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forever youn
Can you imagine that in 10 years from now, that you could look 2 years younger than you do today? A recent study may have discovered the fountain of youth in a popular skin treatment that utilizes BBL technology, also known as IPL.

PhotoFacial is a popular skin treatment that utilizes IPL (Intense Pulsed Light) technology also known as BBL (Broad Band Light). Traditionally, IPL/BBL technology has been used to treat reds (vascular) and browns (pigmented spots),but new research shows impressive anti aging benefits.The study looked at the effects that BBL treatments had on the skin over a period of nine years. They found that with continued treatments over the nine years, skin looked two years younger than it did before treatment.

Click to Learn More {Photofacial: Understand the Benefits of IPL}

Why Does Skin Look Younger

Many of the treatments that we use in aesthetics, benefit from skins wound healing ability to produce collagen. Although IPL/BBL treatments do cause a wound healing response that will stimulate collagen production for the first 3 weeks post treatment, it isn’t exactly long enough to account the level of anti aging results observed. So, then, why did the skin look younger?
The study revealed that ongoing BBL/IPL treatments positively effected gene expression in the skin to mimic that of a younger person. Gene expression is the process by which information from a gene is used in the synthesis or form a functional gene product, usually a protein. Aging is associated with changes in gene expression, which is most evident in the skin.

The study indicates “that patients who maintained a regular annual or biannual regimen of BBL treatments over 5 to 11 years can reduce and delay the long-term signs of skin aging such as photo damage, telangiectases, fine lines and wrinkles, and skin laxity in a natural way.”

BBL has been shown to change the expression of genes associated with aging, longevity, and increased lifespan.
Study_Gallery_1 Before Treatment: 43 Years Old | After Treatment: 55 Years Old
After 12 Years of Forever Young BBL treatments, the skin looks younger…

10710937_742020059184825_7648943499020787460_n Before Treatment: 58 Years Old | After Treatment: 67 Years Old
After 9 Years of Forever Young BBL treatments, the skin looks younger..

Forever Young BBL
Before Treatment: 58 Years Old | After Treatment: 67 Years Old
After 9 Years of Forever Young BBL treatments, the skin looks younger…

How To Stay Forever Young with BBL/IPL

The protocol that we use for this treatment is more advanced and differs slightly from traditional “Photofacials”. IPL/BBL devices use something we call “cut-off” filters, which are used and changed to target specific chromophores in the skin, for example the color in melanin (browns) or hemoglobin (reds). The best IPL/BBL devices are equipped with several “cut-off filters” that the technician can switch between during a treatment. With a traditional “photofacial” treatment we use these “cut-off filters” to specifically treat brown spots and reds such as broken blood vessels and we work only until we reach what we call a “clinical end point”, which basically means we have treated the targeted lesions. With this new approach we treat with multiple “cut-off filters” and make more passes over the skin than we do with a traditional IPL/BBL treatment. We are not focused solely on treating reds and browns, but also on rejuvenating the skin to act more youthful.

To delay aging, I generally recommend a series of 3-5 treatments, spaced 3-4 weeks a part. A treatment series should be repeated annually or biannually depending on level of improvement desired. I would like to emphasize the importance of a comprehensive approach to aging, as the aging process is multi-faceted and ongoing. Regardless of how great any treatment is, it will never replace the need for treatments that address the other aspects of aging. – One treatment does not necessarily replace the need for another. Consult with your skin care professional to determine which treatments are best for you.

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Read MoreOctober 8, 2014 11:56 pm - Posted by Kristy

facelift21
Ultherapy has become a popular anti-aging treatment for those looking to tighten, lift and avoid the thin skin associated with aging. The common question with any aesthetic treatment is “how long the effects will last” and with Ultherapy, the answer is a long time.

How Does Ultherapy Work?

Ultherapy is the only device that is cleared for skin tightening and lifting. It uses focused ultrasound to precisely target and treat tissue at three levels, the Superficial Dermis, Deep Dermis and most importantly the SMAS which is at the top of the muscle, all while leaving the surrounding tissue intact. We are not able to treat all these areas with chemical peels, micro-needling or even other devices such as lasers or Radio Frequency. So basically…. this is as good as it gets with the exception of surgery.
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(Click to Learn More) Ultherapy: Modern Ultrasound Lift Without Surgery

Aging

As we age the processes within the skin begin to slow, our skins fibroblast are more sluggish and we produce less hylauronic acid, elastin fibers become weak, we produce less collagen and our collagen becomes un-organized. This all results in lax skin that is less firm and thinning.

Many of the treatments we use in aesthetics, benefit from the skins wound healing ability. By creating a wound healing response in the skin we stimulate the fibroblast to produce more collagen. The type and length of the wound healing benefits can vary, depending on how and where the “wound” was created. For example a scratch or something like microdermabrasion may only be 14 days of increased collagen production, an IPL / BBL treatment is about 3 weeks, and RF treatments around 6 months. Ultherapy leads to an inflammatory wound healing response which stimulates long-term tissue remodeling and leads to further lifting and tightening. Increases collagen production is seen in skin biopsies 12 months after treatment.
Clinical tightening and lifting can be seen as early as 3-6 weeks,but the most appreciable results are seen at 3 months. The duration of response after a single treatment can be up to 2 years.

Anti-Aging Benefits of Ultherapy Observed in Study

– Increased dermal collagen by over 23.7%, new collagen is organized
– Increased over all dermal thickness
– Increased New collagen Type I (21%-30%) and collagen Type III (48%-68%)
– Increased amount of elastin, elastin fibers are more parallel and straighter

Repeating Ultherapy Treatments

The aging process is continues and regardless of which procedure you choose, maintenance is always necessary. The exact longevity of results with any treatment depends on your body’s ability to produce, maintain and breakdown collagen. The frequency of treatments will depend on age, health, lifestyle, condition of skin, other anti-aging measures taken and desired results. Although one year between treatments is most common, many opt for a second treatment as early as 6 months to boost results.Those who are younger may go as long as 2-3 years between treatments. Ultherapy works best as part of a comprehensive approach to aging, your skin care professional can work to customize a plan for your specific needs.

(Click to Learn More) Anti-Aging: Comprehensive Aesthetics for the Aging Face

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Read MoreSeptember 28, 2014 5:45 pm - Posted by Kristy


Summer time heat and sun can contribute to common skin concerns such as skin discolorations, sun damage, free radical damage, heat induced inflammation, acne, premature aging and skin cancer. With the appropriate skin care products you can prevent some of this damage while still enjoying a little fun in the sun.

Facial Cleanser

I have always referred to “summer as acne season”. It is hot and everyone is sweating, this can contribute to an increase in clogged pores and breakouts. First of all, you need an actual facial cleanser. Facial wipes, makeup remover and shower gel, do not count as a facial cleanser. In the summer I recommend a foaming cleanser, if you have dry skin use a gentle foaming cleanser. It is also good to incorporate an exfoliating cleanser with active ingredients such as glycolic or salicylic acid with exfoliating granules that are not too abrasive. I usually recommend using an active cleanser at night and your basic foaming cleanser in the morning. Some active cleansers are stronger than others, so be sure to consult with your Esthetician for recommendations on which product is best for you and how often you should use it.

Exfoliating Cleansers We Like : AHA/BHA Exfoliating Cleanser or GlyPro Exfoliating Cleanser by Skin Medica, Offects Exfoliating Cleanser by ZO, BioGlycolic Rusurfacing Body Scrub by Jan Marini.

Daytime Antioxidant with Vitamin C

Sun exposure and pollution cause oxidative stress on skin. Oxidative stress can directly damage cell membranes, proteins, DNA as well as turning on the cellular and molecular mechanisms that accelerate aging. This means a break down of collagen, less collagen production and increased inflammation. Use topical antioxidants during the day to help combat the many free radicles we encounter during the day and reduce inflammation in the skin, which can result from heat and sun exposure .

Some antioxidants such as vitamin-C, have photo-protectants abilities and are believed to enhance the effectiveness of sunscreen. A photoprotectant works by neutralizing the UV rays, rather than reflecting or absorbing UV rays like a sunscreen, so use them together to maximize your protection.

[ Topical Antioxidants ]

Nighttime Antioxidant with Resveratrol

Most topical antioxidants are used during the day, however resveratrol is best used at night. Resveratrol has a dual antioxidant capacity. This means that not only does resveratrol scavenge free radicals from the environment, it also works to increase the production of the bodies own “endogenous” antioxidants. The depletion of naturally occurring (endogenous) antioxidants contributes to aging. Resveratrol preserves collagen, so it helps to reduce “thinning” of the skin. It is important to know that resveratrol is degraded by UV rays, so it must be used at night. Additional benefits include:
– Reduce skin inflammation
– Helps with skin discoloration (tyrosinase inhibitor)
– Inhibits non-melanoma skin cancer formation, when applied topically
– Positive effect on extrinsic and intrinsic skin aging
– Works synergistically with antioxidants such as vitamin E
– Increased epidermal and dermal skin density ( with topical Resveratrol BE )

[ Resveratrol: The Antioxidant Your Skin Needs Every Night ]

Pro-Niacin

Pro-Niacin delivers niacin to the skin cells and enables healing from within, helping the skin repair and protect itself from sun damage. Nia24 has a line of products that contain Pro-Niacin, including the neck and décolletage. The Nia24 Skin Strengthening Complex is a light weight daily moisturizer that contains 5% Pro-Niacin, Vitamin-A, antioxidants, ceramics and peptides.

Broad Spectrum Sunscreen

It seems pretty obvious to use a sunscreen, but choosing the best sunscreen can be confusing. You should select a product that is an SPF-30 or above, but more importantly it should be broad spectrum. Broad spectrum means it will protect skin from both UVA and UVB rays. There is currently no rating that measures UVA protection. I recommend looking for a sunscreen that contains Zinc Oxide as it is the most broad band protectant and also works to block some of the heat that can contribute to inflammation, rosacea flareups and broken capillaries.

Do not forget to protect the delicate skin around the eyes, which is highly susceptible to skin cancer. Skin Cancers on the eyelid can be difficult to detect and challenging to treat. If you find that your eyes sting or burn with your usual sunscreen, try Skin Ceuticals Physical Eye UV Defense, it is formulated for the area around the eye and will not migrate or run into your eyes. In addition to protecting the skin from the damaging effects of the sun it is also slightly moisturizing and tinted. I use this on my kids and it is easy to put on them without a fight.

The Eyelids: Highly Susceptible to Skin Cancer / Skin Cancer Foundation

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Read MoreAugust 15, 2014 1:07 pm - Posted by Kristy

The eyelids are one of the most common places for skin cancer and the first place we see the signs of aging. Skin cancer in this area is especially dangerous and hard to detect. Luckily, there are products that can protect the delicate skin around the eye.

The Concerns

The eyelids are very susceptible to skin cancer and the aging effects of UV exposure. About 10% of skin cancers occur on the eyelids, which is kind of shocking when you consider that the face/head accounts for less than 5% of the total body surface area. There are many additional concerning factors regarding skin cancers on the eyelid. There is a significant risk for tissue damage to nearby vital ocular structures and even blindness. Tumors in this area can also spread into the nasal and orbital cavities (the area behind the eye). Let not forget that the skin of the eyelid serves to protect the eye and when that skin has to be removed we are presented with a host of issues such as preventing infection and reconstruction of the eyelid is very difficult. Early detection can be challenging because these tumors tend to grow inward toward the deeper layers of the skin and bone, before they are seen on surface of the skin. The appearance of this type of cancer varies and looks different than other types of skin cancers, making detection even more difficult. Reoccurrence of skin cancer on the eyelid is among the highest. It is important to take measures to prevent skin cancer, and become an established patient of a good dermatologist before you think you need one.

As if cancer was not enough, photo-aging of the eyelid is another concern. Photo-aging is a term used to describe sun damage and premature aging caused by UV exposure. Consider that the skin is a direct reflection of health and that sun damaged skin is not healthy skin. Photo-aging goes beyond vanity, it really is about skin that is not functioning properly or at a healthy state.Sun damaged skin will have lowered immunity against infection and impaired wound healing ability. Furthermore, UV rays age skin cells, damage DNA, break down collagen, elastin and damage pigment producing melanocytes. All of this equals unhealthy skin that is thin, lax (loose), with lines wrinkles and skin discoloration. There are products and treatments that can be done to improve these issues, but it will take time, money, and a little work.

Prevent the damage and reduce risk of cancer

The first line of defense is a broad spectrum sunscreen SPF 30 or more. The eyes and the skin around the eyes are sensitive to chemicals in sunscreen so you should look for a physical sunscreen, meaning the only two active ingredients are Titanium dioxide and Zinc oxide. I like Physical Eye UV Defense SPF 50 by Skin Ceuticals, it is a non-migrating, high protection sunscreen designed specifically for the upper and lower eyelids. This is a pure physical sunscreen that you apply like and eye cream. The formula is tinted to enhance tone, however it will nor provide coverage like a cosmetic. I like to say it’s tinted for a man. It blends right in and doesn’t settle into fine lines or make your eye area appear dry/cakey. the ceramics in it will nourish the skin, but I still recommend using your usual eye cream first then SPF.

For additional protection I recommend using a topical product with vitamin-C, every morning. While sunscreens absorb or reflect out UV radiation, antioxidants such as vitamin-C neutralize the UV rays. Photoprotective topical antioxidants work by the inhibiting the UV-induced biochemical changes that lead to photoageing and DNA mutations.

Studies show that sunglasses do help protect eyes from UV damage, however some UV light can still get to the eye area, depending on the type and style of sunglasses. Look for sunglasses with UVA/UVB protection and remember that sunglasses do not eliminate the need for sunscreen.

The Eyelids: Highly Susceptible to Skin Cancer / Skin Cancer Foundation
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Read MoreJune 8, 2014 8:15 pm - Posted by Kristy


The eyes are the focal pointe of the face and one of the first places we start to age. A professional chemical peel to treat the skin around the eyes, may be just what the doctor ordered.
A Medium Depth Peel will..
– Treat skin laxity, fine lines, “stretchable” wrinkles and scars.
– Improve skin texture, reducing roughness
– Treat hyper-pigmentation Brown spots and Melasma
– Tighten large pores
– Increase collagen and skin density

The skin around the eyes is thin and with age begins to show fine lines and take on a crepey texture. Treating the delicate skin around the eye can be tricky. Lasers can damage the eye, so this limits how we treat this area. Laser resurfacing can be done, if special laser eye shields are placed inside the eye. Chemical peels are another option for treating the skin around the eye, and when done by a skilled professional can be done up to the lash line.

Chemical peels that penetrate to the appropriate depth in the skin, can improve texture and tighten skin. A TCA peel that penetrates beyond the papillary dermis, just to the Immediate Reticular Dermis (IRD) will provide skin tightening effect, this is called a Medium Depth Peel. I am choosing not to mention the strength of TCA used, because I read too many horror stories online about people who attempted to do a professional peel at home. Skin care professionals are trained on how to determine where we are working in the skin, this is a medical grade peel and should be done by an experienced professional.

Aging Skin and Chemical Peel Intervention

Skin care professionals often talk about “skin cell turn over”. Skin cell turnover is the process of a new skin cell being produced, working it’s way up to the surface and replacing old skin cells which have been sloughed away. In young healthy skin this process takes about 6 weeks, however aging and sun damage slow this process. Chemical peels increase skin cell turnover, which in turn improves skin texture.

The production of growth factors, collagen, elastin and hylaraunic acid all slow with age, so the goal in anti-aging is to preserve and increase the production all of these things. Collagen is a protein that gives skin it’s volume strength and structure, while elastin is what gives skin it’s elasticity or ability to snap back. Hyaluronic acid is a key molecule involved in skin moisture, as it binds and retains water. Hyaluronic acid is also needed to bind collagen to elastin. When we do chemical peels and laser treatments that penetrate beyond the skins epidermis, we are benefitting from the skins own wound healing ability to up regulate growth factors and stimulate the production of collagen, elastin and hyluranic acid. The result is a thicker dermis, smoother surface and skin tightening.

What to expect

The day of the peel is considered day 1. On days 1 and 2 your skin looks okay, but it may look dry and slightly older. By day 3 skin begins to look dark or bronze, this will vary depending on your natural skin color, skin discolorations and depth of peel. Skin usually begins to peel on day 4 and is usually done by day 5. After the skin has peeled of it may be pink for a couple days. The healing process does vary for each person. Healthy skin will always recover more quickly with less inflammation.

During the peeling process you will need to follow the post peel instructions given to you by your skin care professional. This usually includes using a gentle cleanser, a hydrocortisone cream and mild moisturizer. An occlusive ointment such as Vasoline or Aquaphor may be recommended. It is VERY important to not pick or pull off the skin, let it peel in its own time! (seriously… don’t do it) You should also avoid sweating during the pealing phase, because it will create sweat beads under the skin that will cause it to peel of prematurely and thats bad. The skin should be protected with a totally physical sunscreen, I like Physical Eye UV Defense SPF 50 by Skin Ceuticals.

After the old skin has peeled off, it instantly looks and feels smother. The collagen production will continue to increase and the skin will continue to feel tighter. To keep the skin renewal process un regulated and functioning more similar to young skin, I usually recommend having around 4 TCA chemical peels around the eye area per year. Treatments should be scheduled over 6 weeks apart.

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Read MoreJune 5, 2014 9:35 pm - Posted by Kristy


Throughout my career in medical aesthetics, Pseudofolliculitis and ingrown hair has been a common concern. Often times it’s men who mistake the condition for acne, other times it’s someone who has had an infection and a doctor recommended they get laser hair removal. The bad news is, that it can be more serious than you might think. The good news is, it can be treated!

What is Pseudofolliculitis?

Pseudofolliculitis commonly known as “razor bumps” or “ingrown hair” is an inflammatory condition in the skin and hair follicle caused by shaving, waxing and ingrown hairs. Pseudofolliculitis can occur anywhere on the body hair grows, however it most commonly occurs on a mans beard and for women on the bikini and underarm area. It tends to be more common in those with curly or coarse hair.

There are two types of Pseudofolliculitis, extrafollicular and transfollicular. Extrafollicular pseudofolliculitis or “razor bumps” occur when curly hair grows back into a hair follicle. Transfollicular pseudofolliculitis or “ingrown hairs” occur when the hair never leaves the follicle, this can happen if the hair grows at an angle. The hair keratin causes inflammation in the skin, usually seen as pustules that look similar to acne.

Concerns and complications associated with Pseudofolliculitis?

Pseudofolliculitis can be painful, embarrassing but more concerning is that it can lead to scars, secondary infection or become abscessed. You may not think that an ingrown hair is a big deal, but it has been associated with secondary infections. When there is damage to the skin, it becomes more susceptible to bacteria such as Staphylococcus. It is not unusual for an ingrown hair to become infected with “staph” or become abscessed. In extreme cases, if left untreated staph can lead to a very serious blood infection known as sepsis. These infections can spread and be contagious. If you suspect an infection, you need to seek medical attention.

Treatment options

Laser hair removal remains the best treatment option for Pseudofolliculitis. A series of treatments will be needed, generally spaced 4-6 weeks apart. Another option is to quit shaving, waxing or tweezing and let the hair grow, but if that doesn’t work for you there are some things you can try. When shaving, start with cleansing the area with an exfoliating cleanser that has glycolic acid or some type of an AHA. I also recommend the Clarisonic cleansing brush, which will help to lift the hair. Before you shave place a steamed towel over the area, being careful not to burn your self. For sanitary reasons, I prefer a new razor. Avoid shaving too close, do not stretch the skin or shave against the direction of growth. If you have pustules, you may also be prescribed a topical antibiotic.

Chemical peels and skin care products that contain chemical exfoliant can help with skin discolorations and help to prevent hair from becoming ingrown. - ” the reducing properties of glycolic acid may reduce sulfhydryl bonds in the hair shaft, resulting in straighter hair growth, and thereby may potentially reduce the chance for re-entry of the hair shaft into the epidermis. Salicylic acid peels offer exfoliation and lightening in cases complicated by PIH. Reduced numbers of PFB lesions have been observed with both glycolic acid and salicylic acid peels.” Expert Rev Dermatol. 2009;4(6):595 Dermatologic Conditions in Men of African Ancestry by Marcelyn K Coley, Andrew F Alexis

Laser hair removal for skin of color, is challenging, but possible. If you have dark skin, be sure to find a laser technician that is also a skin specialist and has experience treating your skin type. Your specialist may recommend preconditioning the area prior to having laser treatment, it is important to comply with all instructions. We make these recommendations to prevent you from getting a burn. They may also suggest doing a test spot first to see how you respond to the laser treatment.

Treating the scars

Pigmented scars are the most common and can be treated consecutively with laser hair removal treatments. Pigmented scars can usually be treated with prescription strength skin care products, and chemical peels. Depressed scars require a deep treatment such micro-needling, fractional laser resurfacing or dermabrasion. It is best to treat depressed or raised scars when the condition is controlled. Keloid scars are very complicated and need to be diagnosed and treated by a dermatologist. I want to specify that keloid scars need to be diagnosed by a dermatologist, because raised scars are sometimes confused with keloid scars.

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Read MoreJune 2, 2014 5:24 pm - Posted by Kristy


The free-radical theory of aging (FRTA) states that organisms age because cells accumulate free radical damage over time. You may believe that you are getting enough antioxidants via diet, you may be wrong. As I learn more about the benefits of resveratrol, I am convinced that a nightly application of an effective topical resveratrol product needs to be a part of everyones skin care regimen.

What is Resveratrol?

Resveratrol is a botanical antioxidant with diverse biologic effects important to anti-aging. Resveratrol is a natural polyphenolic antioxidant found in over 70 plants, including berries peanuts and grapes. It protects plants from stress, UV light and certain fungal infections. You may have also heard that red wine is a good source of resvertrol, this is because it is in the skin of the grapes and as the grapes ferment the concentration of resveratrol increases.

Resveratrol is impressive because it has a dual antioxidant capacity, not only is it an exogenous antioxidant it also works to up regulate endogenous antioxidants. This means that not only does resveratrol scavenge free radicals from the environment, it also works to increase the production of the bodies own “endogenous” antioxidants

Benefits of Resveratrol

- Dual antioxidant capacity
– Preserve collagen
– Reduce skin inflammation
– Helps with skin discoloration (tyrosinase inhibitor)
– Inhibits non-melanoma skin cancer formation, when applied topically
– Positive effect on extrinsic and intrinsic skin aging
– Works synergistically with antioxidants such as vitamin E
– Increased epidermal and dermal skin density ( with topical Resveratrol BE )
– Increased Elasticity ( with topical Resveratrol BE )

Intrinsic and Extrinsic: What you need to know about free radicals

A free radical is any unstable atom or molecule that is missing an electron. They stabilize by steeling an electron from another molecule, which then becomes becomes another free radical, creating a chain reaction. Free radicals can be intrinsic (natural) or extrinsic (environmental). Extrinsic free radicals (from your environment) can be ingested, inhaled or absorbed into the body. UV rays, air pollution, tobacco smoke, herbicides, and pesticides are all forms of free radicals. Intrinsic free radicals (natural) occur constantly when our body produces free radicals as by-products of a basic metabolic process called oxidation. Immune cells will also release free radicals in order to fight invading viruses and bacteria.

Learn More “Understanding Free Radicals and Antioxidants”

Exogenous and Endogenous: What you need to know about antioxidants

Exogenous antioxidants are obtained from an outside source such as diet or topical applications, compared to Endogenous antioxidants which are made by the body. The body makes five types of endogenous antioxidants: superoxide dismatuse (SOD), alpha lipoic acid (ALA), coenzyme Q10 (CoQ10), catalase and glutathione peroxidase. The body is incapable of producing enough endogenous antioxidants to combat free radicals on their own, so it is essential to get additional (exogenous) antioxidants through diet. We can increase exogenous antioxidants by eating a healthy diet, but this does not exactly increase endogenous antioxidants. Unfortunately, as we age the body produces less endogenous antioxidants. Evidence suggests that a decrease in endogenous antioxidants plays a role in both extrinsic (environmental) and intrinsic (natural) aging, leading to premature aging. So…this is where resvertrol comes in to play. Resveratrol helps to up regulate endogenous antioxidants, including superoxide dismatuse (SOD), catalase and glutathione.

Skin Aging

Skin aging is effected by the depletion of naturally occurring (endogenous) antioxidants. Another driving factor in skin aging is ROS (reactive oxygen species), which can result from environmental insults such as sun exposure as well as the disturbances in mitochondrial function. Increased ROS can directly damage cell membranes, proteins, DNA as well as turning on the cellular and molecular mechanisms that accelerate aging. This means a break down of collagen, less collagen production and increased inflammation. Studies show that resveratrol down regulates this process, helping to preserve collagen and reduce skin inflammation.

Learn More “Topical Antioxidants”

Topical Resveratrol: Benefits and Challenges

Orally ingested resveratrol is rapidly metabolized, leaving only a small fraction to reach tissues. Resveratrol ingested via diet or supplements is not the most effective way to deliver it to the skin, topical applications are more promising. Topical resveratrol is applied directly to the targeted area allowing skin tissue to attain a therapeutic concentration.

The first challenge with topical resveratrol is that it is photosensitive, so it must be protected by a broad-spectrum sunblock or used exclusively at night. The second challenge is that it has a low water solubility, making it hard to get high concentrations of pure resveratrol in a topical solution. This explains why most topical products have less than 1% of pure resveratrol. Finally, the transport of resveratrol to the skin is limited by the type of vehicle used. It is essential that the resveratrol be able to escape from its vehicle and be able to penetrate the initial barrier.

Renowned for their topical antioxidant serums, it is no surprise that Skin Ceuticals would overcome the obstacles of topical resveratrol. Skin Ceuticals has created “Resveratrol BE” with a maximized concentration of 1% pure stabilized resveratrol in a synergistic formulation with 0.5% baicalin and vitamin E for enhanced efficacy. Skin Ceuticals advanced research labs have formulated the resveratrol in a delivery system of hydrotopes which allow the resveratrol to penetrate the skin.
skin ceuticals antioxidants

How To Use Topical Resveratrol

Remember resveratrol works synergistically with other antioxidants and it is degraded by UV rays. I recommended that in the morning you apply a topical antioxidant such as CE Ferulic along with broad spectrum sunblock. Apply topical Resveratrol BE at night before any moisturizer or creams. If you use tretinoin (Retin-A), apply the tretinoin first then the resveratrol.

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Reference “Resveratrol: A Unique Antioxidant Offering a Multi-Mechanistic Approach for Treating Aging Skin”
Journal Of Drugs In Dermatology, December 2013. Volume 12. Issue 12

Read MoreApril 13, 2014 7:24 pm - Posted by Kristy


Your skin care products could be working more effectively

The Challenge of Skin Care Products

As skin care professionals, a large part of our job involves searching for skin care products that are effective and then searching for new ways to help those products to work better. The bennefits of a product can look great on paper, but if it does not penetrate effectively then it loses a lot of the benefit. The main function of skin is to act as a barrier, meaning to keep things out. This barrier function makes it challenging to get skin care products to penetrate enough to be effective. Many topical creams merely sit on the surface of the skin before evaporating away.

The Solution

While researching new ways to deliver skin medications, bioscientists made an amazing discovery—ultrasound waves uniquely increase the effectiveness of applying topical ingredients to the skin. Ultrasound waves work by creating a path to deliver key ingredients to the skin. In short ultrasound waves help create a path for better product penetration, which means skin care products will work more effectively, giving you better results.

JeNu

Ultrasound itself isn’t new, we use a professional ultrasound device in our clinic for several different therapies. Until recently however, ultrasound devices were only available for use in medical offices, but now there is an ultrasound device called JeNu that can be use at home. JeNu is a home skin care device that combines the power of gentle ultrasound wave technology with effective skin care products.
It is a small hand held ultrasound wand that is used to help improve product penetration, up to 12 times better penetration. JeNu also comes with a lip and eye product that use breakthrough technology to hydrate and plumps lips as well as minimizes the appearance of crow’s feet and refines skin texture around eyes. (The lip serum is my new obsession -LOVE it!)

Aside from the amazing results I have enjoyed with my skin, I have to add that I love the sleek design. The wand is fairly small and the charger plugs directly into the wall, rather than taking up space on your counter. The JeNU Active-Youth Pro Skincare System is available exclusively thru skin professionals.
Video: How it Works

Professional Tip / Before You Start

JeNu recommends using the ultrasound wand only with JeNu products. I personally use the ultrasound with additional skin care products, as do my clients. It is important to understand that as it increases product penetration it will likely potentiate active ingredients, although this is basically the desired effect it may also increase the skins reaction to product. If you want to use your JeNu device with other products, I recommend that you first consult with a skin care professional that is familiar with both JeNu and the product you intend to use. I would advise against using it with anything very active such as Retin-A, retinol, salicylic or glycolic acid.

Before

After

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Read MoreJanuary 27, 2014 9:21 pm - Posted by Kristy


Photofacial is one of the most popular treatments for skin rejuvenation and with good reason. Photofacial can treat a variety of skin conditions including skin discolorations and redness, but with all the different light devices and treatment names being used there is a lot of confusion about this versatile treatment.

What can be treated with IPL.

Photofacial uses Intense Pulsed Light (IPL), which is well absorbed by chromophores that have color such as melanin and hemoglobin (think red and brown). It works best for brown spots and vascular skin conditions. IPL treatments can help stimulate collagen production, can kill acne causing bacteria and some IPL devices can also be used for hair removal.
The most common conditions treated with IPL include:
- Rosacea
– Broken capillaries
– Flushing/ Facial redness
– Sun damage/Age spots
– Melasma
– Freckles
– Brown Spots

What is in a name?

Photofacial is a photo rejuvenation treatment that uses Intense Pulsed Light (IPL) technology. Photofacial is known by many different names with a variety of spellings including: PhotoFacial, Fotofacial, FotoFacial RF, Photo-Rejuvenation, Photoderm, BBL or simply IPL. These are essentially all the same thing, however some names may be trademarked, associated with a specific device or a developed treatment protocol. Dr. Patrick Bitter, Sr. developed the procedure PotoFacialSM in 1988 and Dr. Bitter Jr., is the developer of the FotoFacial™ and PhotoFacial™. BBL is Sciton’s trademarked name for their IPL machine, which is said to be the most powerful IPL device. You do not need to be overly concerned with the name being used to describe an IPL treatment, instead focus more on the device being used and the experience of the technician performing the treatment.

Learn More [Intense Pulsed Light (IPL) 101: Shining Light On Aesthetic Skin Treatments]

What device should be used for a Photofacial?

Photofacial is a treatment and the devices used is Intense Pulsed Light (IPL). Some people will use an LED device and call it a Photofacial, however this is not a true Photofacial. LED devices are commonly use in spas, they have lower energy and do not produce intense light.

Due to the increasing popularity of Laser and IPL treatments and the growing industry there has been an explosion of new devices on the market. Many of the new devices are less effective. As Laser Technicians we look for a device that gives us more precise control. IPL treatment settings do not work by simply turning a dial up or down. We control things such as the pulses, pulse duration, the amount of joules used and cut off filters. Devices that use a larger selection of cut-off filters are more effective because they allow for treatment of vascular and pigment lesions at different depths. In the authors opinion the best IPL devises are Scitons BBL and the Lumenis One/M22.

How many treatments are needed?

The first treatment will generally provide significant correction, however for best results a series of treatments are recommended. The exact number of treatments will vary depending on the condition being treated, the desired patient results, how the skin responds and how compliant you are with pre and post skin care. A very generic protocol would be a series of 5 treatments scheduled 3 weeks apart, however it is better to work on a plan that is designed specifically for your skin and your lifestyle.

What to expect after a Photofacial (IPL/ BBL).

There generally isn’t any down time with Photofacial, however if you have a lot of sun damage you may not look great for a week or two. Immediately after your treatment your skin will be a little pink and slightly warm. It is normal for it to feel like a mild sunburn, windburn or razor burn, but if you experience an excessive or lingering heat you should communicate this to your technician.

If you have brown spots they will darken up and gradually flake off over the next two weeks. Freckles tend to look darker, skin with a lot of discoloration may look “peppered” before it flakes off. If you have treated non-facial skin such as neck, chest, hands or arms it may take three weeks and some spots may take even longer. You may be able to speed up the process with a microdermabrasion 7-10 days after your treatment. Swelling and redness may also occur, you can apply cold packs to help with swelling and some people find an over the counter antihistamine helpful.

It may feel hot. If the skin does not cool down quickly after treatment it is very important that you go home and apply cold cloths until it is no longer hot. Take a large, clean bowl fill it with ice, add water and put clean washcloth in the bowl. Ring out excess water and apply cold cloth to treated area. When the cloth is no longer cold, trade it out for a cold one. Continue to do this until the area is no longer hot (this could take hours).

How can I improve the results of my Photofacial treatment?

The most important thing you can do is follow all pre and post care instructions, this includes not tanning, avoiding heat immediately post treatment and using the recommended topical skin care. If you are treating skin discolorations you will most likely need a skin care regimen that includes tretinoin and 4% hydroquinone. If you are treating rosacea you will need a topical vitamin-C. Everyone will need an approved sun protection with Zinc Oxide, the SPF should be over 30.

IPL treatments can be combined with other technologies for enhanced results. I will often use a vascular laser in my treatments for treating broken blood vessels or add Radiofrequency (RF) for skin tightening. Other possabilities include blue light for acne, laser resurfacing and laser hair removal. A microdermabrasion may be done prior to treatment to cause vaso diolation which can enhance results of an IPL treatment for those with facial reddness.

If you really want to increase your results you may want to do a PhotoDynamic Therapy (PDT) treatment. PhotoDynamic Therapy uses Levulan (aminolevulinic acid) also known as ALA to photosensitize the skin prior to a photofacial Adding Levulan results in a higher level of correction of freckles, sunspots, skin discolorations, broken blood vessels and redness. You will also have the added benefit of an aggressive acne treatment and treating Actinic keratosis (AK’s).

Read more about PhotoDynamic Therapy (PDT)

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Read MoreApril 13, 2013 3:48 pm - Posted by Kristy

Hydrating Serums

Hydrating B5 Gel by Skin Ceuticals

All Skin Types
Moisture-enhancing gel that can be used alone or under a moisturizer for maxim moisture.
Key Ingredients: Hyaluronic acid is a natural humectant capable of retaining 1,000 times its own weight in water, making it an effective moisturizer. Vitamin B5 is essential for skin repair function, B5 is known to help with tissue repair.
P.S. We ♡ B5 gel because it gives your skin an amazing glow with a slight plumping effect. We also like to use it with Clarisonic Opal (try it).

Hydra-Cool Serum by iS Clinical

All Skin Types, Acne, Rosacea, Sensitive
Hydrateing, Soothing and Anti-Acneic
A light weight hydrating antioxidant serum that reduce mild acneic skin symptoms, calms,cools and soothes irritaded skin. Can be used alone or under a moisturizer.
Key Ingredients: Sodium hyaluronate ( hyaluronic acid), Pantothenic acid (vitamin B5), mushroom extract ( a form of kojic acid)
TIP – “Hollywood Glow Secret” mix a little Hydra-Cool with Makeup

HYALIS 1% Hyaluronate Refining Serum by NeoCutis

All Skin Types
Hydrating serum that quickly hydrates skin, ideal for use in conjunction with drying dermatologic treatments.
Key Ingredients: Hyaluronic acid

Moisturizers

Emollience by Skin Ceuticals

Normal,Dry, Sensitive Skin
Rich, restorative moisturizer that absorbs evenly and quickly, ideal for high altitudes and cold or dry climates.
Key Ingredients: Nutrient-rich algae extracts nourish and hydrate the skin. Grape seed oil, rose hip oil, and macadamia oil restore and maintain moisture.

Daily Moisture by Skin Ceuticals

Normal, Oily, Combination Skin
This lightweight moisturizer helps reduce the appearance of pore size and leaves a smooth, non-greasy finish.
Key Ingredients:

Action by Obagi

All Skin Types / Post Procedure
A mild moisturizing cream to be used as needed to soothe areas of dry, flaky skin. Will not irritate sensitive or post procedure skin. Can be used while on tretinoin (Retin-A) and after chemical peels.
Key Ingredients:

Nu-Derm Hydrate

Normal, Dry, Sensitive Skinn
All-day moisture protection that is non-irritating, non-sensitizing, allergy tested, hypoallergenic and non-comedogenic.
Key Ingredients: Hydromanil, a natural moisturizer derived from tara seed, known to retain water and gradually deliver moisture to the skin. Also includes shea butter, mango butter, avocado, and glycerin to help combat skin dryness.

Skin Strenghtening Complex by NIA24

Normal, Oily, Acne, Sun Damaged Skin
A light weight treatment moisturizer that is fortified to enhances the skin barrier function, accelerates repair, and reduces the apperance of skin discolorations.
Key Ingredients: 5% Pro-Niacin which delivers niacin to the skin cells and enables healing from within helping the skin protect and repair itself from sun damage. Vitamin -A (retinal palmitate- promotes elasticity), Green Tea & Rosemary (antioxidants), Ceramides, Evening primrose & Wheat Germ Oils (moisturize), Peptide Complex ( reduce fine lines).

Intensive Recovery Complex by Nia 24

Normal, Dry and Sun Damaged Skin
Rich treatment cream delivers intense moisture while it brightens skin and reinforce skin to tighten and tone.
Key Ingredients: 5% Pro-Niacin which delivers niacin to the skin cells and enables healing from within helping the skin protect and repair itself from sun damage. Sodium hyaluronate (hydrates), licorice root extract (brightens), Barley & Tomato Complex (reduces trans epidermal water loss), Liposome Complex of A, C and E (antioxidants), Ceramide 3 (barrier building)
* Pro- Niacin is based from niacin (vitamin B3) is a key factor in helping the skin protect and repair itself from sundamage.

Firming Complex by iS Clinical

All Skin Types / Mature Skin
Designed to reduce the visible signs of aging, it keeps skin hydrated and induces a process of cellular regeneration and skin exfoliation.
Key Ingredients: powerful healing antioxidants, Sodium Hyaluronate (Hyaluronic Acid), Retinol (Vitamin A), Pantothenic Acid (Vitamin B5), Willow Bark Extract (a source of Salicylic Acid), Centella Asiatica, Chamomile, Green Tea Extract, Licorice Extract, Bioflavenoids.

Ultra Sheer Moisturizer by Skin Medica

Normal, Oily Skin
Light non-oily moisturizer that hydrates and conditions the skin without clogging pores.
Key Ingredients: Tetrahexyldecyl Ascorbate ( lipid-soluble form of ascorbic acid/ Vitamin C),
Tocopheryl Acetate (stabilized ester of vitamin E – moisturizes), Tocopherol ( oil-soluble, natural form of vitamin E – antioxidant) Sodium Hyaluronate (Hyaluronic Acid)

TNS Ceramide Treatment Cream by Skin Medica

For Ultra Dry Skin or Post Procedure
Rich moisturizing ceramide cream that helps to support epithelialization of post-procedure skin and rapidly restores skin’s barrier and moisture balance.
Key Ingredients: TNS® (stabilized growth factors blend), Hydroxypropyl Bispalmitamide MEA (Ceramide),
Palmitoyl Oligopeptide (synthetic tripeptide), Palmitoyl Tetrapeptide-7 (synthetic peptide)

*Human Fibroblast Conditioned Media (TNS®) is a physiologically balanced, naturally secreted and stabilized growth factors blend that helps improve the appearance of fine lines, wrinkles and overall skin tone and texture.

Transformation Face Cream by Jan Marini

Dry, Combination Skin
Moisturizing Cream that assists in the rebuilding and repair of damaged cells while it leaves the skin with a silky-feeling surface.
Key Ingredients: TGF Beta-1 (Transforming Growth Factor/rh-Polypeptide-22), Epidermal Growth Factor, Peptides, Hyaluronic Acid, Antioxidants and Plant Extracts

Age Intervention Face Cream by Jan Marini

Dry, Combination Skin, Mature Skin
Highly moisturizing cream that assist in revitalizing and restoring skin suppleness and elasticity. It is designed to target changes in aging skin resulting from decreasing hormonal levels and cumulative sun exposure.
Features & Benefits
Key Ingredients: Bioidentical Hormones, Patented Topical Interferon (alpha-2b), Plankton (Algae) Extract, CoEnzyme Q10, Methylsulfonylmethane (MSM), Plant Extracts, Essential Fatty Acids

Thank you for visiting Best of Both Worlds Az
You can follow us on Facebook, Twitter, Tumblr and on our blog site
www.bestofbothworldsaz.com

®© All Rights Reserved.

Read MoreFebruary 5, 2013 8:59 pm - Posted by Kristy