Posts Tagged ‘microneedling’

Fractionated Laser Resurfacing or Micro-needling: Which One Should I Have to Improve My Skin?

MicroneedlingAs a plastic surgeon, I am often asked by patients, friends and family members, “what can I do to look younger?”. The appearance of the skin is the most troubling to them. Typically, they are bothered by wrinkles, discoloration, enlarged pore size, and sometimes scarring from acne in their youth. Luckily for them, I am armed with a multitude of products and treatments that will rejuvenate the skin. Two of the most popular treatments used at the Emory Aesthetic Center Spa are fractional laser resurfacing and micro-needling. Let’s review each one to help you decide which one is right for you.

Fractional Laser Resurfacing

Fractional Laser Resurfacing is a non-ablative laser used to resurface the skin. The laser works by penetrating beneath the skin’s surface to the dermis, where it heats the tissue and initiates a healing process that forms new, healthy tissue. The treated area regenerates new collagen, improving the tone and texture of the treated skin, resulting in a fresher and more youthful skin tone.

Micro-needling

Micro-needling is a procedure that uses needles to create micro-channels in your skin without causing thermal injury to the surrounding tissue. Like lasers, micro-needling relies on the skin’s natural healing ability. But since the mechanism leaves the protective epidermis intact, there is less risk of scarring and infection. This results in the skin becoming firmer and regaining elasticity, fine lines and wrinkles are visibly reduced, pores become finer and the overall condition of the skin improves.

So how do you choose?

For both procedures, a topical numbing agent will be applied to your skin about 60 minutes prior to treatment – oral pain medication is NOT needed. A relaxing spa environment also accompanies the procedure for added benefit to the experience.

Once adequately anesthetized, the treatment begins. The forehead is treated first as it can be the most painful anatomical location for either procedure. Patients generally grade the pain associated with laser treatment at 4-6 on a scale of 10, and the micro-needling as a 2-3, being notably more tolerable. We understand that no one welcomes pain, but if you know that your pain threshold is somewhat low, micro-needling may be a better choice for you. Both procedures are relatively fast with the laser treatment completed on average in 20-30 minutes, while micro-needling takes 15-20 minutes.

Both procedures lead to redness immediately at the completion of the treatment. You appear as if you have a sunburn. The redness persists for 24-48 hours in both cases, although it seems to resolve more quickly after the micro-needling than laser. There is more associated swelling with the laser treatment as well. In both case, makeup can be worn the next day to help camouflage these changes so no one will be any wiser.

Most importantly, people with all skin types can effectively use micro-needling throughout the year. Unlike lasers, micro-needling does not depend on chromophores (pigment or color) to work. Therefore, it does not matter how dark one’s skin tone is when considering whether to perform a micro-needling treatment. Micro-needling can provide great results for people with all skin types, which is not the case for lasers.

If you think you may benefit from fractional collagen induction therapy either by laser or micro-needling, an evaluation at the Emory Aesthetic Center Spa is a great start. Let us help you reveal your beauty and decide what treatment is best for you.

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About Dr. Anderson

Erica Anderson, MDErica Anderson, MD, is board certified by the American Board of Plastic Surgery and currently holds an appointment as Assistant Professor in the Division of Plastic Surgery at Emory University. Dr. Anderson completed her general surgery residency and plastic surgery residency at the University of Colorado Health Sciences Center and associated hospitals in Denver, CO. She completed a year of advanced training in Aesthetic Surgery at Grotting Plastic Surgery in Birmingham, Alabama.

Dr. Anderson returns to Emory University after being in private practice in Arlington, Virginia. While there, she maintained a busy aesthetic and reconstructive practice and also served as Medical Director for the Wound Healing and Hyperbaric Center at Virginia Hospital Center.

Dr. Anderson’s academic and research interests are largely focused on clinical outcomes with regards to cosmetic surgery. Her areas of clinical interest are diverse including cosmetic surgery of the breast and body as well chest wall reconstruction and wound care.

Dr. Anderson is married with 3 children, Trent, Connor and Fiona, and 2 vizslas, Max and Mimi.

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.

404-778-6880
emoryaesthetic.org

New Year Refresh: Solutions to Remove Years of Aging

Remove Years of AgingAh . . . the New Year is already upon us, and while we take time to reflect on the year that just flew by, many of us are also looking at our reflection in the mirror. Perhaps that reflection is looking a little tired . . . worn . . . older than the energy you feel inside. Now is a great time to think about what you can do to refresh and rejuvenate that reflection, and get ready for your best year. More than ever before, there are many options to help you achieve this goal.

When you want your face to glow, you can’t ignore great skin care. It is that ongoing skin care that creates a base for everything else you might do for your face. Skin care means really protecting your skin from the sun with the right kind of sun block. It means using the right kind of moisturizers to keep the skin well hydrated. It may mean using targeted cosmeceuticals like retinoids, fruit acids, and other treatments to address fine lines, pigment irregularity, or texture changes. Getting on the right skin care regimen doesn’t have to be complex and it doesn’t have to be difficult – in fact it should only take a few minutes a day – but getting on the right regimen does take expertise. Working together with our licensed aestheticians of the Emory Aesthetic Center Spa, we can help you find the right mix of products tailored for your skin type.

In addition to the base of skin care, there are exciting technologies that you can use to make significant changes in your skin appearance. Lasers, IPL (intense pulsed light), and other energy based devices can tighten skin, fade dark spots, and treat those pesky broken veins. Facial peels can also be used to the same end, but depending on your specific needs, may need to be done in a series – peels are usually milder with minimal down time but may require a building up effect over multiple treatments. Or perhaps you might be a good candidate for a surgical peel or laser that may complete the treatment in a single stage. One newer technology that we’re very excited about is micro-needling, a process that combines tiny needles to stimulate collagen formation and the penetration of growth factors to rejuvenate the skin. Micro-needling takes only a few minutes and you’ll be able to put on makeup and be out the next day.

In addition to great skin care, injectables are highly effective treatments to smooth out wrinkles, grooves, or depressions. These minimally-invasive treatments come in two main forms – those that weaken the muscles that help prevent wrinkles, and those that fill in deeper wrinkles or plump up areas of the face. The “toxins,” such at Botox®, reduce the activity of the muscles of expression. They are used primarily to treat wrinkles of the forehead, between the eyebrows, and the “crow’s feet,” which are the wrinkles from squinting that occur at the corner of the eyes. There are several types of fillers which can be chosen depending on the individual needs and areas to be treated. Typical uses of fillers are to fill out the cheeks, soften the look of bags under the eyes, or to fill in the grooves near the nose and corner of the mouth. While Botox® may take a few days to develop effect, many of the fillers demonstrate an immediate effect. Both types of injections are done during an office visit and you can resume normal activities immediately.

As wonderful as skin care and minimally-invasive treatments are, there are some aesthetic goals that only surgery can produce. Need to get rid of those jowls? Is the skin under the chin loose and saggy? Is the skin of the eyelids loose and droopy, or is the brow low? In these kinds of situations, surgery comes to the rescue. A face lift or neck lift, a brow lift, or a blepharoplasty can provide long-lasting and dramatic results, and the recovery time may be a less than you think.

Depending on your age, skin type, genetics, sun exposure, and other factors, there are many potential treatment options to help you achieve the changes you want. To get the very best results, it is important to come up with a comprehensive game plan that is tailored specifically for you and your individual needs. The game plan may include minimally-invasive treatments like Botox® or fillers, it may include surgery, or it may just require routine skin care and products. The Emory Aesthetic Center can help you pull all these pieces together to create a strategy just for you. Come in for your complimentary consultation.

404-778-6880
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About Dr. Eaves

Felmont Eaves, MDDr. Eaves recently returned to Atlanta, Georgia, to head the Emory Aesthetic Center as Medical Director, having previously completed his plastic surgery residency as well as a fellowship in endoscopic and minimally invasive plastic surgery at Emory University, The Emory Clinic, and associated hospitals. Before joining the Emory Aesthetic Center, Dr. Eaves was a partner in Charlotte Plastic Surgery for more than fifteen years and served as group president from 2010-2012.

His professional and institutional committee memberships and offices include an impressive list of national, international and local plastic surgery organizations, societies, boards, task forces, advisory councils, coalitions and foundations, including having served as President of the American Society for Aesthetic Plastic Surgery (ASAPS) from 2010-2011 and Trustee (2011-Present).

Dr. Eaves’ primary areas of academic inquiry have been in minimally-invasive and endoscopic aesthetic surgery, patient safety, system and process improvement in plastic surgery, evidence-based medicine applied to plastic surgery and recontouring surgery after massive weight loss. He has received several patents for new medical devices he developed, and has made major clinical service contributions to his field. Dr. Eaves has published more than 100 articles, book chapters and book reviews on plastic surgery in peer reviewed publications, as well as manuals, videos, computer programs and other teaching aids and has coauthored the first textbook on the topic of endoscopic plastic surgery.

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Holiday Glow – Getting Your Skin Ready for the Holidays

Emory Aesthetic Center Winter GlowYou bought the dress, the new shoes and the jewelry. You secured a babysitter. You have an appointment for your hair. But have you thought about your face? Is your skin ready for the holidays?

The Emory Aesthetic Center Spa can help get your skin ready for the holiday season. The question is how much time do you have before that special event? Let’s discuss the options available to get your skin glowing.

For the Planner – You have everything scheduled weeks in advance.

Since the amount of time required for recovery is not an issue for you, you are a candidate for the most effective non-surgical treatments we have available. This means you will have the most significant change to your skin for your upcoming event.

  • Fractional laser resurfacing can be performed to improve fine lines and wrinkles and the overall texture of your skin. The treatment requires premedication and topical numbing cream. The treatment takes about 45minutes to perform. We ask that you have someone available to drive you home. After the procedure you are very red and swollen and this can last for 3-5days. Your skin will be flaky and rough for up to a week after the treatment. Do this well in advance of a special event. The results can be amazing.
  • Micro-needling is the latest innovation for our Spa, and is similar to fractional laser resurfacing. The difference is that micro-needling is done with small needles as opposed to the laser. It helps with fine lines and improving pore size. Topical numbing cream is used. After the treatment your skin is red, lasting for 1-2 days. The redness however can be easily covered with makeup. Depending on how aggressive your treatment is, some bruising may be evident for up to a week. This is another great option for getting your skin to glow.
  • Medium depth chemical peels are another great way to get your holiday glow. The peel is well tolerated. Minimal discomfort is noted. Immediately after the peel the skin will be red. The peeling process typically begins 3 days after the treatment and can last 4-5 days. Your skin peels in sheets as if you have had sunburn. Beautiful skin is uncovered.
  • Intense pulsed laser (IPL) is another option if you have recovery time. IPL uses laser energy to remove dark spots, irregular pigmentation, and broken blood vessels. It is easily tolerated with minimal discomfort. Your skin will be very red the day of treatment. Brown spots and vessels will appear much darker for up to one week. A great option if spots are an issue.

For the Procrastinator – You tend to do things last minute. You just found a dress and the party is in 2 days, but there is still time to improve your skin.

• A microdermabrasion treatment can be performed to reveal brighter skin. Fine crystals speed exfoliation and the superficial and dull layer of skin is removed. Your skin will be slightly pink after the treatment but will resolve in a few hours. Your new glow is evident the following day.

• We offer a variety of facials that will leave you slightly red after the treatment, although it will resolve in a few hours or the following day. They are a wonderful combination of stress reduction and skin improvement.

• A HydraFacial™ is a multi-step treatment that hydrates the skin and results in glowing skin at the completion of the procedure. No down time required.

No matter how much time you have, the licensed aestheticians at the Emory Aesthetic Center Spa can create an individualized care plan that works for you. We offer all of these treatments and can help you accomplish the goal of glowing skin for the holidays. Take the first step to getting your holiday glow and make an appointment. Visit our website to see our current Specials running through the month of December.

404-778-6880
emoryaesthetic.org