Watch this segment on Fox 5 Good Day Atlanta featuring Emory Aesthetic Center surgeon, Dr. Erica Anderson, as she gives you the skinny on chemical peels and discusses how they work and who would be a good candidate.

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For more information about chemical peels, what they are and how they work, check out this previous blog post!