Posts Tagged ‘bestofbothworldsaz’
What are these little bumps that appear on the skin, and how do you get rid of them?
These little bumps often look similar to a pimple, however they don’t go away on there own and acne treatments are not going to get rid of them. Clients will often ask me to “extract” these little bumps, thinking that they are acne comedones. They are actually Sebaceous Hyperplasia and they can not be extracted, however they can be treated.
What is Sebaceous Hyperplasia?
Sebaceous hyperplasia is a skin disorder of the sebaceous (oil) glands, basically it is an enlarged oil gland. The sebaceous gland can over grow. When the sebaceous gland becomes enlarged it protrudes to the surface of the skin and is visible as a as soft, small papule, that is depressed in the center.
The exact cause is unclear, however it is commonly seen on people with oily skin and there also appears to be a hormonal link. Genetics, sun exposure, aging, and acne are also believed to be a factor in the development of Sebaceous Hyperplasia. Only a doctor can diagnose skin lesions, if you suspect you have a sebaceous hyperplasia it is a good idea to see a dermatologist. Basal cell carcinoma and sebaceous hyperplasia can look similar, so a proper diagnosis is needed.
Skin Cancer – Basal Cell Carcinoma

Non harmful – Sebaceous Hyperplasia
Treatment For Sebaceous Hyperplasia
It is not medicaly necassary to treat Sebaceous Hyperplasia, however many people choose to remove them for cosmetic reasons. It is important to remember that even after treating the sebaceous hyperplasia, there is a good chance it will grow back. You may want to consider treatments that produce results and are also cost effective, as you will likely need to repeat them at some point in the future.
There are several treatments that can be used to treat or remove sebaceous hyperplasia including: TCA (Trichloroacetic Acid), laser treatments, (PDT) photodynamic therapy with Levulan, cryotherapy, cauterization and electro desiccation with a hyfracator. Using a topical tretinoin (Retin-A), can also be useful, although it will not remove the lesion. Isotretinoin (Accutane) is also used to treat sebaceous hyperplasia. In some cases minor surgery may be recommended to remove the “bumps”.
After removing the lesion, I like to use Levulan, Photodynamic Therapy (PDT) to help control sebaceous hyperplasia, because it shrinks the oil gland.
My preference is to first remove the “bumps” that are on the surface of the skin, and then follow up with products or treatments that are designed to shrink the oil gland, to help prevent it from growing back. If you have several, I recommend to start by treating one first, as a test to see how you respond. There is a possibility of hyper-pigmentation or hypo-pigmentation, those with darker skin are at greater risk for these complications.
If you have Sebaceous Hyperplasia that you would like treated, you can schedule a consultation with an Esthetician at
Paradise Valley Skin Klinic. 480 421-1701
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The Clarisonic cleansing brush has been a long time favorite among skin care profesionals, so it is no surprise that the Clarisonic Opal is a new favorite. The Clarisonic Opal Sonic Infusion System helps you get the most out of your skin care products and improve the skin around your eyes.
A palm-sized sonic infusion device, the Opal is specially designed to help build skin’s resilience over time and prevent future damage around the eyes. By gently tapping the skin around your eye at 125 sonic movements per second, the Opal dispenses a specially formulated Anti-Aging Sea Serum, maximizing absorption in a way that’s not possible with your finger alone.
A blue dye was added to the eye serum to show the enhanced absorption with the Clarisonic Opal.
For me the biggest selling point is that your products will penetrate better when you use them with the Opal, and when you invest in the best skin care products you want to get all you can from them. The Opal Sonic comes with an Anti-Aging Sea Serum, but I also use it with other serums. I find it also works well with Skin Ceutical’s Hydrating B5 Gel and Obagi Elastiderm Eye Treatment Gel. I think I will also like try it with Skin Medica’s TNS Recovery Complex. I don’t limit my Opal use to around the eyes, I find it works great on the lip line too.
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I finally found the time to read ” In Stitches” a memoir of Plastic Surgeon, Anthony Youn, M.D. I am not in the habit of writing book reviews, however I have been looking forward to reading this book since it was released. Dr. Youn is recognized as a top plastic surgeon and has been seen on shows like Rachel Ray and Dr. 90210. His blog “Celebrity Cosmetic Surgery” has been hugely popular, and now he shares his personal journey to becoming a plastic surgeon in his book “In Stitches”. This is a fun, easy read, a perfect book for a relaxing summer day.
In Stitches gives a humorous inside look of the life of Anthony Youn, a boy that grew up feeling like a “nerd” who didn’t fit in, and his journey to becoming a successful Plastic Surgeon. As a teen he was insecure about his over sized jaw and had major plastic surgery to correct it. He hoped that after the surgery he would have better luck with girls, but things don’t always work out as planned. Dr. Youn shares the personal struggles he had talking to women and trying to get a date while in medical school. Honestly, I was beginning to wonder if he was EVER going to get lucky. I actually had to flip back to the photo of Dr. Youn on the inside flap several times, to see if it offered any clues to his dating challenge. I think it all comes down to confidence.
Dr. Youn said he never had an “ah-ha” moment when he instantly knew that he was going to become a plastic surgeon. Maybe he didn’t have an “ah-ha” moment, but I suspect that a night he spent in pediatrics was a major influence. It is often overlooked, that plastic surgery has it’s roots in reconstruction, we are reminded of this when an infant is brought into the emergency room in need of immediate plastic surgery to reconstruct his face.
You will have to read the book to find out exactly what happens. (Warning, this chapter is a tear jerker)
I have spent my career working with doctors, in the field of Medical Aesthetics and Plastic Surgery, so I have some idea how challenging medical school is and plastic surgery happens to be one of the most competitive fields in medicine. Youn was one of 250 qualified candidates competing for a residency in plastic surgery, with only 60 openings. After completing applications for 35 plastic surgery residency programs and 20 general surgery programs (as backups), he receives 15 interview invitations for general surgery and 8 for plastic surgery. Now begins the exhausting process of traveling around the country for residency interviews. These interviews are a bit unusual and a little comical. Finally, Match Day, the day when future doctors are matched with their residency via a process that is compared to E-Harmony.
Intrigued? Buy the Book!
Let us know what you think of the book.
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I know that I am supposed to be the “skin guru”, but occasionally I learn something from my clients. Years ago, one of my clients went to Israel. Before she left, she promised she was going to bring me back a little gift. Yay…I love gifts! ( I am blessed with the most amazing clients.) She returned with AHAVA mineral hand cream. She remembered that I am always looking for something to sooth my dry hands. At work I wear latex gloves and I wash my hands several times a day, as a result my hands become very dry and sensitive. I am glad that I has introduced to this line of products because I absolutely love them.
She told me about the Dead Sea and how people travel from all over the world to float in the Dead Sea and coat their bodies in mud from the Dead Sea. It has long been believed that the Dead Sea offers many health and cosmetic benefits due to the high mineral content of the water and salt.
The Dead Sea is at the lowest elevation on earth and has one of highest concentrations of salt water in the world. The high salinity of 33.7% creates an environment in which animals can’t live, which is why it is known as the Dead Sea. The salt content differs from that of the ocean, which is 97% chloride. The Dead Sea salt contents vary, but it is made up of about: 50.8% magnesium chloride, 30.4% sodium chloride, 14.4% calcium chloride, and 4.4% potassium chloride.
Dead Sea Mud

AHAVA also has a full line of products that are made with Dead Sea Mud. The mineral-rich black mud of the Dead Sea shores is scientifically proven to help soothe and repair dry sensitive skin. In addition to the Mineral Hand Cream I am currently also using the Dermud Intensive Foot cream. It is extreamly hydrating, which is great for dry feet. Better yet, you can buy 100% pure Dead Sea Mud for a full body treatment at home.
Dead Sea Salts

Use 100% Dead Sea Salts at home in your bath tub, or try a salt scrub.
Discover the benefits of the Dead Sea with AHAVA.
Try it and let us know what you think.
You can find AHAVA at Nordstroms, ULTA, Beauty Brands and Beauty First.
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It’s been all over the news, I am referring to the Esthetician who gave her eight year old daughter injections of Botox to treat “wrinkles”. She was motivated to do this to help give her daughter an advantage in pageants. As a mother and an Esthetician myself, I wanted to share my thoughts on this crazy story. It has already been said that she is sending the wrong message to her daughter. Lets face it, that message began with putting an eight year old in a beauty pageant.
Why Does An Eight Year Old Want Botox?
There has been discussion about why an eight year old would ask for Botox in the first place. As an Esthetician I can tell you that at that same age my son knew about many of the things we offer in the beauty industry, just from hearing me talk about it. I even remember him telling me that his teacher needed a blue peel, but for the most part he had no interest in esthetic treatments. I am sure that girls would naturally have a little more interest in esthetic and cosmetic treatments than boys, but certainly not anti-aging treatments. Just to state the obvious… children don’t have wrinkles!
Mommy is an Esthetician????
The mother of the little girl is an Esthetician and claims it was her daughter that asked for Botox. As a mother and an Esthetician, I don’t see how that justifies her actually injecting her daughter with Botox. My son once asked me to remove his cow lick with laser hair removal. I obviously refused and explained to him that although it would permanently rid him of his cow-lick, he would be left with a bald spot on the back of his head. He said, he would rather have a bald spot than a cow-lick. I promised him that he would feel differently later, and then changed the discussion to the pain involved. Now that he is a teenager, I know he is glad I didn’t honor his request. My first point is that children don’t know what is best for them, thats why they have parents. My second point is, Estheticians have a professional responsibility, to educate clients about the benefits and risks of a treatment.
The Worst Esthetician Ever!!!
The little girl said she didn’t like wrinkles. Okay… that is fair, I don’t exactly like them either. I am going to be completely hypothetical for a moment, because I am obviously not in the business of treating or consulting children for cosmetic treatments. If I was consulting with this little girl, I would point out that she doesn’t have wrinkles and I would explain to her that children have a lot of collagen and elastin and that their skin cells turn over very fast. I would also explain that the facial muscles only become strong enough to create lines and wrinkles after many years and she could reconsider Botox in about 20 years. I would teach her that the best way to prevent wrinkles is to use a good sunblock every day. Other things she should do, is eat a healthy diet with a lot of fruits and vegetables, drink plenty of water, get enough sleep and exercise and never start smoking. I might even teach her how to properly cleanse her face, but thats about it. It is irresponsible as a skin professional to provide skin treatments that are unnecessary on anyone. I have to assume that either this esthetician doesn’t understand how the skin functions or has poor ethical and professional standards (or both). She is also working outside the scope of an Esthetic License, the only way she can inject Botox is under the direct supervision of a doctor, in which case the doctor can be held responsible for her actions. She stated that she does the injections her self, and purchases the Botox online. FYI- the internet is not a trusted source. After careful consideration, I am awarding this mom with the title of ” Worst Esthetician Ever”.
I am annoyed that this ridiculous story gives a bad reputation to Estheticians and Botox. The truth is there are “bad” Estheticians, which is why it is so important to find an Esthetician that excels in the field. I have to advocate for Botox, by saying that it is only intended for cosmetic use in consenting adults and in children to treat medical conditions, but not for cosmetic purpose. Botox is only sold to approved doctors, the woman in this case claims to have purchased it on line. As I have said many times before, just because you can buy something on the internet doesn’t mean you should.
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Good humor is a tonic for mind and body. It is the best antidote for anxiety and depression. It is a business asset. It attracts and keep friends. It lightens human burdens. It is the direct route to serenity and contentment. – Greenville Kleisser
Best Of Both Worlds Az, recently co-hosted an event to benefit Athletes International, at Stand Up Scottsdale comedy club. We really had a great time and would like to thank everyone that came out to help us support a good cause. For those that didn’t make it, you missed a great show. The show featured Andrew Norelli as the headliner, along with the other comedians that opened the show.

Kristy and Stephanie with Comedian Headliner Andrew Norelli
Andrew has been seen on Jimmy Kimmel Live, The Late Late Show with Craig Ferguson, Comedy Central’s Live at Gotham, Comedy TV, Entertainment Studios with Byron Allen, and Comics Unleashed to name a few. He is real a top act. Not only is he funny, but he is able to make a crowd laugh out loud without using derogatory terms or offensive language. ( Which, in my opinion is a talent ) Sometime’s you watch a comedian and their style of comedy is only enjoyed by a certain targeted group, however Norelli’s act is tailored to be enjoyed by everyone in the audience. I am guessing his experience with improv has helped him to read a crowd, while working as writer for nationally syndicated television programs has given him an understanding of mainstream humor. Two thumbs up!
Stand Up Scottsdale is known for booking some of the most relevant comedians on the scene, you can expect an amazing headliner every weekend. They also have open mic on Wednesday nights. Stand Up Scottsdale! Comedy Club is located in old town Scottsdale, on 5th Ave between Goldwater and Indian School. It is the old Anderson 5th Estate building. The location is great for anyone that may want to go to dinner in Scottsdale and then a show, or enjoy Scottsdale’ night life at some of Old Town’s Dance Clubs, Bars and Restaurants. You can also enjoy food and drinks at the comedy club before, during or ofter the show, which may be a good idea because the drink prices are more affordable than most of Scottsdale’s trendy hot spots. Most shows are $15. and they offer discounts for military, studants, fire and police.
We really enjoyed working with Howard and everyone at Stand up Scottsdale Comedy Club, we will definitely be back to the club for a good laugh.
Stand Up Scottsdale Comedy Club
6820 E. 5th. Ave.
Scottsdale, AZ 85251
480.882.0730
www.standupscottsdale.com
Facebook & Yelp
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Microdermabrasion is a form of mechanical exfoliation or micro-resurfacing, that utilizes a specific mechanical medium to gently abrade the top most layer of skin along with adjustable suction. There are many mechanical mediums used for microdermabrasion including: Aluminium Oxide Crystals, Sodium Bicarbonate Crystals, Sodium Chloride Crystals, Bristle tips, natural and synthetic Diamond Tips. DiamondTome is a natural, non-partical form of microdermabrasion that utilizes natural diamond chips at various levels of coarseness attached to the tip of a wand.

DiamondTome eliminates the powders and crystals, by using the polishing action of diamond chips and the cleaning action of controlled vacuum. This non-particle form of microdermabrasion offers a clean controlled procedure.
Microdermabrasion Plus:
When you have a Microdermabrasion facial treatment at Paradise Valley Skin Klinic, you will enjoy the added benefits of full custom facial and dermaplaning. The microdermabrasion procedure removes the top most layer of skin by gently exfoliating the skin with natural diamond chips while at the same time vacuuming the dead skin cells away, in a sterile and controlled manner. This exfoliation promotes the growth of healthy new skin cells. You will immediately experience cleaner, softer and smoother skin after with each treatment.
Paradise Valley Skin Klinic also offers Microdermabrasion with Sodium Bicarbonate Crystals
Why do I need Microdermabrasion?
Our skin is constanly growing, similar to our hair and nails. The normal cycle of skin cell turn over is about six weeks. This means that a new skin cell is produced, and slowly moves to the surface of the skin (stratum corneum), then is naturally sloughed or exfoliated off and replaced by a new skin cell. As the skin ages the process of skin cell turn over slows down and dead skin cells build up on the surface of the skin. As the stratum corneum becomes thick with a build up of dead skin cells, this skin will have a rough dull appearance and texture. Pigmented skin cells also becomes more dense causing hyperpigmentation, such as melasma, freckles, sun spots or any skin discoloration to look worse. Dead skin cells can also build up in the pore contributing to blackheads, whiteheads and acne breakouts.
When the skin is exfoliated with microdermabrasion the dead skin cells are immediately removed from the surface of the skin, and the fibroblast is stimulated to produce collagen. Exfoliation is a way of speeding up the process of skin cell turnover. Removing dead skin cells from the skins surface will allow for better penetration of topical skin care products, you can actually double the effectiveness of your products. Exfoliating the skin will also reduce the appearance of hyperpigmentation, fine lines, superficial scars and help combat acne.
Is there any discomfort or downtime?
No. Microdermabrasion with the DiamondTome is very comfortable, most people actually enjoy the way it feels. Microdermabrasion feels similar to the “scratchy” surface of a cats tongue, along with mild suction. One advantage to microdermabrasion is there isn’t any down time. You can have a microdermabrasion on your lunch break, reapply makeup and return to work.
What are the limitations of microdermabrasion?
Unfortunately, there are some exaggerated claims to microdermabrasion benefits. It’s important to have a realistic expectation for skin treatments. Microdermabrasion is a fairly superficial form of exfoliation compared to chemical peels and laser resurfacing. Each technique has unique benefits and has a special place in skin care. Microdermabrasion is intended to exfoliate the skin without downtime or discomfort. Treatments can be done on a regular basis to maintain the skin and performed between other skin treatments to expedite and enhance results.
There are limits to microdermabrasion, it does not reach skin below the stratum corneum, even if done once a week it will not have an effect on the deeper layers of skin. It is necessary to reach skin cells at deeper layers to treat many skin conditions, for this reason microdermabrasion can not be used to replace laser resurfacing procedures or chemical peels.
Microdermabrasion alone will not eliminate hyperpigmentation. Exfoliation will remove the dense layers of dead skin cells on the skins surface, by removing these layers, pigmentation will be less dense and the appearance of skin discolorations will be reduced. The discoloration is still there it just appears lighter because it is less dense. As the skin continue’s to “grow” and as the stratum corneum builds back up, the pigmentation will return. Your skin care professional can help you select topical agents to help better treat skin discolorations.
Can I get the same results with Microdermabrasion products at home
No, these products generly use crystals similar to those used in Microdermabrasion treatments. They are basiclly facial scrubs, and don’t exfoliate skin to the same level of a Profesional Microdermabrasion treatment. Proffesional treatments use equipment that allow for controll of the negetive pressure or suction used as well as the release of abrading crystals or the abrasiveness of wand. The technique used also plays a role in the effectiveness of treatment.
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Hollywood bombshells Marilyn Monroe and Elizabeth Taylor are said to have shaved their face. Shaving offers more benefits than hair removal, it is an excellent form of exfoliation, especially when done professionally. Dermaplaning treatments are popular among Hollywood A-Listers
Dermaplaning also known as epidermal leveling, microplaning or bladeing, is a gentle form of manual exfoliation. A surgical blade is used to gently scrape facial skin removing the outer most layers of dead skin cells as well as fine facial hair, leaving skin completely smooth and baby soft. Exfoliating the skin stimulates the production of new skin and allows for better absorption of topical skin products. Dermaplaning can be done as an independent treatment or used to enhance other treatments such as chemical peels.

Dermaplaning is completely painless in-fact most people say it feels good and there is absolutely no down time. Treatments only take about 30 minuets and regular blading treatments are scheduled about 3-4 weeks apart.
How does the hair grow back?
Despite popular belief, the hair does not grow back thicker. Fine facial hair is known as Vellous hair and when it is shaved, cut or removed it grows back the same way. If there is any dark, coarse facial hair present, I usually recommend laser hair removal. Dermaplaning can be used to remove coarse facial hair, but keep in mind that it will grow back the same way.
What if I have acne?
I don’t recommend dermaplaning for acne skin. Acne begins in the hair follicle and when the hair is removed it can aggravate or stimulate acne breakouts. Microdermabrasion is another form of manual exfoliation, and it is more appropriate for acne prone skin.
Thank you for visiting Best of Both Worlds Az
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www.bestofbothworldsaz.com
Imagine a skin treatment that has the ability to treat sun damage, rough skin, freckles, skin discolorations, redness, broken blood vessels, rosacea, acne, kill acne causing bacteria, reduce oil glands, minimize pore size, improve appearance of some acne scars and treat precancerous Actinic Keratose. Believe it or not, such a treatment does exist! The skin treatment I am referring to is PhotoDynamic Therapy (PDT). PhotoDynamic therapy is a non-invasive, non-ablative treatment with little to no down time.
PhotoDynamic Therapy (PDT) is a 2 part skin treatment that uses the light activated drug therapy, Levulan (aminolevulinic acid) also known as ALA. Levulan is a topical agent that is used to photosensitize the skin prior to light based treatments such as IPL (photofacial) and blue light acne treatments.
[ Intense Pulsed Light (IPL) 101: Shining Light On Aesthetic Skin Treatments ]
Adding Levulan (ALA) to a photofacial IPL treatment, is a bit like putting your photofacial on steroids. The Levulan photosensitizes the skin, allowing the IPL energy to be better absorbed by the targeted pigmented and vascular chromophores. This results in a higher level of correction of freckles, sunspots, skin discolorations, broken blood vessels and redness compared to photofacial alone. Although, Levulan in it’s self does not penetrate to dermal layers of the skin, the heat and inflammatory response caused by PhotoDynamic Therapy does reach the Papillary dermis. This heat stimulates the fibroblast to produce collagen.
[ Rosacea: Understanding Treatments and Products for Rosacea Skin]
PhotoDynamic Therapy is unique because Levulan is absorbed by abnormal cells, such as those of Actinic keratosis (AK’s). Aminolevulinic acid is also absorbed into the oil glands and hair follicles. When the Levulan is activated by the appropriate light or laser it damages the oil glands and reduces P. acne bacteria. Acne can be affectively treated by using Levulan to pretreat the skin before IPL (photofacial) or Blue light treatments.

How is the treatment done?
First your skin is pretreated with an acetone scrub, to remove oil from the skin’s surface. Sometimes microdermabrasion is also preformed before the Levulan is applied. Microdermabrasion will remove dead skin cells and cause blood vessels to dilate, which will result in a more effective treatment with IPL. After the skin is prepped the Levulan Kerastick is cracked open and applied to the skin. Aminolevulinic acid (ALA) doesn’t sting or burn like acids used in chemical peels. The ALA is left on the skin to “incubate”. The incubation time can be anywhere from 1-8 hours, a longer incubation time can cause more reaction as well as more correction. Non-facial skin generally requires a longer incubation time. Once the Levulan is applied, you must avoid sun exposure for 40 hours. Topical anesthetic may also be used. After the Levulan has been on for the determined amount of time, the skin is then treated with IPL and/or Blue Light. The light will activate the ALA. Blue Light is used specifically to treat acne and can be done alone or with IPL.
Side Effects
The degree of post treatment reaction will depend on the amount of skin damage and how aggressive the treatment is done. The Luvulan can be left to “incubate” longer, before it is activated for a more aggressive treatment. Those with a lot of sun damage or active acne can expect to have more reaction. Some people will experience little to no side effects. Similar to photofacial, pigmented spots will become temporarily darker, until they flake and peel off. The treated area will likely appear pink or red for the first few days and peeling may also occur and last for up to 7 days. Some may also experience mild swelling that lasts a couple days. It is important to avoid sun exposure for the first 40 hours post treatment, sun block will not protect skin against photosensitivity reactions caused by visible light. Sun exposure can cause stinging, burning, redness and swelling to the treated area.
How many treatments are needed?
The amount of treatments needed will depend on the skin condition and level of correction desired. There is significant improvement with each treatment. Some people may be satisfied with a single a treatment, however for optimal results a series of treatments are recommended. Treatments can be scheduled as soon as 3- 4 weeks apart.
Schedule a consultation to determine if you are a candidate for PhotoDynamic Therapy, and set up a treatment plan.
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